New

Manager; Government Provider Networks

Health Care Service Corporation
life insurance, parental leave, paid time off, paid holidays, tuition reimbursement, 401(k)
United States, New Mexico, Albuquerque
Aug 11, 2025
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for managing, developing and maintaining the network strategy for Government Programs, Provider/Vendor Networks; ensuring new and renewed contracts meet enterprise pricing and methodology standards, meet/exceed CMS & or State Network Adequacy requirements. This position is responsible for management of direct staff. This position is responsible for leading contract negotiations and developing and maintaining relationships with providers/vendors. REQUIRED QUALIFICATIONS: Bachelor's degree and 4 years health care administration/managed care experience OR 8 years health care administration/managed care experience 4 years' experience in managed care contracting, benefits administration or underwriting experience including contract negotiations Leadership skills Verbal and written communication skills to interact with all levels of corporate personnel and assigned providers Analytical skills and reporting experience Planning skills Negotiation skills Experience consistently meeting deadlines and working well under pressure PC proficiency including Word, Excel, PowerPoint and databases Experience developing and analyzing reports Team player and people oriented Ability and willingness to travel, including overnight stays PREFERRED JOB QUALIFICATIONS: Experience working with providers. Triwest/ Tricare experience. Experience working with Government Program products and knowledge of the CMS Stars rating system. Experience and skilled in developing contract standards for pricing and methodology. Experience working with Government Programs risk and capitated based provider contracts. #LI-Hybrid #LI-DR2 Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! 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 plansubject 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$90,900.00 - $164,200.00