Provider Network Rep

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 provider recruitment and contracting, education of providers, and for ongoing provider service. Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

Job Requirements:

• Bachelor’s degree in business OR 4 years’ experience in managed care environment.  
• 2 years’ experience in a position that demonstrates leadership abilities and sound decision-making.
• Knowledge of contracts, applications and products; claims processing systems.
• Demonstrated proficiency in provider reimbursement methods.
• Demonstrated ability to meet deadlines and work well under pressure.
• Verbal and written communication skills; organizational and planning skills; ability to take initiative and work independently.
• PC proficiency to include Microsoft Office
• Ability and willingness to travel within assigned areas of responsibility, including overnight stays

Preferred Qualifications:

• Knowledge of contracting and Single Case Agreements
• Negotiation skills
• Strong documentation skills

This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

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

$55,900.00 - $123,500.00

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