Principal Network Management Consultant

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Qualifications, skills, and all relevant experience needed for this role can be found in the full description below.

Come join us and be part of a purpose driven company who is invested in your future!

Job Summary

This position is responsible for provider recruitment and contracting of physicians, physician groups and facilities including large or complex groups / facilities (large independent hospital systems, integrated & non-integrated systems, Value Based Contracting, 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. Provide subject matter expertise to improve efficiencies and results.

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 :

• Commercial contracting (PPO, HMO) experience preferred.
• Knowledge of Value Based Contracting.
• This is a hybrid role requiring 3 days in the office and 2 days remote weekly.

We encourage people of all backgrounds and experiences to apply. Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet.

Are you being referred to one of our roles?

If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement :

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

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