Molina Healthcare
Senior Specialist, Provider Engagement - Quality/HEDIS (Remote in MA)
Molina Healthcare, Long Beach, California, us, 90899
Overview
Employer Industry: Healthcare Services Why consider this job opportunity
Opportunity for career advancement and growth within the organization Competitive benefits and compensation package Engage directly with healthcare professionals to improve quality performance Collaborate with a dedicated Provider Engagement team to enhance health outcomes Flexible travel requirements, with potential for up to 80% out-of-office travel What to Expect (Job Responsibilities)
Develop and implement Provider Engagement plans for Tier 2 & Tier 3 providers to meet annual performance goals Facilitate coaching and collaboration with providers to enhance quality performance and risk adjustment accuracy Identify and address challenges in the practice environment to achieve program goals Track and measure engagement and training activities using standard tools Communicate effectively with healthcare professionals, maintaining compliance with policies What is Required (Qualifications)
Bachelor’s degree in Business, Healthcare, Nursing, or related field, or equivalent combination of education and relevant experience Minimum of 3 years of experience in provider engagement, practice transformation, or managed care quality improvement Strong working knowledge of managed healthcare provider compensation methodologies Demonstrated data analytic skills and operational knowledge of PowerPoint, Excel, and Visio Effective communication and strong leadership skills How to Stand Out (Preferred Qualifications)
Experience improving provider quality performance through innovative engagement strategies Familiarity with quality metrics and risk adjustment practices across various business lines #HealthcareServices #ProviderEngagement #CareerOpportunity #QualityImprovement #Leadership 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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Employer Industry: Healthcare Services Why consider this job opportunity
Opportunity for career advancement and growth within the organization Competitive benefits and compensation package Engage directly with healthcare professionals to improve quality performance Collaborate with a dedicated Provider Engagement team to enhance health outcomes Flexible travel requirements, with potential for up to 80% out-of-office travel What to Expect (Job Responsibilities)
Develop and implement Provider Engagement plans for Tier 2 & Tier 3 providers to meet annual performance goals Facilitate coaching and collaboration with providers to enhance quality performance and risk adjustment accuracy Identify and address challenges in the practice environment to achieve program goals Track and measure engagement and training activities using standard tools Communicate effectively with healthcare professionals, maintaining compliance with policies What is Required (Qualifications)
Bachelor’s degree in Business, Healthcare, Nursing, or related field, or equivalent combination of education and relevant experience Minimum of 3 years of experience in provider engagement, practice transformation, or managed care quality improvement Strong working knowledge of managed healthcare provider compensation methodologies Demonstrated data analytic skills and operational knowledge of PowerPoint, Excel, and Visio Effective communication and strong leadership skills How to Stand Out (Preferred Qualifications)
Experience improving provider quality performance through innovative engagement strategies Familiarity with quality metrics and risk adjustment practices across various business lines #HealthcareServices #ProviderEngagement #CareerOpportunity #QualityImprovement #Leadership 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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