Full-Time

Principal Network Management Consultant

Posted on 1/6/2025

HCSC

HCSC

Health insurance provider in multiple states

Financial Services
Healthcare

Compensation Overview

$90.9k - $164.2kAnnually

+ Annual Incentive Bonus

Senior

Chicago, IL, USA + 1 more

More locations: Richardson, TX, USA

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

Category
Operations Consulting
Consulting
Required Skills
Financial analysis

You match the following HCSC's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • Bachelor’s degree and 4 years provider contracting experience OR Master’s degree and 3 years contracting experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience involves negotiating reimbursements, financial arrangements and rates.
  • Extensive 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 to interact with all levels of corporate personnel and providers.
  • PC proficiency to include Microsoft Office.
  • Analytical skills and business acumen to analyze financial data to determine financial impact of negotiations.
  • Ability and willingness to travel within assigned areas of responsibility, including overnight stays.
Responsibilities
  • Responsible for provider recruitment and contracting of physicians, physician groups and facilities including large or complex groups/facilities (large independent hospital systems, integrated & non-integrated systems, value based contracting, etc).
  • Develop and negotiate contracts.
  • Develop and maintain relationships with providers.
  • Ensure strategic coverage for assigned territory.
  • Responsible for education of providers and for ongoing provider service.
  • Provide subject matter expertise to improve efficiencies and results.
Desired Qualifications
  • Behavioral Health experience.
  • Vendor relationship management experience.

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 generates revenue primarily through premiums paid by its members and focuses on delivering quality care. The company also invests in health and wellness programs aimed at reducing healthcare costs and improving the health outcomes of its members. With nearly 100 years of experience in the industry, HCSC distinguishes itself from competitors by its commitment to compassion and a focus on innovative solutions that empower people to lead healthier lives.

Company Stage

N/A

Total Funding

$511.7M

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 local economic growth.
  • HCSC's investment in Solera Health supports digital health access and cost reduction initiatives.

What critics are saying

  • Increased competition from digital health platforms like Solera Health may lead to market cannibalization.
  • The acquisition of Cigna's Medicare businesses may expose HCSC to regulatory scrutiny and integration challenges.
  • Opening a new office in Houston may strain resources and divert focus from other initiatives.

What makes HCSC unique

  • HCSC's nearly century-long experience establishes it as a trusted health insurance provider.
  • The company invests in health and wellness programs to improve member outcomes.
  • HCSC's community-first engagement model values local relationships and enhances member satisfaction.

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Benefits

Health Insurance

401(k) Retirement Plan

401(k) Company Match

Paid Vacation

Paid Holidays

Paid Parental Leave

Disability Insurance

Supplemental Life Insurance

Employee Assistance Program

Tuition Reimbursement

Professional Development Budget

INACTIVE