Network Management Consultant - Work From Home

Location: Nashville, TN, US, Albuquerque, New Mexico, United States, Chicago, Illinois, United States, Helena, Montana, United States, Richardson, Texas, United States, Tulsa, Oklahoma, United States

Employment Type: Full time

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.

This position is responsible for providing support to the Provider Recruitment and Contracting process to ensure network adequacy guidance in assigned territory. Specific responsibilities include analysis, targeted gap reporting, and remediation planning in support of network management operations. This role will also provide support for complex hospital and physician contracting activities. Ability and willingness to travel to offices for internal meetings as needed, including overnight stays (less than 3%).

Required Job Qualifications:

• Bachelor 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 stays

Preferred Job Qualifications:

• Bachelor Degree in Business, Finance, Economics - HIGHLY PREFERRED

• Experience working with Medicare Advantage and CMS regulations - HIGHLY PREFERRED

• Strong understanding of healthcare network adequacy requirements

• Demonstrated ability to investigate and resolve network gaps

• Proven track record of monitoring project milestones, negotiation activities and implementation progress

• Excellent communication and stakeholder management skills

Sponsorship will not be provided for this role.

This is a Telecommute (Remote) role.

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Compensation: $55,900.00 - $123,500.00

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

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.

To learn more about available benefits, please click https://careers.hcsc.com/totalrewards