Remote Manager, Network Management & Provider Contracting

Health Care Service Corporation; United States; Remote; USD 93,000 - 168,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a senior provider contracting leader to oversee recruitment, negotiation, and contracting for physicians, groups, and facilities across enterprise markets. This remote role requires travel as needed to support providers and negotiate complex agreements.

The position leads a team focused on provider contracting and provider support resources, educates providers, and partners with stakeholders to drive efficient contracting and improved results.

Qualifications

• Bachelor's degree and 5 years provider contracting experience required.
• 9 years managed care experience including 5 years provider contracting experience.
• Extensive knowledge of provider and facility contracting, products, and claims/processing systems.
• Leadership skills to oversee staff, implement initiatives, and work across the company to resolve issues.
• Negotiation skills.
• Relationship building skills.
• Knowledge of marketplace.
• Meet deadlines and work well under pressure.
• Verbal and written communication skills to interact with all levels of corporate personnel and providers.
• PC proficiency to include Microsoft Office.
• Analytical skills.
• Project management skills to lead or participate in projects or initiatives.

Responsibilities

• Manage daily activities and implement provider recruitment strategies.
• Develop and negotiate contracts with physicians, physician groups and facilities.
• Develop and maintain relationships with providers.
• Ensure strategic coverage for enterprise markets.
• Responsible for education of providers and for ongoing provider service.
• Manage, mentor and train a team responsible for provider contracting and provider support resources.
• Provide subject matter expertise to improve efficiency and results.
• Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

Skills

Leadership

Negotiation

Relationship building

Analytical skills

Project management

Communication

Travel readiness

Education

Bachelor degree

Tools

Microsoft Office

Job description

Health Care Service Corporation (HCSC) is seeking a senior provider contracting leader to oversee recruitment, negotiation, and contracting for physicians, groups, and facilities across enterprise markets. This remote role requires travel as needed to support providers and negotiate complex agreements.

The position leads a team focused on provider contracting and provider support resources, educates providers, and partners with stakeholders to drive efficient contracting and improved results.