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Principal Network Management Consultant

2 months ago

Richardson, Texas, United States HCSC Full time

About HCSC

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.

We are a purpose-driven company that invests in our employees' professional development. Our goal is to create a work environment that is inclusive, diverse, and supportive of all employees.

Job Summary

This position is responsible for provider recruitment and contracting of physicians, physician groups, and facilities, including large or complex groups and facilities. The successful candidate will develop and negotiate contracts, maintain relationships with providers, and ensure strategic coverage for assigned territories.

Key Responsibilities

  • Develop and negotiate contracts with providers, including physicians, physician groups, and facilities.
  • Maintain relationships with providers to ensure strategic coverage for assigned territories.
  • Provide subject matter expertise to improve efficiencies and results.
  • Develop and maintain knowledge of provider and facility contracting, products, and claims/processing systems.
  • Negotiate financial arrangements and rates with providers.
  • Meet deadlines and work well under pressure.
  • Communicate effectively with all levels of corporate personnel and providers.
  • Travel within assigned areas of responsibility, including overnight stays.

Requirements

  • Bachelor's degree and 4 years of provider contracting experience, or Master's degree and 3 years of contracting experience, or 8 years of business experience including 4 years of provider contracting experience.
  • Extensive knowledge of provider and facility contracting, products, and claims/processing systems.
  • Negotiation skills.
  • Relationship building skills.
  • Knowledge of the marketplace.
  • Ability to analyze financial data to determine financial impact of negotiations.

Preferred Requirements

  • Commercial contracting (PPO, HMO) experience.
  • Knowledge of Value-Based Contracting.
  • Ability to work in a hybrid role, with 3 days in the office and 2 days remote weekly.

HCSC Employment Statement

We are an Equal Opportunity Employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, 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.