Sr Network Mgmt Consultant - Work From Home

Health Care Service Corporation; Nashville (TN); On-site; USD 62,000 - 136,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a provider contracting professional to manage recruitment, contract development, and provider education across physicians, groups, and facilities. The role emphasizes negotiation, relationship building, and knowledge of the marketplace while requiring travel within assigned areas and a telecommute setup.

The compensation ranges from $61,500.00 to $136,100.00, with exact figures varying by skills, location, and experience.

Qualifications

• Bachelor's degree and 3 years provider contracting experience OR 7 years business experience including 3 years provider contracting experience.
• Knowledge of provider and facility contracting, products, and claims/processing systems.
• Negotiation skills.
• Relationship building skills.
• Knowledge of marketplace.
• Meet deadlines and work well under pressure.
• Verbal and written communication skills; organizational and planning skills.
• PC proficiency to include Microsoft Office.
• Analytical skills.
• Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

Responsibilities

• Recruitment and contracting activities for physicians, physician groups and facilities (hospitals, independent physicians with negotiations, Group / IPAs, etc).
• Develop and negotiate contracts.
• Develop and maintain relationships with providers.
• Ensure strategic coverage for assigned territory.
• Responsible for education of providers and for ongoing provider service.
• May assist with contracting or supporting services for large or complex groups/facilities.
• Travel within assigned areas of responsibility, including overnight stays.

Skills

Negotiation skills

Relationship building

Analytical skills

Verbal & written communication

Organizational & planning skills

PC proficiency

Education

Bachelor's degree

Tools

Microsoft Office

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 small, mid-size, and large provider recruitment and contracting activities for physicians, physician groups and facilities (hospitals, independent physicians with negotiations, Group / Ipas, etc). Develop and negotiate contracts. Develop and maintain relationships with providers. Ensure strategic coverage for assigned territory. Responsible for education of providers and for ongoing provider service. May be responsible for or assist with contracting or supporting services large or complex groups/facilities. Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

Job Requirements

• Bachelor Degree and 3 years provider contracting experience OR 7 years business experience including 3 years provider contracting experience.
• Knowledge of provider and facility contracting, products, and claims/processing systems.
• Negotiation skills.
• Relationship building skills.
• Knowledge of marketplace.
• Meet deadlines and work well under pressure.
• Verbal and written communication skills; organizational and planning skills
• PC proficiency to include Microsoft Office.
• Analytical skills.
• Ability and willingness to travel within assigned areas of responsibility, including overnight stays

Preferred Job Requirements

• 3 years experience in Medicare Advantage Contracting
• 1 year experience in Value Based Contracting (negotiation, execution, management of Delegation/Risk Contracts)
• 1 year experience in Ancillary contracting

Sponsorship will not be provided for this role.

This is a Telecommute (Remote) role.

Compensation: $61,500.00 - $136,100.00

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.

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