Provider Network Consultant
Health Care Service Corporation
full-time
Posted on:
Location Type: Office
Location: Richardson • Illinois, Montana, New Mexico, Oklahoma, Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $54,800 - $121,100 per year
Job Level
JuniorMid-Level
About the role
- developing and maintaining cooperative working relationships with the contracting provider community
- educating, training, researching problems
- identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed
- ability and willingness to travel, including overnight stays
Requirements
- Bachelor’s degree in health care or business administration or a minimum of 4 years work experience in a managed care environment.
- Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience.
- Effective interpersonal, analytical, presentation and communication skills.
- Knowledge of the health care industry and BCBSIL private business.
- Ability and willingness to travel within assigned areas for responsibility, including overnight stays.
- Extensive knowledge of contracts, applications, and products.
- Demonstrated proficiency in provider reimbursement methods.
- Working knowledge of claims processing systems.
- Effective organizational and planning skills.
- Ability to take initiative and work independently.
- Demonstrated ability to meet deadlines and work well under pressure.
- Working knowledge of software, including Microsoft Office.
Benefits
- 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
- annual incentive bonus plan
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
health care administrationprovider reimbursement methodsclaims processing systemscontract managementfinancial analysis
Soft skills
interpersonal skillsanalytical skillspresentation skillscommunication skillsorganizational skillsplanning skillsinitiativeindependencedeadline managementability to work under pressure
Certifications
Bachelor’s degree in health careBachelor’s degree in business administration