JobMesh

Network Management Consultant

Health Care Service Corporation · Chicago, Illinois, US

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...

Job description

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: The Network Management Consultant supports the Senior Manager in advancing provider network performance across Medicare Advantage markets with a focus on quality improvement, risk adjustment optimization, and value-based care initiatives. This role collaborates with internal teams and external provider partners to implement strategies that improve clinical quality outcomes, coding accuracy, and overall network performance. The consultant assists in provider engagement, performance analysis, and operational execution of programs that support risk capture, quality ratings, and regulatory compliance within the Medicare Advantage line of business. Required Job Qualifications: *Bachelor’s Degree and at least one year experience developing and negotiating provider contracts OR 5 years managed care operations experience handling independent work with at least one year expe...