Specialist, Health Plan Provider Engagement (Remote in MI)

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

Support provider engagement strategies, improving quality and risk outcomes through data and coaching.

Job title

Specialist, Health Plan Provider Engagement

Experience level

none

Industry

healthcare

Location requirements

remote in Michigan, USA

Salary

Not specified

Management role

No

Skills & keywords

Required skills

data analyticsprovider engagementrisk adjustmentquality improvement

Preferred skills

behavior changecollaborationtraining

Specializations

provider engagementquality improvementrisk adjustmentdata analyticsbehavior change
Locations

Structured locations inferred from the posting.

Michigan, USA

Remote State