What are the responsibilities and job description for the Network Management Consultant - Austin position at Blue Cross Blue Shield of IL, MT, NM, OK & TX?
This position is responsible for providing support to the provider recruitment and contracting process to ensure strategic coverage of providers for assigned territory. Specific responsibilities include small to mid-size contract negotiations for small hospitals, physicians and physician groups and developing and maintaining relationships with providers. This role will also provide support for complex hospital and physician contracting activities.
JOB REQUIREMENTS:
- 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.
- Bachelor’s degree in business
- Minimum of 2 years’ experience in Texas Medicaid Claims processes
- Minimum of 1 year of provider relations experience
#CA #LI-NR1
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Requirements:
HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.
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