Sr Network Innovation/Strategy Consultant

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 value-based care and new network strategy and development activities at an advanced consultative level to enhance market stance, competitive capabilities, and profitability. Responsibilities include:
Identification, evaluation, and development of innovative network/care management solutions.
Direction and expansion of value-based care provider contracting (patient-centered medical home, ACO, bundled payment models, specialty payment models, etc.).
Identification and evaluation of competitive provider pricing models, high economic value, and performance-based reimbursement programs.
Assessment of new network opportunities and value propositions.
Development, promotion, and presentation of network advantages and strengths.
JOB REQUIREMENTS:
Bachelor's degree and 6 years of managed care or network management experience at the Health Plan level or 10 years of managed care or network management experience at the Health Plan level.
Experience in provider contracting, negotiations, and provider reimbursement.
Strong background in financial analysis, payment methodologies, and provider performance measures.
Strategy, critical thinking, and problem-solving skills.
PREFERRED JOB REQUIREMENTS:
Master's degree.
Experience in developing and writing value-based provider contracts.
Knowledge of network management pricing modeling and innovation.
HCSC Employment Statement:
We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, 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.

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