Senior Field-Based Provider Relations Lead

Health Care Service Corp.; United States; Remote; USD 63,000 - 114,000; Full time

Job summary

Health Care Service Corporation (HCSC) seeks a Provider Relations Specialist to develop and maintain cooperative relationships with providers and improve ease of doing business with HCSC. This role involves educating providers, addressing concerns, tracking issues, and ensuring performance aligns with operational and financial requirements.

It requires strong negotiation skills and travel within the assigned region.

Qualifications

• Bachelor’s degree in business or 6 years leadership experience.
• 4 years’ experience in claims, customer service, physician office or hospital setting.
• 3 years’ experience in provider relations including contracting and reimbursement issues.

Responsibilities

• Develop and maintain cooperative relationships with providers to support network performance.
• Educate and train providers; address provider concerns and escalate issues.
• Monitor provider performance to ensure operational and financial requirements are met.

Skills

Negotiation

Provider relations

Independent work

Education

Bachelor’s degree

Tools

Microsoft Office

Job description

Health Care Service Corporation (HCSC) seeks a Provider Relations Specialist to develop and maintain cooperative relationships with providers and improve ease of doing business with HCSC. This role involves educating providers, addressing concerns, tracking issues, and ensuring performance aligns with operational and financial requirements.

It requires strong negotiation skills and travel within the assigned region.