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Specialist, Provider Engagement - Remote

Posted 8 weeks ago
All others
Full Time
MI, USA

Overview

The Specialist, Provider Engagement is responsible for overseeing and implementing healthcare quality improvement initiatives and education programs within the Provider Network, ensuring compliance with quality standards.

In Short

  • Implement key quality strategies and manage provider and community interventions.
  • Monitor and ensure timely completion of quality activities.
  • Write narrative reports interpreting regulatory specifications and documenting findings.
  • Create and manage documentation for quality improvement functions.
  • Lead quality improvement activities and discussions with departments and provider partners.
  • Evaluate project activities to identify improvement opportunities.
  • Address gaps in processes requiring remediation.
  • Travel required up to 80% of the time, including same-day and overnight trips.
  • Other tasks and projects as assigned.

Requirements

  • Bachelor's Degree or equivalent experience.
  • Minimum 3 years in healthcare, with 1 year in quality improvement.
  • Solid business writing experience.
  • Operational knowledge of Excel and Visio.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer.

M.T.A

Molina Talent Acquisition

Molina Healthcare is a leading provider of managed healthcare services, dedicated to improving the health of its members through high-quality, cost-effective care. The company focuses on network strategy and development, ensuring compliance with federal, state, and local regulations while aligning with its core values and strategic goals. Molina Healthcare emphasizes the importance of building strong relationships with complex providers, including hospitals and physician groups, to enhance network adequacy and financial performance. With a commitment to value-based care, Molina Healthcare actively engages in contract negotiations and innovative reimbursement models to meet the diverse needs of its members.

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