Provider Relations Representative

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 providing support to the provider recruitment and contracting process to ensure strategic coverage for assigned Providers. Specific responsibilities include establishing and maintaining good relations with physicians, hospitals and physician groups. In addition to developing and maintaining relationships with providers. This role will also provide support for complex hospital and physician provider activities. Minimal travel involved.

Required Job Qualifications:

• Bachelor’s degree and 3 years of work experience in managed care, or a minimum of 5 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.

• Ability and willingness to travel within assigned areas for responsibility, including overnight stays.

• Knowledge of contracts, applications, and products.

• Understanding of provider reimbursement methods.

• Working knowledge of claims processing systems.

• Effective organizational and planning skills.

• Analytical skills.

• Ability to take initiative and work independently.

• Demonstrated ability to meet deadlines and work well under pressure.

• Clear and concise interpersonal, verbal and written communication skills.

• Collaboration skills resulting in business/process improvements/changes.

• PC experience and skills to include Word, Excel, PowerPoint, etc.

• Facilitation, presentation and analytical skills.

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

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

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 plansubject 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.

Base Pay Range

$55,900.00 - $123,500.00

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