Senior Provider Relations Coordinator

HCSC Markets

Houston (TX)

Hybrid

USD 48,000 - 86,000

Full time

3 days ago
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Benefits offered by this job

Hybrid work model

Job summary

HCSC in Houston, TX seeks a Provider Relations Operations Specialist to develop and maintain cooperative relationships with contracted providers and to manage issue tracking and reporting. You will educate and train providers, identify trends, and ensure adherence to contractual and financial requirements.

Required are strong communication skills, CRM experience (Salesforce), and the ability to travel within the territory.

Qualifications

  • Bachelor's degree required; 2 years of managed care operations experience or 6 years of relevant experience.
  • Experience with CRM systems such as Salesforce to track activities and generate reports.
  • Strong organizational and time management skills; ability to work independently.

Responsibilities

  • Develop and maintain cooperative working relationships with contracted providers.
  • Handle issue tracking and resolution and educate/train providers.
  • Identify trends and evaluate providers to ensure contractual and financial requirements are met.
  • Coordinate provider relations, network operations, credentialing, contracting, or healthcare administration tasks.
  • Maintain documentation, track projects, and follow up on action items.

Skills

Independent work
Managed care operations experience
CRM systems
Microsoft Office
Analytical skills

Education

Bachelor's degree

Tools

Salesforce
Office productivity tools

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 providing support, as well as developing and maintaining cooperative working relationships with contracted providers, with supervision. Enhances provider ease of doing business with HCSC, as directed. This includes issue tracking and resolution, educating, training, identifying trends and evaluating providers to ensure that contractual and financial requirements are adhered to and performed.

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:

Verbal and written communication skills,organizational and planning skills.

  • PCproficiencyto include Microsoft Office.
  • Analytical skills.
  • Ability and willingness to travel within assigned territory, including overnight stays
  • Experience working in a managed care, health plan, provider network, or healthcare operations environment.
  • Demonstrated experience performing administrative and operational support functions requiring a high degree of accuracy and attention to detail.
  • Experience utilizing Salesforce or other customer relationship management (CRM) systems to track activities, maintain records, manage workflows, and generate reports.
  • Strong organizational and time management skills with the ability to manage multiple priorities, meet deadlines, and work independently.
  • Experience coordinating meetings, maintaining documentation, tracking projects, and following up on action items.
  • Proficiency with Microsoft Office applications, including Excel, Word, Outlook, PowerPoint, and Teams.
  • Experience reviewing, auditing, or validating data to ensure accuracy and completeness.
  • Strong written and verbal communication skills with the ability to communicate professionally with providers, business partners, and internal stakeholders.
  • Experience creating reports, presentations, spreadsheets, and other business documentation.
  • Demonstrated ability to maintain confidentiality and handle sensitive information with discretion.
  • Experience supporting provider relations, network operations, credentialing, contracting, or healthcare administration functions.
  • Ability to identify issues, research solutions, and follow through to resolution with minimal supervision.
  • Experience working in a fast-paced environment requiring strong attention to detail and follow-up.

This is a Flex role requiring 3 days in the Texas office and 2 days remote

Sponsorship is not available

#LI-hybrid

#LI-KW1

#INAK

Compensation: $47,500.00 - $86,000.00

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. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.


To learn more about available benefits, please click https://careers.hcsc.com/totalrewards

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