Provider Engagement Specialist

Tenavi Staffing; North Carolina; Hybrid; USD 54,000 - 82,000; Full time

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

Work Environment: Field-Based | Up to 80% Travel (Local Market)

Overview

The Provider Engagement Specialist supports the performance and growth of the assigned market by building strong relationships with primary care and specialist providers. This is a field-based role focused 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.

Key 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

Experience Required

• Required: 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

Preferred

• 2+ years of provider-facing experience
• Experience working with provider performance metrics and analytics
• Up to 80% travel within the assigned market (local driving required)
• Occasional air travel as needed
• Remote work flexibility when not in the field
• Ability to work extended hours when necessary

Pay Range: $54,434.00 - $81,651.00 DOE

Pay range may be based on factors such as market location, education, responsibilities, and experience.

Why This Role

This is an opportunity to take ownership of a territory, build meaningful relationships, and directly impact healthcare quality and outcomes. You’ll be in the field, making decisions, and driving real change

Additional Information:

Tenavi Staffing is an Equal Employment Opportunity and Aff…