Provider Network Consultant

HCSC

Houston, Texas, US
Base: $55,900.00 - $123,500.00; bonus/equity: annu...
Provider reimbursement methods
Claims processing systems knowledge
Health care industry knowledge
This position is responsible for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed

Job Summary

  • This position is responsible for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed.
  • At HCSC, our employees are the cornerstone of our business and the foundation to our success.
  • 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.

Matching Summary

This position is responsible for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed.

Salary

Base: $55,900.00 - $123,500.00; Bonus/Equity: Annual incentive bonus plan; Benefits: Health and wellness, 401(k), pension, PTO, parental leave, disability, life insurance, EAP, holidays, tuition reimbursement

Skills & Requirements

Must-have

  • provider reimbursement methods
  • claims processing systems knowledge
  • health care industry knowledge
  • BCBSIL private business knowledge
  • contractual and financial requirements adherence

Nice-to-have

  • provider facing experience
  • employee referral process
  • purpose-driven company
  • professional development investment

Key Requirements

  • Bachelor’s degree or 4 years managed care experience
  • 2 years health care administration experience
  • Direct provider communication experience
  • Travel required including overnight stays

Work Rights

Not specified

Tailored Resume

Cover Letter