Sr Specialist, Provider Engagement (Remote in FL)
Molina Healthcare, Long Beach, California, us, 90899
Employer Industry: Healthcare Services
Why consider this job opportunity
Opportunity for career advancement and growth within the organization Competitive benefits and compensation package Engaging role focused on improving provider quality performance and health outcomes Work collaboratively with healthcare professionals to drive positive change Requires travel approximately 0 - 80% of the time, offering dynamic work experiences What to Expect (Job Responsibilities)
Develop and implement Provider Engagement plans for Tier 2 & Tier 3 providers to meet quality and risk adjustment performance goals Facilitate coaching and collaboration with providers to enhance quality performance and risk adjustment accuracy Address challenges in the practice environment that may hinder program goal attainment and identify necessary solutions Track engagement and training activities using standard tools to measure effectiveness across health plans Serve as a subject matter expert and support Provider Engagement Specialists with training and problem resolution What is Required (Qualifications)
Bachelor's degree in Business, Healthcare, Nursing, or a related field, or equivalent combination of education and relevant experience Minimum 3 years of experience in provider engagement, practice transformation, or managed care quality improvement Knowledge of various managed healthcare provider compensation methodologies, including fee-for-service and value-based care Strong working knowledge of quality metrics and risk adjustment practices Demonstrated data analytic skills and operational knowledge of PowerPoint, Excel, and Visio How to Stand Out (Preferred Qualifications)
Experience in improving provider quality performance through provider engagement strategies Familiarity with healthcare compliance and regulatory requirements Strong leadership skills in a healthcare setting Effective communication skills with healthcare professionals at various levels #HealthcareServices #ProviderEngagement #QualityImprovement #CareerOpportunity #LeadershipSkills We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
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Opportunity for career advancement and growth within the organization Competitive benefits and compensation package Engaging role focused on improving provider quality performance and health outcomes Work collaboratively with healthcare professionals to drive positive change Requires travel approximately 0 - 80% of the time, offering dynamic work experiences What to Expect (Job Responsibilities)
Develop and implement Provider Engagement plans for Tier 2 & Tier 3 providers to meet quality and risk adjustment performance goals Facilitate coaching and collaboration with providers to enhance quality performance and risk adjustment accuracy Address challenges in the practice environment that may hinder program goal attainment and identify necessary solutions Track engagement and training activities using standard tools to measure effectiveness across health plans Serve as a subject matter expert and support Provider Engagement Specialists with training and problem resolution What is Required (Qualifications)
Bachelor's degree in Business, Healthcare, Nursing, or a related field, or equivalent combination of education and relevant experience Minimum 3 years of experience in provider engagement, practice transformation, or managed care quality improvement Knowledge of various managed healthcare provider compensation methodologies, including fee-for-service and value-based care Strong working knowledge of quality metrics and risk adjustment practices Demonstrated data analytic skills and operational knowledge of PowerPoint, Excel, and Visio How to Stand Out (Preferred Qualifications)
Experience in improving provider quality performance through provider engagement strategies Familiarity with healthcare compliance and regulatory requirements Strong leadership skills in a healthcare setting Effective communication skills with healthcare professionals at various levels #HealthcareServices #ProviderEngagement #QualityImprovement #CareerOpportunity #LeadershipSkills We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
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