Senior Provider Relations & Contracting Lead

HCSC Group; Austin (TX); On-site; USD 56,000 - 124,000; Full time

Job summary

Health Care Service Corporation is seeking a Provider Relations leader to plan and direct recruitment and contracting with physicians and networks. You will educate providers on plan benefits, policies, and reimbursement processes, and act as a liaison with internal teams to resolve issues.

This field-based role in the Austin, Texas market requires travel to provider offices, strong negotiation skills, and the ability to train new staff.

Qualifications

• Bachelor's degree in business or 6 years leadership experience.
• 4 years’ experience in claims, customer service, provider environment.
• 3 years in provider relations, contracting and reimbursement.
• Ability to negotiate and contract with healthcare providers.
• MS Office proficiency; strong organizational and planning skills.

Responsibilities

• Plan and direct provider recruitment and contracting activities.
• Educate providers on plan benefits, policies, and reimbursement processes.
• Provide ongoing provider service and support; resolve complex issues.
• Serve as liaison between providers and internal business partners.
• Provide training to new and existing network staff.

Skills

Negotiation

Contracting

Planning

Multi-tasking

Travel readiness

MS Office

Education

Bachelor's degree in business

Leadership experience

Tools

BCBSTX claims systems

Job description

Health Care Service Corporation is seeking a Provider Relations leader to plan and direct recruitment and contracting with physicians and networks. You will educate providers on plan benefits, policies, and reimbursement processes, and act as a liaison with internal teams to resolve issues.

This field-based role in the Austin, Texas market requires travel to provider offices, strong negotiation skills, and the ability to train new staff.