Field Provider Engagement Leader

Tenavi Staffing

North Carolina

Hybrid

USD 54,000 - 82,000

Full time

5 days ago
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Job summary

Tenavi Staffing in the United States is seeking a Provider Engagement Specialist to support the performance and growth of the assigned market. This field-based role focuses on provider outreach, education, and performance improvement.

You will work directly with provider offices to drive quality outcomes, improve performance metrics, and support network operations across a growing healthcare organization. Travel up to 80% within the local market is expected.

Qualifications

  • Minimum 1 year of experience in provider relations, contracting, or network management within an HMO, IPA, medical group, or healthcare organization
  • Strong understanding of: HEDIS, Stars, Risk Adjustment, and MLR
  • Proven ability to build and manage provider relationships independently
  • Strong communication and presentation skills
  • Valid driver’s license and reliable transportation

Responsibilities

  • Build and maintain strong relationships with providers, office staff, and key stakeholders
  • Conduct provider onboarding, orientations, and ongoing education
  • Perform regular in-person provider visits to review performance and identify improvement opportunities
  • Analyze provider performance data and deliver actionable insights
  • Educate providers on HEDIS, Stars, Risk Adjustment, and documentation/coding requirements
  • Develop and execute provider engagement strategies to improve quality scores and member outcomes
  • Resolve provider issues related to claims, access, eligibility, and utilization management
  • Create and deliver training materials, presentations, and Model of Care sessions
  • Track provider activity and performance in Salesforce and internal systems
  • Support provider recruitment, contracting, and credentialing processes
  • Negotiate and implement provider agreements within the assigned market
  • Serve as a primary point of contact for provider inquiries
  • Participate in team initiatives and special projects

Skills

Provider relations
Communication
Presentation
Salesforce
Driver's license

Tools

Salesforce

Job description

Tenavi Staffing in the United States is seeking a Provider Engagement Specialist to support the performance and growth of the assigned market. This field-based role focuses on provider outreach, education, and performance improvement.

You will work directly with provider offices to drive quality outcomes, improve performance metrics, and support network operations across a growing healthcare organization. Travel up to 80% within the local market is expected.

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