Sr Specialist, Provider Engagement; Remote in FL

Employer Industry: Healthcare Services

• 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

• 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

• 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

• 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

#Healthcare Services #Provider Engagement #Quality Improvement #Career Opportunity #Leadership Skills

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