Provider Engagement & Quality Transformation Lead

Molina Healthcare; United States; On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Provider Engagement/Practice Transformation professional to support health plan transformation activities and drive value-based strategies. You will work with tier II and III providers to ensure transformation plans align with quality and risk adjustment goals.

Responsibilities include coaching providers, resolving barriers, coordinating meetings, and tracking activities using Molina tools.

Qualifications

• 2+ years of experience improving provider quality performance via engagement and transformation.
• Knowledge of HEDIS/NCQA and risk adjustment practices.
• Proficiency in data analysis, manipulation, interpretation and reporting.

Responsibilities

• Support practice transformation activities and enhance value-based strategies.
• Ensure providers have transformation plans meeting annual quality and risk goals.
• Coach providers and coordinate meetings to improve quality and risk accuracy.
• Identify barriers and recommend solutions to improve health outcomes.
• Track engagement and training using Molina tools to measure effectiveness.

Skills

Data analysis

Excel

Communication

Relationship building

Problem solving

Attention to detail

Independent work

Cross-functional teamwork

Tools

EMR systems

Molina provider portal

Job description

Molina Healthcare is seeking a Provider Engagement/Practice Transformation professional to support health plan transformation activities and drive value-based strategies. You will work with tier II and III providers to ensure transformation plans align with quality and risk adjustment goals.

Responsibilities include coaching providers, resolving barriers, coordinating meetings, and tracking activities using Molina tools.