Full-Time

Senior Provider Network Rep

Confirmed live in the last 24 hours

HCSC

HCSC

Health insurance provider in multiple states

Financial Services
Healthcare

Compensation Overview

$53.5k - $118.1kAnnually

Senior

Austin, TX, USA + 1 more

More locations: Richardson, TX, USA

Hybrid role requiring 3 days in the office and 2 days remote weekly.

Category
Customer Success Management
Sales & Account Management
Required Skills
Customer Service
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.
  • Prior territory management experience.
  • Knowledge of BCBSTX claims processing systems.
  • Texas Medicaid behavioral health experience.
  • Heavy claims knowledge.
Responsibilities
  • Responsible for Texas Medicaid behavioral health planning and directing provider recruitment and contracting activities.
  • Educating providers and ongoing provider service.
  • Providing training to new and existing network staff.

HCSC provides health insurance services across five states: Illinois, Montana, New Mexico, Oklahoma, and Texas. The company offers a variety of health insurance plans designed for individuals, families, and businesses, ensuring that different healthcare needs are met. HCSC's plans work by collecting premiums from members, which then fund the healthcare services covered under these plans. What sets HCSC apart from other health insurance providers is its strong focus on health and wellness programs aimed at reducing overall healthcare costs and improving the health outcomes of its members. The goal of HCSC is to be a reliable partner in health, promoting quality care and supporting individuals in leading healthier lives.

Company Stage

N/A

Total Funding

$472.7M

Headquarters

Chicago, Illinois

Founded

1936

Simplify Jobs

Simplify's Take

What believers are saying

  • HCSC's acquisition of Cigna's Medicare businesses expands its reach in the growing Medicare market.
  • The new Houston office will create job opportunities and drive economic growth in Texas.
  • Rising telehealth adoption presents opportunities for HCSC to expand its telehealth services.

What critics are saying

  • Increased competition in the Medicare market could impact HCSC's market share.
  • Integrating Cigna's Medicare businesses may lead to operational inefficiencies.

What makes HCSC unique

  • HCSC offers comprehensive health insurance plans tailored to diverse client needs.
  • The company invests in health and wellness programs to improve member outcomes.
  • HCSC has nearly a century of experience in the health insurance industry.

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