At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
This position is responsible for Texas Medicaid behavioral health planning and directing provider recruitment and contracting activities; educating providers, ongoing provider service; and for providing training to new and existing network staff.
JOB REQUIREMENTS:
* Bachelor Degree in Business OR 6 years leadership experience.
* 4 years experience in claims, customer service, physician office or hospital or healthcare environment.
* 3 years experience in a position which requires in-depth physician/provider relations, including but not limited to, contracting and reimbursement issues.
* Ability to negotiate and contract with healthcare providers.
* Platform skills; organizational and planning skills; and ability to take initiative and work independently.
* Ability to multi-task; meet deadlines and work well under pressure.
* Ability and willingness to travel within assigned areas of responsibility,
including overnight stays.
* PC proficiency to include Microsoft Office.
PREFERRED JOB REQUIREMENTS:
* Prior territory management experience.
* Knowledge of BCBSTX claims processing systems.
* Texas Medicaid behavioral health experience.
* Heavy claims knowledge.
*This is a hybrid role requiring 3 days in the office and 2 days remote weekly.
We encourage people of all backgrounds and experiences to apply. Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet.
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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
HCSC Employment Statement:
We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, 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.
Base Pay Range$53,500.00 - $118,100.00
Top Skills
What We Do
Imagine Something New, Something Different.
Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is the largest customer-owned health insurer in the nation and the fourth largest overall. Operating through our Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas (as well as a variety of affiliates and subsidiaries,) we are expanding access to high-quality, cost-effective health care. We are equipping members with information and tools so they can make the best health care decisions for themselves and their families.
HCSC is continuously recognized as an employer committed to community, diversity and inclusion, training and development.
HCSC is committed to pioneering the health care space in ways as effective as they are creative. If you are passionate about the impact you want to have through your work, with a desire to apply innovative thinking to new and emerging challenges, we encourage you to learn more about HCSC.
Learn about what we stand for, how we work and the difference we’re making in the lives of our 15 million members. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization.
Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.
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