Senior Specialist, Provider Engagement - Remote

Overview

The Sr Specialist, Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities.

In Short

• Ensures assigned Tier 2 & Tier 3 providers have a Provider Engagement plan.
• Drives provider partner coaching and collaboration.
• Addresses challenges/barriers in the practice environment.
• Drives provider participation in Molina risk adjustment and quality efforts.
• Tracks all engagement and training activities.
• Serves as a Provider Engagement subject matter expert.
• Assists Provider Engagement Specialists with training and problem escalation.
• Accountable for use of standard Molina Provider Engagement reports.
• Facilitates connectivity to internal partners.
• Maintains the highest level of compliance.

Requirements

• Bachelor's degree in Business, Healthcare, Nursing or related field.
• Min 3 years experience improving provider Quality performance.
• Experience with managed healthcare provider compensation methodologies.
• Strong working knowledge of Quality metrics and risk adjustment practices.
• Demonstrates data analytic skills.
• Operational knowledge and experience with PowerPoint, Excel, Visio.
• Effective communication skills.
• Strong leadership skills.

Benefits

• Competitive benefits and compensation package.
• Equal Opportunity Employer (EOE) M/F/D/V.