Sr Network Management Consultant (Behavioral Health) - Work From Home

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

SUMMARY:
This position is responsible for small to mid-size behavioral health provider and facilities recruitment and contracting activities (independent hospitals, independent physicians with negotiations, etc). Develop and negotiate contracts. Develop and maintain relationships with providers. Ensure strategic coverage for assigned territory. Responsible for education of behavioral health providers and for ongoing provider service. May be responsible for or assist with contracting or supporting services large or complex behavioral health groups/facilities. Ability and willingness to travel within assigned areas of responsibility, including overnight stays (as needed, rare). This role will oversee adjustment regarding contracts, red-line changes, fee schedules, contract language changes, etc. for Illinois and expanding national markets/presence.

JOB REQUIREMENTS:

• Bachelor Degree and 3 years provider contracting experience OR 7 years business experience including 3 years provider contracting experience.

• 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; organizational and planning skills.

• PC proficiency to include Microsoft Office.

• Analytical skills.

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

Preferred Requirements:

• At least 2 years of Behavioral Health knowledge and experience, including: contracting (issuing and defending agreements), rate negotiation, modeling and market analysis.

• Experience with regulatory deliverables for state and federal filings.

• Exceptional written and verbal communication skills, with polished email and phone etiquette and the ability to confidently interact with senior leaders and executives.

• Previous expert level experience with high-volume Microsoft Office, Excel (V-Look Ups, Pivot Tables), PowerPoint, etc.

Sponsorship will not be provided for this role.

This is a Telecommute (Remote) role.

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Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$61,500.00 - $136,100.00

Exact compensation may vary based on skills, experience, and location.