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Job Summary

This position is responsible for directing all negotiations, strategies, and direct execution of the business plan for all high value provider partners as defined by the business annually. These are all providers that significantly contribute to annual allowed spend for the Health Spring product(s) and additional partners intended to compete with larger systems to support HCSC’s long-term market objectives. The role is responsible for market and partner financial and operational engagement strategies, direct relationship development, critical contract negotiations, and internal cross-functional engagement to further external objectives in working with these partners across facility, professional, select government programs, value-based programs, and other non-standard arrangements. This role also will include leading and/or supporting select additional strategic plan initiatives that involve high value partners, inclusive of cross-functional strategic projects within healthcare delivery and government network and value-based care program evolution, where high value provider partners are targeted for participation. Leader must work collaboratively with key network finance, contracting, analytics and operations areas as well as with enterprise areas to ensure there is alignment with partner strategies and the financial implications thereof; documenting and conducting analysis of current and proposed contract arrangements and its impact on HCSC strategy and managing its impact on divisional and departmental short term and long-term planning.

• Bachelor’s degree and 7 years’ experience in health care, health insurance, or strategic consulting environment
• 3 years of management experience with an emphasis on experience managing external stakeholders.
• Experience with strategic planning, financial and data analysis, and research
• Working knowledge of various health insurance products.
• Strong financial acumen including understanding of financial statements and IL network contribution to plan financial performance.
• Experience leading and mentoring staff.
• Contract negotiation, development, and execution.
• Clear and concise verbal and written communication skills.
• Experience with interacting successfully with senior management and staff across multiple departments.
• Organizational skills, including ability to prioritize tasks.
• Creativity in problem solving and creating processes within ambiguity.
• Business acumen and project/process integration skills.

Preferred Job Qualifications:

• MBA or MHA
• Health care industry experience
• Affordable Care Act Knowledge
• Medicare Advantage Knowledge
• Medicaid MCO Knowledge

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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

$102,000.00 - $184,300.00

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