Associate Network Management Consultant - Work From Home

 Posted a day ago
     
 $41700 - $92800 per year
  
2-5 years experience
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AI Summary

Manage administrative and operational components of the dispute resolution process, including coordinating mediation schedules and submitting arbitration documentation. Ensure accurate data entry in the TDI portal and maintain strict compliance with procedural deadlines.

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 role supports the SB 1264 Network Management team by managing critical administrative and operational components of the dispute resolution process. The Associate is responsible for coordinating formal mediation schedules, facilitating communication with internal and external stakeholders, and ensuring accurate and timely data entry within the Texas Department of Insurance (TDI) dispute resolution portal. Additionally, this role assists in the preparation, organization, and submission of arbitration documentation, including supporting materials and draft briefs. The Associate plays a key role in maintaining case tracking accuracy, monitoring deadlines, and ensuring procedural compliance across all assigned work. This position is designed to build foundational knowledge of healthcare reimbursement, regulatory dispute resolution, and negotiation workflows, with the possibility for progression into a Network Management Consultant role over time.

JOB REQUIREMENTS:

  • Bachelor Degree OR 4 years managed care operations experience handling independent work.

  • 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 territory, including overnight stays.


PREFERRED JOB REQUIREMENTS:

  • Experience scheduling and maintain multiple schedules.
  • Data entry experience.
  • Ability to be consistent with repetitive tasks.
  • Time management skills.

This is a Telecommuter (Remote) role
Sponsorship is not available

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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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