Specialist, Health Plan Quality Practice Transformation

JOB DESCRIPTION Job Summary Provides support for health plan practice transformation activities. Responsible for implementing health plan provider engagement strategies designed to achieve positive quality and risk adjustment outcomes. Drives engagement to ensure assigned tier II and tier III providers have practice transformation plans in place carried out to meet annual quality and risk adjustment performance goals. Essential Job Duties • Provides support for practice transformation activities including enhancing value-based strategies, and risk adjustment/quality improvement initiatives. • Ensures assigned tier II and tier III providers have a practice transformations plans in place to meet annual quality and risk adjustment performance goals. • Drives provider partner coaching and collaboration to improve quality performance and risk adjustment accuracy through consistent provider meetings, action item development and execution. • Addresses challenges/barriers in the p...