Provider Management Consultant Jobs

Provider Management Consultant

Health Care Service Corporation

Location:
United States, Chicago

Category:
Consulting

Contract Type:
Not provided

Salary:

60300.00 - 133400.00 USD / Year

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Job Description:

This role is responsible for supporting development and growth of positive, long-term relationships with physicians, providers, multi specialty clinics, and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Provider Vertical Leader works to identify the business plan and will have growth objectives. They will navigate the C Suite and execution of strategies in conjunction with the HCSC Contracting teams. assignments involves complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Job Responsibility:

Support development and growth of positive, long-term relationships with physicians, providers, multi specialty clinics, and healthcare systems to support and improve financial and quality performance within the contracted working relationship with the health plan
Identify the business plan and have growth objectives
Navigate the C Suite and execution of strategies in conjunction with the HCSC Contracting teams

Requirements:

Bachelor's Degree with 5-7 years experience in a Healthcare or Managed Care environment
3 or more years of hands-on experience in Provider Contracting, Network Management, or Provider Relations
Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies
Demonstrated ability to manage multiple projects and meet deadlines
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance
Detail oriented professional with excellent written and verbal communication skills
CMS regulatory requirements, including Medicare Marketing Guidelines
Experience with Medicare products (including Medicare Advantage, Medicare Prescription Drug Plan (PDP) and Medicare Supplement products)

Additional Information:

Job Posted:
December 09, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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