Manager; Government Provider Networks Job Listing at HCSC in Albuquerque, NM (Job ID R0042507)

Description

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.

This position is responsible for managing, developing and maintaining the network strategy for Government Programs, Provider/Vendor Networks; ensuring new and renewed contracts meet enterprise pricing and methodology standards, meet/exceed CMS & or State Network Adequacy requirements. This position is responsible for management of direct staff. This position is responsible for leading contract negotiations and developing and maintaining relationships with providers/vendors.

REQUIRED QUALIFICATIONS:

• Bachelor's degree and 4 years health care administration/managed care experience OR 8 years health care administration/managed care experience
• 4 years' experience in managed care contracting, benefits administration or underwriting experience including contract negotiations
• Leadership skills
• Verbal and written communication skills to interact with all levels of corporate personnel and assigned providers
• Analytical skills and reporting experience
• Planning skills
• Negotiation skills
• Experience consistently meeting deadlines and working well under pressure
• PC proficiency including Word, Excel, PowerPoint and databases 
• Experience developing and analyzing reports
• Team player and people oriented
• Ability and willingness to travel, including overnight stays

PREFERRED JOB QUALIFICATIONS:

• Experience working with providers.
• Triwest/ Tricare experience.
• Experience working with Government Program products and knowledge of the CMS Stars rating system.
• Experience and skilled in developing contract standards for pricing and methodology.
• Experience working with Government Programs risk and capitated based provider contracts.

#LI-Hybrid
#LI-DR2
 

Compensation: $90,900.00 - $164,200.00

Exact compensation may vary based on skills, experience, and location

HCSC Employment Statement:

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.

To learn more about available benefits, please click https://careers.hcsc.com/totalrewards

 Apply on company website