Provider Engagement Specialist III-North Eastern Mississippi
CareSource, Southaven, Mississippi, United States, 38671
Overview
Employer Industry: Healthcare Services Why consider this job opportunity: Salary up to $103,950 Opportunity for performance-based bonuses Comprehensive total rewards package focused on employee well-being Flexible working hours with the potential for remote work Engage in meaningful work that improves the health of the community Professional development and training opportunities available What to Expect (Job Responsibilities)
Lead provider contracting services and engagement initiatives for strategic health partners Negotiate and re-negotiate contracts, reimbursement rates, and terms with providers Analyze financial data to support network performance and strategic initiatives Collaborate with Population Health Analytics teams to enhance provider engagement strategies Mentor and train new hires while ensuring compliance with regulatory requirements What is Required (Qualifications)
Bachelor’s degree in a healthcare-related field or equivalent relevant work experience Minimum of five (5) years of healthcare experience, including three (3) years in provider relations and/or contracting Managed care experience is required Intermediate proficiency in Microsoft Outlook, Word, and Excel Strong negotiation and communication skills How to Stand Out (Preferred Qualifications)
Master’s degree in a healthcare-related field NCQA Patient-Centered Medical Home (PCMH) experience Six Sigma or Project Management certification Experience in training or teaching roles Knowledge of Provider Network Management Processes & Services #HealthcareServices #ProviderEngagement #HealthcareCareers #CareerGrowth #NegotiationSkills
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Employer Industry: Healthcare Services Why consider this job opportunity: Salary up to $103,950 Opportunity for performance-based bonuses Comprehensive total rewards package focused on employee well-being Flexible working hours with the potential for remote work Engage in meaningful work that improves the health of the community Professional development and training opportunities available What to Expect (Job Responsibilities)
Lead provider contracting services and engagement initiatives for strategic health partners Negotiate and re-negotiate contracts, reimbursement rates, and terms with providers Analyze financial data to support network performance and strategic initiatives Collaborate with Population Health Analytics teams to enhance provider engagement strategies Mentor and train new hires while ensuring compliance with regulatory requirements What is Required (Qualifications)
Bachelor’s degree in a healthcare-related field or equivalent relevant work experience Minimum of five (5) years of healthcare experience, including three (3) years in provider relations and/or contracting Managed care experience is required Intermediate proficiency in Microsoft Outlook, Word, and Excel Strong negotiation and communication skills How to Stand Out (Preferred Qualifications)
Master’s degree in a healthcare-related field NCQA Patient-Centered Medical Home (PCMH) experience Six Sigma or Project Management certification Experience in training or teaching roles Knowledge of Provider Network Management Processes & Services #HealthcareServices #ProviderEngagement #HealthcareCareers #CareerGrowth #NegotiationSkills
#J-18808-Ljbffr