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Health Care Service Corporation

Network Ops Coordinator II

Health Care Service Corporation

. Manage overall performance/HEDIS quality measures .

Posted 10/2/2026full-timePhiladelphia • Pennsylvania • United StatesJuniorMid-Level💰 $47,500 - $86,000 per yearWebsite

Core Competencies

Role fit
Core Competencies

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

Demonstrates expertise in managing provider relationships and performance metrics, with a strong focus on Population Health Management and data integrity. Proficient in utilizing analytical skills and Microsoft Office tools to support value-based care initiatives.

Highest-signal resume keywords
Provider Network ContractingPopulation Health ManagementAnalytical SkillsCommunication SkillsProblem-Solving

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills
HEDIS Quality MeasuresMedicare Annual Wellness Visit ManagementProvider Relationship ManagementData IntegrityCredentialing SystemsQuantitative Skills
Soft Skills
InitiativeCollaborationIndependence
Tools & Technologies
SalesforceMicrosoft ExcelMicrosoft PowerPoint
Industry Keywords
Value-Based CareProvider CommunityHealth Care Industry

About the role

Key responsibilities & impact
  • Manage overall performance/HEDIS quality measures
  • Manage Medicare Annual Wellness Visit/Attestation completion
  • Manage provider relationship management
  • Support operations and systems, including the Population Health platform and Salesforce updates
  • Collaborate with cross-functional internal and external stakeholders
  • Maintain professional provider data to support value-based care initiatives, membership, and network operations
  • Build relationships with the provider community
  • Promote high-quality initiatives to support data integrity
  • Lead specialized operational and provider support duties requiring independent initiative and problem-solving
  • Participate in internal provider meetings and work groups
  • Research problems related to provider performance, engagement, data, and network participation

Requirements

What you’ll need
  • Bachelor's degree OR 4 years of experience in the health care industry
  • 2 years of experience with Provider Network contracting and credentialing systems
  • Written and verbal communication skills to interact with internal and external customers
  • Analytical and quantitative skills
  • Ability to take initiative and work independently
  • Subject Matter Expert in Professional Provider Network Relations (preferred)
  • Experience with Population Health Management applications and Microsoft Office tools including Excel (VLOOKUPS, pivot tables) and PowerPoint (preferred)

Benefits

Comp & perks
  • Curated development plans that foster growth and promote rewarding, fulfilling careers
  • Health and wellness benefits
  • 401(k) savings plan
  • Pension plan
  • Minimum of 15 days of paid time off
  • Paid parental leave
  • Disability insurance
  • Supplemental life insurance
  • Employee assistance program
  • Paid holidays
  • Tuition reimbursement
  • Other incentives
  • Annual incentive bonus plan subject to the terms and conditions of the plan