Network Ops Coordinator II - Provider Data - Hybrid

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Loop, PA, USA
In-Office
41K-91K Annually
Healthtech • Insurance
The Role

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 Summary

As a part of the network contracting department, this position is responsible for data management and maintenance of Professional Provider Data to support Marketing, Membership and Network Contracting across Medicare and Medicaid in Texas. Responsibilities include promoting high quality initiatives to support data integrity, including submitting updates, recruiting, data clean up, fee schedule updates, etc. Also includes accepting ownership and leading highly specialized operational and customer support duties that require independent initiative. The individual in this role will also be involved in special projects and reporting. This role includes participating in internal provider meetings and work groups, researching problems related to provider credentialing, data and network participation.

Required Job Qualifications:

  • Bachelor degree OR 4 years of experience in the Health Care industry

  • 2 years of experience with Provider Network contracting and credentialing systems

  • Written and verbal communication skills to interact with internal and external customers

  • Analytical and quantitative skills

  • Ability to take initiative and work independently

Preferred Job Qualifications:

  • Subject Matter Expert for the Professional Provider Credentialing Process

  • Experience with Microsoft Office applications including Excel, Access, and Power Point

  • Experience understanding provider data systems (PPW for example)

  • Locations: Houston, TX

  • Schedule: This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

  • Sponsorship: Sponsorship is not available.

Are 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$40,900.00 - $91,000.00

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

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The Company
HQ: Chicago, IL
13,563 Employees

What We Do

Imagine Something New, Something Different. Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is the largest customer-owned health insurer in the nation and the fourth largest overall. Operating through our Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas (as well as a variety of affiliates and subsidiaries,) we are expanding access to high-quality, cost-effective health care. We are equipping members with information and tools so they can make the best health care decisions for themselves and their families. HCSC is continuously recognized as an employer committed to community, diversity and inclusion, training and development. HCSC is committed to pioneering the health care space in ways as effective as they are creative. If you are passionate about the impact you want to have through your work, with a desire to apply innovative thinking to new and emerging challenges, we encourage you to learn more about HCSC. Learn about what we stand for, how we work and the difference we’re making in the lives of our 15 million members. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization. Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.

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