Health Care Service Corporation · 7 hours ago
Network Management Consultant
Chicago, IL
Full-time
Onsite
Entry, Mid Level
$56K/yr - $124K/yr
1+ years expHealth Care Service Corporation is a purpose-driven company that invests in the professional development of its employees. The Network Management Consultant is responsible for supporting the development, performance management, and oversight of provider networks in the OH market territory, focusing on building strong relationships and educating providers on performance metrics.
Health InsuranceInsurance
Responsibilities
Establishing and managing strong, solid relationships with assigned provider groups and their staff (e.g. physicians, practice managers, care coordination teams), as well as executing with provider group on initiatives that benefit the customer, provider, and health plan
Educating providers on the performance requirements associated with value-based contracts
Conducting regular provider visits to educate providers and office staff on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment, medical cost management, etc
Understanding, developing, tracking, monitoring and reporting on key program performance metrics, such as utilization, coding, and Stars/quality performance
Qualification
Required
Bachelor Degree and at least one year experience developing and negotiating provider contracts OR 5 years managed care operations experience handling independent work with at least one year experience developing and negotiating provider contracts
Meet deadlines and work well under pressure
Verbal and written communication skills, organizational and planning skills
PC proficiency to include Microsoft Office
Analytical skills
Ability and willingness to travel within assigned territory, including overnight stays
Preferred
Bachelor Degree in Business
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
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