Full-Time

Network Ops Coordinator II

Posted on 11/20/2024

HCSC

HCSC

Health insurance provider in multiple states

Financial Services
Healthcare

Compensation Overview

$39.9k - $88.8kAnnually

Junior, Mid

San Antonio, TX, USA + 2 more

More locations: San Angelo, TX, USA | Richardson, TX, USA

Category
Procurement & Sourcing
Quality Control & Compliance
Operations & Logistics
Requirements
  • Bachelor degree OR 4 years of experience in the Health Care industry.
  • 2 years of experience with Provider Network contracting and credentialing systems.
  • Written and verbal communication skills.
Responsibilities
  • responsible for the contracting, credentialing, and maintenance of professional provider data to support marketing, membership and network contracting across all lines of business.
  • Building relations with the provider community is an important part of this role.
  • promoting high quality initiatives to support data integrity.
  • Accepting ownership and leading highly specialized operational and customer support duties that require independent initiative.
  • participating in internal provider meetings and work groups, researching problems related to provider credentialing, data and network participation.

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 fund the healthcare services they provide. In addition to insurance, HCSC invests in health and wellness programs aimed at lowering healthcare costs and enhancing the health outcomes of its members. What sets HCSC apart from other health insurance providers is its long-standing experience in the industry and its commitment to compassion and innovation in healthcare. The company's goal is to empower people to lead healthier lives while maintaining a focus on quality care.

Company Stage

N/A

Total Funding

$472.7M

Headquarters

Chicago, Illinois

Founded

N/A

Simplify Jobs

Simplify's Take

What believers are saying

  • The new Houston office will create numerous job opportunities, fostering local economic growth and community development.
  • The acquisition of Cigna's Medicare businesses will expand HCSC's product offerings and geographic reach, benefiting current and future members.
  • Recognition as one of the 'Best Places to Work in IT' and having a CEO listed among the 'Most Influential People in Healthcare' highlight HCSC's strong leadership and positive work environment.

What critics are saying

  • The $231,900 fine from the Illinois Department of Insurance for an inaccurate provider directory could damage HCSC's reputation and trust with members.
  • The integration of Cigna's Medicare businesses may pose operational challenges and potential disruptions.

What makes HCSC unique

  • HCSC's strategic expansion into local communities, such as the new Houston office, emphasizes its commitment to economic growth and local workforce development, setting it apart from competitors.
  • The acquisition of Cigna's Medicare businesses significantly enhances HCSC's capabilities and reach in the growing Medicare market, providing a competitive edge.
  • HCSC's collaboration with Feeding America to address root causes of hunger showcases its holistic approach to community health, beyond traditional healthcare services.

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