Apply

Ready to go for it?

AI Apply speeds things up—apply directly if you prefer.

FREE ACCESS
5,000–10,000 jobs/day
Scoutfield Logo

See all jobs on Scoutfield

Search thousands of fresh jobs every day.

Discover
  • Fresh listings
  • Fast filters
  • No subscription required
Create a free account and start exploring right away.
Health Care Service Corporation

Network Management Consultant – Provider Performance

Health Care Service Corporation

. Support HEDIS, STARS, and financial provider performance and contracting activities .

Posted 9/29/2026full-timeHouston • Texas • United StatesJunior💰 $63,300 - $114,300 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in provider contracting, including negotiation and relationship management, while leveraging analytics to drive performance in HEDIS, STARS, and value-based care initiatives. Proficient in developing action plans and adapting strategies to meet client goals within managed care operations.

Highest-signal resume keywords
Provider Contract NegotiationHEDIS PerformanceSTARS PerformanceAnalytical SkillsRelationship Management

ATS Keywords

Tailor your resume
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Provider ContractingNegotiationManaged Care OperationsAction Plan DevelopmentPerformance Improvement
Soft Skills
Verbal CommunicationWritten CommunicationOrganizational SkillsPlanning SkillsAbility to Work Under Pressure
Tools & Technologies
Microsoft OfficeAnalytics Tools
Industry Keywords
HEDISSTARSValue-Based CareProvider RelationshipsFinancial Performance

About the role

Key responsibilities & impact
  • Support HEDIS, STARS, and financial provider performance and contracting activities
  • Ensure strategic provider coverage within an assigned territory
  • Negotiate contracts with physicians, physician groups, and small to mid-size hospitals
  • Support complex hospital and physician contracting initiatives
  • Develop and maintain strong provider relationships
  • Deliver ongoing provider education and service
  • Drive HEDIS, STARS, risk adjustment, and value-based care performance
  • Engage providers and identify performance improvement opportunities
  • Develop and execute action plans
  • Leverage analytics to influence outcomes
  • Adapt strategies to achieve client goals
  • Work onsite at provider offices up to 3 days weekly and from home typically 2 days weekly

Requirements

What you’ll need
  • Bachelor 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 experience developing and negotiating provider contracts
  • Meet deadlines and work well under pressure
  • Verbal and written communication skills
  • Organizational and planning skills
  • PC proficiency including Microsoft Office
  • Analytical skills
  • Ability and willingness to travel within the assigned territory, including overnight stays
  • Sponsorship is not available
  • Ability to work onsite at provider offices up to 3 days a week and from home typically 2 days a week
  • Monday–Friday availability during typical business hours, with infrequent evening and weekend meetings

Benefits

Comp & perks
  • 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
  • Other incentives
  • Annual incentive bonus plan