Principal Network Management Consultant - Work from Home

Job Summary

This position is responsible for managing, developing and maintaining harmonious working relationships with assigned providers; managing provider agreement negotiation operations.

JOB REQUIREMENTS:

• Bachelor Degree and 4 years provider contracting experience OR Master degree and 3 years contracting experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience involves negotiating reimbursements, financial arrangements and rates.
• Extensive 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 to interact with all levels of corporate personnel and providers.
• PC proficiency to include Microsoft Office.
• Analytical skills and business acumen to analyze financial data to determine financial impact of negotiations.
• Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

PREFERRED

JOB REQUIREMENTS:

• Strong Value-Based Care (VBC) contracting experience, including development, negotiation, implementation, and management of value-based provider agreements, risk-sharing models, and performance-based reimbursement arrangements.
• Demonstrated strong organizational skills, with the ability to effectively manage multiple priorities, complex projects, competing deadlines, and large-scale initiatives in a fast-paced environment.
• Strong matrix management and collaboration skills, with a proven ability to influence stakeholders, drive alignment, and achieve business objectives across cross-functional teams and organizational boundaries without direct authority.

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.

$92,700.00 - $

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