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Provider Performance and Contracting Specialist at Health Care Service Corporation - ApplyBlast

Provider Performance and Contracting Specialist

Health Care Service Corporation

26 days ago

3.8 on Glassdoor

Houston, Texas, United States

Hybrid

Full Time

Medior

0 applicants

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About this role

This role supports HEDIS, STARS, and financial provider performance activities to ensure strategic provider coverage within an assigned territory. The position involves contract negotiations for physicians and hospitals, developing strong provider relationships, and driving value-based care performance through data-driven strategies. Success requires a consultative professional who can engage providers, identify improvement opportunities, and adapt to a rapidly evolving healthcare environment.

Responsibilities

Support HEDIS, STARS, and financial provider performance activities
Negotiate contracts for physicians, groups, and hospitals
Drive risk adjustment and value-based care performance

Skills

About Health Care Service Corporation

hcsc.com

Headquarters

Chicago, Illinois, United States

Company Size

10001+ employees

Founded

1936

View Profile

Health Care Service Corporation (HCSC) is a mutual legal reserve company and trusted partner in health, offering health insurance plans across Illinois, Montana, New Mexico, Oklahoma, and Texas. With nearly a century of experience, HCSC serves over 27 million people through a portfolio of health benefit solutions designed to deliver access to quality, cost-effective care. The company drives innovations to improve health outcomes and reduce costs for its members, employees, and communities.