Job ID: CH-1019443 Description:
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.
If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can email us here to request reasonable accommodations.
Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "my account" and click on "View your job submissions".
This position is responsible for coordinating the analysis and reporting of initiatives aimed at optimizing Government Program network adequacy performance. This position will coordinate initiatives to ensure that all HCSC plans maintain provider networks that are adequate based on CMS regulatory requirements and can support new and existing membership. Government networks must be capable of product offering expansions through geographical service area expansion and comply with all time, distance, and capacity standards. This position will track adequacy performance, communicate gaps, identify exceptions or areas of improvement, and will consult Plans on gap closure via either provider recruitment or provider data solutions. This position will consult Plans on improving provider data integrity. This position interfaces with various business teams to achieve goals and desired outcomes, developing a thorough understanding of business needs and coordinating them with the overall HCSC strategy; working closely with all customers to understand state specific environments and evolving industry needs to meet business requirements.
- Bachelor's Degree
- 3 years' business experience
- Clear, concise verbal and written communication skills to communicate with all levels within the organization as well as external customers
- Experience in a position that required:a.Research / Analytical skillsb.Project Management skillsc.Problem Solving Skillsd.Multi-tasking / Prioritization skillse.Relationship Building Skills
- Proficient in MS Office products (including Word, Excel and PowerPoint)
PREFERRED JOB REQUIREMENTS:
- Master's Degree
- Health insurance or healthcare industry experience
- Experience in a position that required strategic planning techniques and application of industry trends.
This position is located in Chicago, ILNo relocation assistance availableNot available for sponsorship
Requirements: Expertise Network Management / Provider Relations Job Type Full-Time Regular Location IL - Chicago
Meet Some of HCSC's Employees
Allison audits operational and financial data throughout the business, helping to expose and mitigate risks, ensure compliance, and add value to HCSC’s operations as a whole.
Back to top