Blue Cross and Blue Shield of Illinois, Montana, N Director Network Management in Albuquerque, New Mexico
At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" one of our core values, we are focused on improving our success measures and delivering the best possible customer experience.
Job Purpose: This position is responsible for developing and implementing the methodology which results in competitive contract pricing while maintaining a broad network of hospitals, physicians, behavioral health and ancillary providers on a statewide basis. Directing and overseeing management and staff responsible for contracting, provider relations activities, network directories, provider/facility database and reporting. This position collaborates with HCSC Network Management colleagues in the development of Enterprise Network strategies and initiatives.
Required Job Qualifications: * Bachelor Degree OR 4 years health care management experience.* 7 years health care or health insurance experience to include 4 years contract administration and facility or provider relations experience.* 4 years management experience including hiring, performance management, change management and professional development.* Leadership skills.* Financial acumen, experience with oversight of budget, and experience with financial managed care contracting. * Knowledge of facility/provider contracting methodologies and pricing strategies and the facility or provider community.* Presentation skills.* Negotiation, contracting skills and analytical and strategic thinking skills.* Verbal and written communication skills.
Preferred Job Qualifications:* Masters Degree.* Experience developing strategies and implementing initiatives. * Experience developing budget.
Location: NM - Albuquerque
Activation Date: Tuesday, February 6, 2018
Expiration Date: Saturday, March 17, 2018