Senior Provider Network Rep

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 Texas Medicaid behavioral health planning and directing provider recruitment and contracting activities; educating providers, ongoing provider service; and for providing training to new and existing network staff.

JOB REQUIREMENTS:
* Bachelor Degree in Business OR 6 years leadership experience.
* 4 years experience in claims, customer service, physician office or hospital or healthcare environment.
* 3 years experience in a position which requires in-depth physician/provider relations, including but not limited to, contracting and reimbursement issues.
* Ability to negotiate and contract with healthcare providers.
* Platform skills; organizational and planning skills; and ability to take initiative and work independently.
* Ability to multi-task; meet deadlines and work well under pressure.
* Ability and willingness to travel within assigned areas of responsibility,

including overnight stays.

* PC proficiency to include Microsoft Office.

PREFERRED JOB REQUIREMENTS:

* Prior territory management experience.

* Knowledge of BCBSTX claims processing systems.

* Texas Medicaid behavioral health experience.

* Heavy claims knowledge.

This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

Sponsorship is not available.

#LI-Hybrid

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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 / Affirmative Action 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.

Base Pay Range
$54,800.00 - $121,100.00