Network Management Contract Specialist Job Listing at HCSC in Albuquerque, NM (Job ID R0030788-NM - Albuquerque)

Description

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary ***This is a hybrid opportunity that will work from the office 3 days a week. Must live in a commutable distance to the listed office.***

*Sponsorship will not be provided for this role.*

SUMMARY:
This position is responsible for providing project leadership in developing, reviewing, revising, updating, and maintaining all standard contracts for the professional and ancillary networks across our 5-State plans. Functions include maintaining the central repository of electronic contracts on the shared drive. Ensuring all provider contracts are updated timely and consistently according to corporate policy, BCBSA rules, and state and federal regulatory agencies. Ensuring all professional and ancillary network agreements are consistent for all products (HMO, PPO, traditional/par). This person will work closely with the legal counsel within HCSC.

JOB REQUIREMENTS:

• Bachelor Degree or four years business experience.
• 4 years contract document experience.
• Knowledge of health insurance and Network Management operations; familiar with HMO and PPO product lines and understand how they interrelate.
• Project management experience.
• Attention to detail.
• Organizational and planning skills.
• Flexibility to handle multiple tasks/projects simultaneously.
• Meet deadlines and work well under pressure.
• Written and verbal communication skills to include previous experience writing policies and procedures.
• Ability and willingness to travel, including some overnight stays

PREFERED JOB EXPERIENCE:

• Knowledge and understanding of healthcare contracts, provider contracts - HIGHLY PREFERRED
• Experience working in teams and across multiple departments
• Clear and concise, polished, professional communication
• Ability to adjust to project changes and make suggestions to accomplish goals

*Sponsorship will not be provided for this role.*

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

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