Senior Provider Relations Coordinator

Enterprise HCM; Albuquerque (NM); Hybrid; USD 42,000 - 93,000; Full time

Job summary

HCSC is seeking a provider operations specialist to assist practitioners with resolution of claims, pricing, coding, contract, and provider service issues, while collaborating across internal teams to resolve provider and operational concerns.

The role also supports provider network administration, handles more complex issues, and may train and mentor staff. This is a hybrid position with 3 days in office and 2 days remote.

Qualifications

• Bachelor's degree and 2 years managed care operations experience handling independent work, or 6 years of relevant experience.

Responsibilities

• Assist practitioners with resolution of claims, pricing, coding, contract, and provider service issues.
• Partner with internal departments to evaluate and resolve provider, contract, and operational concerns.
• Support provider network administration activities, manage more complex issues, and assist with training and mentoring staff.

Skills

Microsoft Office

Education

Bachelor's degree

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This position is responsible for assisting practitioners with the resolution of claims, pricing, coding, contract, and provider service issues, while partnering with internal departments to evaluate and resolve provider, contract, and operational concerns. The role also supports provider network administration activities, manages more complex issues, and may assist with training and mentoring staff.

Required Job Qualifications:

• Bachelor's degree and 2 years managed care operations experience handling independent work, or 6 years of relevant experience.

Preferred Job Qualifications:

• Proficiency with Microsoft Office, including Excel, Word, and PowerPoint.
• Experience facilitating virtual meetings, presentations, and educational sessions.
• Experience reviewing and maintaining provider policies, procedures, communications, and operational documentation with a high degree of accuracy and diligence.
• Proven organizational, planning, and time management abilities.
• Experience supporting provider network operations, including provider data maintenance and contract updates.
• Experience analyzing data, preparing reports, and tracking operational trends.
• Experience resolving provider inquiries and coordinating issue resolution across teams.
• Experience supporting provider recruitment, onboarding, training, and retention efforts.

This is a Flex position that requires 3 days in office and 2 days work from home.

Compensation: $41,700.00 - $92,800.00

Exact compensation may vary based on skills, experience, and location

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.