Provider Relations Representative

Job Summary This position is responsible for providing support, as well as developing and maintaining cooperative working relationships with contracted providers. Responsible for facilitating and enhancing provider ease of doing business with HCSC. This includes issue tracking and resolution, educating, training, identifying trends and evaluating providers to ensure that all contractual and financial requirements are adhered to and performed. Required Job Qualifications Bachelor’s degree and 3 years of work experience in managed care, or a minimum of 5 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. Ability and willingness to travel within assigned areas for responsibility, including overnight stays. Knowledge of contracts, applications, and products. Understanding of provider reimbursement methods. Working knowledge of claims processing systems. Effective organizational and planning skills. Analytical skills. Ability to take initiative and work independently. Demonstrated ability to meet deadlines and work well under pressure. Clear and concise interpersonal, verbal and written communication skills. Collaboration skills resulting in business/process improvements/changes. PC experience and skills to include Word, Excel, PowerPoint, etc. Facilitation, presentation and analytical skills. Base Pay Range $55,900.00 - $123,500.00 Pay Transparency Statement At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. #J-18808-Ljbffr