The Provider Engagement Manager implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities.
Requirements
- Bachelor’s degree in Business, Healthcare, Nursing, or related field, or equivalent combination of education and relevant experience
- Minimum 5 years of experience improving provider quality performance through provider engagement, practice transformation, managed care quality improvement, or equivalent experience
- Experience with various managed healthcare provider compensation methodologies, including but not limited to: fee-for-service, value-based care, and capitation
- Strong working knowledge of quality metrics and risk adjustment practices across all business lines
- Demonstrates data analytic skills
- Operational knowledge and experience with PowerPoint, Excel, and Visio
- Effective communication skills
- Strong leadership skills
Benefits
- Competitive benefits package
- Equal Opportunity Employer (EOE) M/F/D/V