Provider Network Consultant
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.
Preferred Job Qualifications :
- Medicare and Medicaid managed care experience.
- 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
LI-EL1
INJLF
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.
Provider Network Consultant
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 perfor...
Provider Network Consultant
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 perfor...
Network Security Engineer
The Network Security Engineer will be responsible for representing the security team in network discussions, ensuring the security of the network, and assisting with Network Access Control. Are you ready to make your mark? If you're an experience Network Security Engineer, we have an exciting opport...
Operations Consulting Manager
As an Operations Consulting Manager, you will be in a client-facing role working directly with Client Leaders and Aon Leadership to develop solutions to help our clients turn insights into practical actions, and into tangible results. ...
Senior IT Business Analyst
The IT Business Analyst for a functional business area role serves as a liaison between the functional business area system users, business partners and IT. The IT Business Analyst will identify training opportunities, system business process gaps, system performance concerns and system enhancement ...
Logistics Transportation Project Manager, (Must be local to Chicago) Meraki
Cisco Meraki is looking for a Logistics Project Manager to join our Operations Team in Chicago! As the fastest-growing cloud-managed networking team in the world, our products and technology architecture are changing the face of enterprise networking and making cloud-managed IT a reality. As a Logis...
Network Security Engineer
The Network Security Engineer will design, develop, test, deploy and maintain services, features and functions that will enhance security posture and controls for enterprise networks. Professional certification in Network Security Administration and/or Network Engineering (CISSP, CCNA, CCDA, CCIE,) ...
Sr Network Operations Engineer
The Network Operations team holds accountability for the availability and stability of the network services. This includes Data Center networks, Wide Area and Metro Area networks, Wi-Fi, end-user LANs, firewalls, WAN acceleration, application load-balancing and a wide array of supporting technologie...
Accounting Operations Manager
One of our clients, a high-end, full service residential interior architecture and design firm nestled in the heart of Chicago’s River North neighborhood, is looking for an experienced Accounting & Operations Manager. This hands-on position requires managing financial operations, including reporting...
Customer Service Representative
A customer service representative will act as a liaison, provide product/services information and resolve any emerging problems that our customer accounts might face with accuracy and efficiency. Exciting new Customer Service Representative opening with a well-established Non-profit Organization loc...