Senior Provider Relations Coordinator

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

Benefits offered by this job

Hybrid work model

Job summary

HCSC in Albuquerque, NM is seeking a Provider Operations Specialist to assist practitioners with resolution of claims, pricing, coding, contracts, and provider service issues, while partnering with internal departments to evaluate and resolve provider and operational concerns. The role also supports provider network administration, manages more complex issues, and may assist with training and mentoring staff.

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

Qualifications

• Bachelor’s degree is required.

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 and mentor staff on complex issues.

Education

Bachelor’s degree

Tools

Microsoft Office

Excel

Word

PowerPoint

Job description

Flex

NM - Albuquerque

Full time

R0055740

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.

Job Summary

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.

Pay Transparency Statement

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

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.

Base Pay Range

$41,700.00 - $92,800.00

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

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For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.

Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations.

Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.

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