Sr Network Mgmt 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. Job Summary This position is responsible for supporting the development, performance management, and oversight of their assigned provider networks in the Northeast (New Jersey, Pennsylvania, Delaware) market territory. The Senior Network Management Consultant will work to build and maintain strong relationships with their assigned provider networks to help impact key performance metrics that benefit the members we serve. Key Responsibilities: Establish and maintain key relationships within assigned territory for small to mid-size physicians, physician groups and facilities (e.g. independent hospitals, independent physicians with negotiations, small group / IPAs, etc.). May assist with complex or large groups. Conducting regular provider visits to educate providers and office staff on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment, medical cost management, etc. Work with internal departments to ensure appropriate implementation of executed agreements. Educating providers on the performance requirements associated with value-based contracts. Understanding, developing, tracking, monitoring and reporting on key program performance metrics, such as utilization, coding, and Stars/quality performance. Communicate and interact effectively and professionally with co-workers, management, customers, etc. Required Job Qualifications: Bacheloru2019s degree and 3 yearsu2019 experience OR 7 years managed care operations experience including provider relations. Knowledge of provider and facility contracting, products, and claims/processing systems. Meet deadlines and work well under pressure. Relationship building skills. Verbal and written communication skills; organizational and planning skills. PC proficiency to include Microsoft Office. Analytical skills. Ability and willingness to travel within assigned areas of responsibility, including overnight stays #LI-CH1 #LI-Hybrid INJLF 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 . 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 $61,500.00 - $136,100.00 Exact compensation may vary based on skills, experience, and location. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. ( For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who arenu2019t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity youu2019ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to

Created: 2026-03-07