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.

This position is responsible for supporting provider data exchanged between HCSC and vendors as it relates to Government Programs lines of business (Medicaid/Medicare). Responsibilities include network program enhancement planning and implementation activities; ongoing program and production support and administration; system testing, training programs, coordination of reporting and issue research and resolution, and documentation and continuous improvement activities. This position interacts with key stakeholders across departments and external entities. In addition is responsible for identifying gaps in processes and suggesting process improvement strategies.

Required Job Qualifications:

• Bachelor Degree OR 4 years' experience in managed care or network management involving independent work and judgment.

• Plus 3 years project management experience including leading and planning projects.

• Managed care/network management database experience including knowledge of information flow.

• PC proficiency to include Word, Excel and PowerPoint.

• Clear and concise verbal and written communication skills including interpersonal and presentation skills.

• Self-starter, meet deadlines, manage multiple tasks/projects, work in a team environment.

Preferred Job Qualifications:

• Ability to work independently with strong self-motivation and analytical/research/problem solving skills.

• Conformability presenting research findings or improvement opportunities to leadership of various levels.

• Experience with PPW (Premier Provider Web application)

• Knowledge of state and federal network management legislation and regulations

Sponsorship will not be provided for this role.

Hybrid: Work in office 3 days a week; work from home 2 days a week.

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Compensation: $54,800.00 - $121,100.00

Exact compensation may vary based on skills, experience, and location

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.

To learn more about available benefits, please click https://careers.hcsc.com/totalrewards