Senior Provider Network Rep

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 Texas Medicaid behavioral health planning and directing provider recruitment and contracting activities; educating providers, ongoing provider service; and for providing training to new and existing network staff.

JOB REQUIREMENTS:

• Bachelor Degree in Business OR 6 years leadership experience.

• 4 years experience in claims, customer service, physician office or hospital or healthcare environment.

• 3 years experience in a position which requires in-depth physician/provider relations, including but not limited to, contracting and reimbursement issues.

• Ability to negotiate and contract with healthcare providers.

• Platform skills; organizational and planning skills; and ability to take initiative and work independently.

• Ability to multi-task; meet deadlines and work well under pressure.

• Ability and willingness to travel within assigned areas of responsibility,

including overnight stays.

• PC proficiency to include Microsoft Office.

PREFERRED JOB REQUIREMENTS:

• Prior territory management experience.

• Knowledge of BCBSTX claims processing systems.

• Texas Medicaid behavioral health experience.

• Heavy claims knowledge.

• 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.

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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!

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.