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Sr Network Mgmt Consultant - Work From Home

HCSC

Sr Network Mgmt Consultant - Work From Home

full-timePosted: Aug 28, 2026Updated: Sep 3, 2026TN - Nashville

Job 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.Job SummaryThis position is responsible for small, mid-size, and large provider recruitment and contracting activities for physicians, physician groups and facilities (hospitals, independent physicians with negotiations, Group / Ipas, etc). Develop and negotiate contracts. Develop and maintain relationships with providers. Ensure strategic coverage for assigned territory. Responsible for education of providers and for ongoing provider service. May be responsible for or assist with contracting or supporting services large or complex groups/facilities. Ability and willingness to travel within assigned areas of responsibility, including overnight stays.JOB REQUIREMENTS:Bachelor Degree and 3 years provider contracting experience OR 7 years business experience including 3 years provider contracting experience.Knowledge of provider and facility contracting, products, and claims/processing systems.Negotiation skills.Relationship building skills.Knowledge of marketplace.Meet deadlines and work well under pressure.Verbal and written communication skills; organizational and planning skillsPC proficiency to include Microsoft Office.Analytical skills.Ability and willingness to travel within assigned areas of responsibility, including overnight staysPreferred Job Requirements:3 years experience in Medicare Advantage Contracting1 year experience in Value Based Contracting (negotiation, execution, management of Delegation/Risk Contracts)1 year experience in Ancillary contractingSponsorship will not be provided for this role.This is a Telecommute (Remote) role.#LI-LI1#LI-RemoteAre you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!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 https://careers.hcsc.com/totalrewards.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.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.Base Pay Range$61,500.00 - $136,100.00Exact compensation may vary based on skills, experience, and location.

Locations

  • TN - Nashville

Skills Required

  • providerintermediate
  • marketplaceintermediate
  • Medicare Advantage Contractingintermediate
  • Value Based Contractingintermediate
  • Ancillary contractingintermediate

Required Qualifications

  • Bachelor Degree and 3 years provider contracting experience OR 7 years business experience including 3 years provider contracting experience. (experience, 3 years)
  • Knowledge of provider and facility contracting, products, and claims/processing systems. (experience)
  • Negotiation skills. (experience)
  • Relationship building skills. (experience)
  • Knowledge of marketplace. (experience)
  • Meet deadlines and work well under pressure. (experience)
  • Verbal and written communication skills; organizational and planning skills (experience)
  • PC proficiency to include Microsoft Office. (experience)
  • Analytical skills. (experience)
  • Ability and willingness to travel within assigned areas of responsibility, including overnight stays (experience)
  • Bachelor Degree and 3 years provider contracting experience OR 7 years business experience including 3 years provider contracting experience. (experience, 3 years)
  • Knowledge of provider and facility contracting, products, and claims/processing systems. (experience)
  • Negotiation skills. (experience)
  • Relationship building skills. (experience)
  • Knowledge of marketplace. (experience)
  • Meet deadlines and work well under pressure. (experience)
  • Verbal and written communication skills; organizational and planning skills (experience)
  • PC proficiency to include Microsoft Office. (experience)
  • Analytical skills. (experience)
  • Ability and willingness to travel within assigned areas of responsibility, including overnight stays (experience)

Preferred Qualifications

  • 3 years experience in Medicare Advantage Contracting (experience, 3 years)
  • 1 year experience in Value Based Contracting (negotiation, execution, management of Delegation/Risk Contracts) (experience, 1 years)
  • 1 year experience in Ancillary contracting (experience, 1 years)
  • 3 years experience in Medicare Advantage Contracting (experience, 3 years)
  • 1 year experience in Value Based Contracting (negotiation, execution, management of Delegation/Risk Contracts) (experience, 1 years)
  • 1 year experience in Ancillary contracting (experience, 1 years)
  • Sponsorship will not be provided for this role. (experience)
  • This is a Telecommute (Remote) role. (experience)
  • Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! (experience)

Benefits

  • general: Exact compensation may vary based on skills, experience, and location.

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