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, drafting, and negotiating specific reimbursement contracts with all non-hospital institutional (ancillary) providers for all lines of business statewide. Acts as a contact for provider questions and resolves issues regarding contracts and reimbursement forwarded by provider relations and the FSUs.Required Job Qualifications:
*Bachelor’s Degree in business.
*2 years experience in a managed care environment, including contracting and/or reimbursement experience.
*Knowledge of the provider community and managed care.
*Clear and concise interpersonal, verbal and written communication skills
*Knowledge of provider contracting methodology and payor roles, responsibilities and challenges.
*Understanding of health care financing, access issues, delivery systems, quality controls, and related healthcare legislation.
*Experience with negotiating contracts and payment methodology knowledge.
*Experience with Single Case Agreement negotiations.
Preferred Job Qualifications:
*Salesforce knowledge
*Contract Management System knowledge
*Proficient in Excel and Word (redline)
* 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
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.
60 jobs found