Principal Network Management Consultant

Role Overview

• Responsible for provider recruitment and contracting of national ancillary providers including large or complex dialysis, laboratory, home infusion, and durable medical equipment providers, for all HCSC plans and lines of business
• Develop proposals and negotiate contracts
• Develop and maintain relationships with providers
• Responsible for education of providers and for ongoing provider service
• Provide subject matter expertise to improve efficiencies and results

Requirements

• Bachelor Degree and 4 years provider contracting experience OR Master degree and 3 years contracting experience OR 8 years business experience including 4 years provider contracting experience
• Contracting experience involves negotiating reimbursements, financial arrangements and rates
• Extensive knowledge of provider and facility contracting, products, and claims/processing systems
• Negotiation skills
• Relationship building skills
• Knowledge of marketplace
• Meet deadlines and work well under pressure
• Verbal and written communication skills to interact with all levels of corporate personnel and providers
• PC proficiency to include Microsoft Office
• Analytical skills and business acumen to analyze financial data to determine financial impact of negotiations
• Ability and willingness to travel within assigned areas of responsibility, including overnight stays

Benefits

• 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
• Other incentives