Provider Engagement & Performance Specialist

CenterWell; Tallahassee (FL); Remote; USD 59,000 - 81,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) retirement savings plan

Paid time off

Disability insurance

Life insurance

Job summary

CenterWell is seeking a Provider Engagement Professional to develop and grow positive relationships with physicians, providers, and health systems. You will support financial and quality performance within the contracted relationship and interpret actions for the director.

You will represent provider relationships across multiple areas and ensure alignment with strategy. The role involves remote work with occasional travel to Humana/CenterWell offices for training or meetings, reporting to the

Qualifications

• Bachelor's degree required.
• 1–5 years in health care or managed care with Provider Contracting, Network Management or Provider Relations experience.
• Experience working with service fund reports.
• Proven planning, preparation and presenting skills, with knowledge of reimbursement and bonus methodologies.
• Demonstrated ability to manage multiple projects and meet deadlines.
• Must be passionate about contributing to an organization focused on improving consumer experiences.

Responsibilities

• Develop and grow positive, long-term relationships with physicians, providers and health systems to support financial and quality performance within the contracted relationship.
• Interpret and determine appropriate courses of action; report to Director, Provider Engagement.
• Represent scope of health plan/provider relationships across financial performance, incentive programs, quality and clinical management, population health, data sharing and more.

Skills

Provider contracting experience

Service fund reports

Planning and presenting

Multi-project management

Customer/consumer experience focus

Education

Bachelor's Degree

Job description

CenterWell is seeking a Provider Engagement Professional to develop and grow positive relationships with physicians, providers, and health systems. You will support financial and quality performance within the contracted relationship and interpret actions for the director.

You will represent provider relationships across multiple areas and ensure alignment with strategy. The role involves remote work with occasional travel to Humana/CenterWell offices for training or meetings, reporting to the