Principal Network Management Consultant - Work from Home

 Posted 2 hours ago
     
 $92700 - $167K per year
  
5-10 years experience
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AI Summary

Manage and maintain harmonious working relationships with assigned providers while overseeing provider agreement negotiation operations. Analyze financial data to determine the impact of negotiations and drive alignment across cross-functional teams.

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 managing, developing and maintaining harmonious working relationships with assigned providers; managing provider agreement negotiation operations.

JOB REQUIREMENTS:

  • Bachelor Degree and 4 years provider contracting experience OR Master degree and 3 years contracting experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience involves negotiating reimbursements, financial arrangements and rates.
  • Extensive 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 to interact with all levels of corporate personnel and providers.
  • PC proficiency to include Microsoft Office.
  • Analytical skills and business acumen to analyze financial data to determine financial impact of negotiations.
  • Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

PREFERRED JOB REQUIREMENTS:

  • Strong Value-Based Care (VBC) contracting experience, including development, negotiation, implementation, and management of value-based provider agreements, risk-sharing models, and performance-based reimbursement arrangements.
  • Demonstrated strong organizational skills, with the ability to effectively manage multiple priorities, complex projects, competing deadlines, and large-scale initiatives in a fast-paced environment.
  • Strong matrix management and collaboration skills, with a proven ability to influence stakeholders, drive alignment, and achieve business objectives across cross-functional teams and organizational boundaries without direct authority.
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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

$92,700.00 - $167,500.00

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

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