Specialist, Health Plan Provider Engagement (Remote in MA)

hckd.fa.us2.oraclecloud.com.CX_1

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Until 10/3/2026 First posted August 4, 2026 Last posted August 4, 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

Supports health plan provider engagement, quality, risk adjustment, and provider collaboration.

Job title

Specialist, Health Plan Provider Engagement

Experience level

null

Industry

healthcare

Location requirements

remote in Massachusetts, candidate can work remotely

Salary

Not specified

Management role

No

Skills & keywords

Required skills

data analyticsprovider engagementrisk adjustmentquality improvement

Preferred skills

None specified

Specializations

health planprovider engagementrisk adjustmentquality improvementdata analytics
Locations

Structured locations inferred from the posting.

Massachusetts, USA

Remote State