About this role
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.
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Job Summary
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This position is responsible for assisting practitioners with the resolution of claims, pricing, coding, contract, and provider service issues, while partnering with internal departments to evaluate and resolve provider, contract, and operational concerns. The role also supports provider network administration activities, manages more complex issues, and may assist with training and mentoring staff.
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Required Job Qualifications:
- Bachelor’s degree and 2 years managed care operations experience handling independent work, or 6 years of relevant experience.
Preferred Job Qualifications:
- Proficiency with Microsoft Office, including Excel, Word, and PowerPoint.
- Experience facilitating virtual meetings, presentations, and educational sessions.
- Experience reviewing and maintaining provider policies, procedures, communications, and operational documentation with a high degree of accuracy and diligence.
- Proven organizational, planning, and time management abilities.
- Experience supporting provider network operations, including provider data maintenance and contract updates.
- Experience analyzing data, preparing reports, and tracking operational trends.
- Experience resolving provider inquiries and coordinating issue resolution across teams.
- Experience supporting provider recruitment, onboarding, training, and retention efforts.
This is a Flex position that requires 3 days in office and 2 days work from home.
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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
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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 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.
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# Base Pay Range
$41,700.00 - $92,800.00
Exact compensation may vary based on skills, experience, and location.