Specialist, Health Plan Provider Engagement

hckd.fa.us2.oraclecloud.com.CX_1

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Until 9/29/2026 First posted July 31, 2026 Last posted July 31, 2026
Job description

JOB DESCRIPTION Job Summary Provides support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes. Uses a consultative approach, emphasizing physician engagement and behavior change through actionable data and analytics. Drives value-based care strategies through risk adjustment and quality improvement activities. Focuses on smaller, less advanced Tier 2 and Tier 3 providers, ensuring they have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to improve performance through regular meetings and action plans. Addresses practice environment challenges to achieve program goals and improve health outcomes. Tracks engagement activities using standard tools, facilitate data exchanges, and supports training and problem resolution for assigned providers - driving provider participation in Molina's risk adjustment and quality initiatives. Ess...

About this role

Summary

Support provider engagement strategies to improve quality and risk outcomes.

Job title

Specialist, Health Plan Provider Engagement

Experience level

null

Industry

healthcare

Location requirements

Remote work allowed, location not specified

Salary

Not specified

Management role

No

Skills & keywords

Required skills

data analysisprovider engagementrisk adjustmentquality improvement

Preferred skills

None specified

Specializations

provider engagementquality improvementrisk adjustmentdata analytics
Locations

Structured locations inferred from the posting.

United States

Remote Country