Health Care Service Corporation
Health Care Service Corporation
Health Care Service Corporation (HCSC) — Blue Cross Blue Shield Association ұйымының тәуелсіз лицензия иегері әрі АҚШ-тағы жетекші медициналық сақтандыру және денсаулық сақтау қызметтері ұйымдарының бірі. Компания жұмыс берушілерге, жеке тұлғаларға, отбасыларға, сондай-ақ Medicare және Medicaid бағдарламаларының қатысушыларына арналған сақтандыру және жеңілдіктер бағдарламалары арқылы шамамен 23 миллион адамға қызмет көрсетеді. HCSC медициналық сақтандырудан бөлек, дәріхана қызметтерін, өмірді және стоматологиялық сақтандыруды, сондай-ақ денсаулық сақтау деректеріне арналған технологияларды ұсынады. Бір ғасырға жуық тәжірибесі бар компания сақтандыру, денсаулық сақтау және консалтинг салаларында жұмыс істеп, медициналық көмекке қолжетімділікті кеңейтуге, денсаулық нәтижелерін жақсартуға және мүшелер мен қауымдастықтар үшін шығындарды басқаруға ықпал етеді. Оның ауқымды қызметі денсаулық сақтау жеңілдіктері, медициналық қызметтер, технология, деректер және соған байланысты бизнес-функциялар бойынша мансап мүмкіндіктерін қалыптастырады.

Senior Provider Relations Coordinator - Houston Hybrid

Support HCSC’s contracted healthcare providers through issue resolution, operational improvements, and provider education. Help verify compliance with contractual and financial standards in a hybrid Houston-based role.

Сипаттама

  • Support contracted providers with guidance and coordination under supervision
  • Build and sustain collaborative relationships with HCSC’s contracted provider network
  • Improve the provider experience and simplify day-to-day interactions with HCSC
  • Monitor concerns, coordinate follow-up, and drive issues through resolution
  • Deliver provider education and training
  • Analyze activity to identify recurring patterns and emerging trends
  • Review provider performance for adherence to contractual and financial obligations
  • Travel throughout the assigned territory, including occasional overnight trips
  • Follow a flex schedule with three days in the Texas office and two days working remotely

Талаптар

  • Bachelor’s degree plus two years of managed care operations experience involving independent work, or six years of relevant experience
  • Clear verbal and written communication skills
  • Strong organization and planning abilities
  • Proficiency with PCs and Microsoft Office
  • Analytical problem-solving skills
  • Willingness and ability to travel within the assigned territory, including overnight stays
  • Background in managed care, health plans, provider networks, or healthcare operations
  • Experience providing administrative and operational support where accuracy and detail are critical
  • Experience using Salesforce or another customer relationship management system
  • Strong organizational and time-management capabilities
  • Ability to balance competing priorities, meet deadlines, and work independently
  • Experience coordinating meetings, maintaining records, tracking projects, and following up on action items
  • Working knowledge of Microsoft Office, including Excel, Word, Outlook, PowerPoint, and Teams
  • Experience reviewing, auditing, or validating data
  • Strong written and verbal communication with providers, business partners, and internal stakeholders
  • Experience preparing reports, presentations, spreadsheets, and other business materials
  • Ability to protect confidential information and exercise discretion
  • Experience supporting provider relations, network operations, credentialing, contracting, or healthcare administration
  • Ability to investigate issues, develop solutions, and follow through with limited supervision
  • Experience in a fast-paced setting requiring careful follow-up and attention to detail
  • Employment sponsorship is unavailable

Артықшылықтар

  • Structured career development and professional learning opportunities
  • 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
  • Additional incentives
  • Annual incentive bonus plan

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