Provider Relations Representative

Health Care Service Corporation

. Provide support to contracted providers .

Posted 11/2/2026full-timeChicago • Illinois • United StatesMid-LevelSenior💰 $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 managed care operations, provider education, and Medicaid and Medicare business processes. Strong ability to build relationships, resolve issues, and ensure compliance with contractual and financial requirements.

Highest-signal resume keywords

Managed Care ExperienceMedicaid And Medicare KnowledgeProvider Education And SupportClaims Processing SystemsHealth Care Administration

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

Provider CommunicationContract KnowledgeReimbursement MethodsAnalytical SkillsPresentation Skills

Soft Skills

Interpersonal SkillsOrganizational SkillsCollaboration SkillsInitiativeEffective Communication

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft PowerPoint

Industry Keywords

Health Care IndustryProvider IssuesOperational ExcellenceBusiness Process ImprovementFinancial Requirements

About the role

Key responsibilities & impact

Provide support to contracted providers
Develop and maintain cooperative working relationships with contracted providers
Facilitate and enhance providers’ ease of doing business with HCSC
Track and resolve provider issues
Educate and train providers
Identify trends and evaluate providers to ensure contractual and financial requirements are adhered to and performed
Support providers with medical insurance and claims-related inquiries
Leverage Medicaid and Medicare business-process knowledge to resolve issues and provide education
Address provider requests across a national scope
Promote consistent service and operational excellence

Requirements

What you’ll need

Bachelor’s degree and 3 years of work experience in managed care, or a minimum of 5 years’ work experience in a managed care environment
Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience
Demonstrated knowledge of Medicaid and Medicare business processes, including provider education and operational support
Effective interpersonal, analytical, presentation, and communication skills
Knowledge of the health care industry
Ability and willingness to travel within assigned areas, including overnight stays
Knowledge of contracts, applications, and products
Understanding of provider reimbursement methods
Working knowledge of claims processing systems
Effective organizational and planning skills
Ability to take initiative and work independently
Demonstrated ability to meet deadlines and work well under pressure
Clear and concise interpersonal, verbal, and written communication skills
Collaboration skills resulting in business/process improvements/changes
PC experience and skills including Word, Excel, and PowerPoint
Facilitation, presentation, and analytical skills
Sponsorship is not available

Benefits

Comp & perks

Curated development plans and professional development opportunities
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