Health Care Service Corporation · 5 days ago
Provider Network Consultant
Chicago, IL
Contract
Hybrid
Entry, Mid Level
$56K/yr - $124K/yr
2+ years expHealth Care Service Corporation is a purpose-driven company that invests in the professional development of its employees. The Provider Network Consultant role involves developing and maintaining relationships with the contracting provider community, educating and training providers, and ensuring compliance with contractual and financial requirements.
Health InsuranceInsurance
Responsibilities
Developing and maintaining cooperative working relationships with the contracting provider community
Educating, training, researching problems
Identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed
Qualification
Required
Bachelor's degree in health care or business administration or a minimum of 4 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 and BCBSIL private business
Ability and willingness to travel within assigned areas for responsibility, including overnight stays
Extensive knowledge of contracts, applications, and products
Demonstrated proficiency in provider reimbursement methods
Working knowledge of claims processing systems
Effective organizational and planning skills
Ability to take initiative and work independently
Demonstrated ability to meet deadlines and work well under pressure
Working knowledge of software, including Microsoft Office
Preferred
Provider facing experience
Claims processing experience is a plus
Familiar with Government contracts i.e. regulatory/compliance
Self starter
Company
Health Care Service Corporation
Health Care Service Corporation is a customer-owned health insurance company.
10001+ employees
H1B Sponsorship
Health Care Service Corporation has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (198)
2024 (166)
2023 (132)
2022 (145)
2021 (73)
2020 (59)
Funding
Current Stage
Late StageLeadership Team
Manika Turnbull
Senior Vice President & Chief Human Resources Officer
Recent News
Company data provided by crunchbase