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Provider Network Specialist
3 months ago
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.
Come join us and be part of a purpose driven company who is invested in your future
Job Summary
This position is responsible for providing support to the provider recruitment and contracting process to ensure strategic coverage of provider for assigned territory. Specifically responsible for all Medicare contract negotiations that include facility, small hospitals and physicians and physician groups and tribal health partners while developing and maintaining relationships with providers. This role will also provide support for complex contracting activities, education, and assisting with regulatory required filings with CMS.Required Job Qualifications:
Bachelor’s degree and at least one year experience developing and negotiating provider contracts OR 5 years managed care operations experience handling independent work with at least one year experience developing and negotiating provider contracts. 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 staysPreferred Job Qualifications:
Bachelor’s degree in Business#LI - Hybrid
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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.
