Provider Engagement & Performance Lead (Columbia, MO)

Optum; Missouri; Remote; USD 58,800 - 70,000; Full time

Benefits offered by this job

Comprehensive benefits package

401k contribution

Incentive and recognition programs

Job summary

A leading healthcare company is seeking a Provider Engagement Specialist to enhance the performance of its provider network in Missouri. The role entails developing relationships with providers, analyzing performance metrics, and educating stakeholders on quality improvement goals. Candidates must have at least 3 years of relevant experience and strong skills in data analysis and communication. The position offers a competitive salary of $58,800 to $70,000 annually, plus benefits.

Qualifications

• 3+ years of experience in a related medical field or health plan setting (network management, contracting, or provider relations).
• Knowledge of state and federal laws relating to Medicare.
• Solid working knowledge of Medicare healthcare operations including HEDIS and CMS reimbursement models.

Responsibilities

• Educate providers on quality, coding and documentation goals.
• Develop action plans aligning provider groups with company initiatives.
• Analyze data to identify trends and present findings.

Skills

Analytical skills

Communication skills

Strategic planning

Data analysis

Education

3+ years of experience in a related medical field or health plan setting

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

A leading healthcare company is seeking a Provider Engagement Specialist to enhance the performance of its provider network in Missouri. The role entails developing relationships with providers, analyzing performance metrics, and educating stakeholders on quality improvement goals. Candidates must have at least 3 years of relevant experience and strong skills in data analysis and communication. The position offers a competitive salary of $58,800 to $70,000 annually, plus benefits.