Provider Network Consultant

at Health Care Service Corporation in Chicago, Illinois, United States

Job Description

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 developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed. Ability and willingness to travel, including overnight stays.

Required Job Qualifications:
*Bachelor's degree in health care or business administration or a minimum of 4 years work experience in a managed care environment.
*Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience.
*Effective interpersonal, analytical, presentation and communication skills.
*Knowledge of the health care industry and BCBSIL private business.
*Ability and willingness to travel within assigned areas for responsibility, including overnight stays.
*Extensive knowledge of contracts, applications, and products.
*Demonstrated proficiency in provider reimbursement methods.
*Working knowledge of claims processing systems.
*Effective organizational and planning skills.
*Ability to take initiative and work independently.
*Demonstrated ability to meet deadlines and work well under pressure.
*Working knowledge of software, including Microsoft Office

*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.

#LI-Hybrid

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.