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

This position is responsible for ensuring professional and facility providers applying for initial or ongoing network participation are credentialed or recredentialed in a timely and appropriate manner for presentation to the medical director and/or credentialing committee. This position will also ensure documentation for those providers approved for network participation is current at time of the committee determination. This person will also be responsible for ongoing monitoring of providers.

JOB REQUIREMENTS:

• High school diploma or GED.

• 3 years business experience. A combination of college level education and experience will be considered

• 1 year Credentialing OR Quality audit experience

• Clear and concise interpersonal, verbal and written communication skills to facilitate the learning process; coaching and mentoring skills

• Experience with multi-tasking and adhering to tight timelines.

• PC experience in Windows, Word, Excel, Access, and other business related/associated databases.

• Demonstrated analytical and organizational skills

• Knowledge of Managed Care products, programs, and services.

PREFERRED JOB EXPERIENCE:

• Previous experience in oversight of credentialing/credentialing committee - HIGHLY PREFERRED

• 2 years of college courses in Business or Medical field.

• Project Management experience.

• Knowledge of Microsoft Suite tools (Windows, Word, Excel, Access, Adobe, PowerPoint, etc)

Sponsorship will not be provided for this role.

This is a Telecommute (Remote) role.

#LI-LI1

#LI-Remote

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

$41,700.00 - $92,800.00

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