Manager, Provider Engagement - Remote

Overview

The Manager, Provider Engagement establishes strategies and operational directions for risk adjustment and quality improvement, collaborating with senior leadership to drive value-based care strategies.

In Short

• Leads a team of Provider Engagement resources.
• Establishes strategy for engaging providers on risk adjustment and quality improvement.
• Collaborates with Health Plan Network to drive value-based care strategy.
• Sets performance goals and manages progress for key performance indicators.
• Ensures providers have quality and risk adjustment performance goals.
• Drives provider coaching to improve quality performance.
• Tracks engagement activities to measure effectiveness.
• Facilitates data exchanges and documentation education.
• Assesses team members for competency and provides training.
• Maintains compliance with organizational policies.

Requirements

• Bachelor’s degree in Business, Healthcare, Nursing or related field.
• 5-7 years of experience in provider engagement or quality improvement.
• Experience with managed healthcare provider compensation methodologies.
• Strong knowledge of quality metrics and risk adjustment practices.
• Demonstrates data analytic skills.
• Operational knowledge of PowerPoint, Excel, Visio.
• Effective communication skills.
• Strong leadership skills.

Benefits

• Competitive benefits and compensation package.
• Equal Opportunity Employer (EOE).