Provider Engagement Specialist FieldBased

tenavistaffing; Apex (NC); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Tenavi Staffing is seeking a Provider Engagement Specialist (Field-Based) to build strong provider relationships, educate on quality measures, and support contracting within the assigned market. The role involves onboarding, training, and ongoing engagement with providers to improve HEDIS and Stars metrics.

The ideal candidate will have 1+ year in provider relations or network management, strong data analysis skills, and the ability to travel up to 80% in the field.

Qualifications

• Minimum 1 year of provider relations, contracting, or network management experience in a healthcare setting
• Preferred: 2+ years provider-facing experience, including Medicare lines of business
• Strong understanding of HEDIS, Stars, Risk Adjustment, and MLR
• High School Diploma or GED; bachelor’s degree or equivalent preferred
• MBA preferred

Responsibilities

• Build and maintain relationships with providers and office staff to support network growth and performance
• Conduct provider onboarding, orientations, and ongoing education initiatives
• Perform in-person provider visits to review performance metrics and identify improvement opportunities
• Analyze provider performance data and deliver actionable insights to optimize outcomes
• Educate providers on HEDIS, Stars, Risk Adjustment, and documentation requirements
• Develop provider engagement strategies to improve quality scores and member experience
• Negotiate and implement provider agreements in assigned markets
• Maintain provider data in Salesforce and internal systems
• Travel up to 80% within the market; remote work with approval

Skills

Strong communication and relationship-

Present complex healthcare topics to

Microsoft Office proficiency

Analytical/problem-solving abilities

Multitasking in fast-paced environment

Experience analyzing performance data

Education

High School Diploma or GED

Bachelor’s degree or equivalent experience

MBA

Tools

Salesforce

CRM systems

Job description

Provider Engagement Specialist (Field-Based)

Overview: The Provider Engagement Specialist supports the performance and growth objectives of the assigned market by building strong relationships with primary care and specialist providers. This role is responsible for provider outreach, education, contracting support, and ongoing network operations to drive quality outcomes and improve provider performance.

Key Responsibilities

• Build and maintain collaborative relationships with providers, office staff, and key stakeholders to support network growth and performance.
• Conduct provider onboarding, orientations, and ongoing education initiatives.
• Perform regular in-person provider visits to review performance metrics and identify improvement opportunities.
• Analyze provider performance data and deliver actionable insights to optimize outcomes.
• Educate providers on HEDIS, Stars, Risk Adjustment, and documentation/coding requirements.
• Develop and implement provider engagement strategies to improve quality scores and member experience.
• Support resolution of provider issues related to access, claims, eligibility, and utilization management
• Create and deliver training materials, in-service presentations, and Model of Care trainings.
• Maintain accurate provider data and activity tracking in Salesforce and internal systems.
• Support provider recruitment, contracting, and credentialing processes
• Negotiate and implement provider agreements in assigned markets.
• Track recruitment and contracting activity and provide regular reporting.
• Serve as a primary point of contact for provider inquiries, ensuring timely resolution.
• Participate in team meetings and contribute to special projects as needed.
• Exercise independent judgment and decision-making on complex issues with minimal supervision.

Experience

• Required: Minimum 1 year of experience in provider relations, contracting, or network management within an HMO, IPA, medical group, or healthcare organization
• Preferred: 2+ years of provider-facing experience, including Medicare lines of business
• Strong understanding of HEDIS, Stars, Risk Adjustment, and MLR

Education

• Required: High School Diploma or GED (bachelor’s degree or equivalent experience preferred)
• Preferred: MBA

Skills & Competencies

• Strong communication and relationship-building skills
• Ability to present complex healthcare topics to providers
• Proficiency in Microsoft Office (Word, Excel, PowerPoint)
• Strong analytical, problem-solving, and organizational skills
• Ability to manage multiple priorities in a fast-paced environment
• Experience analyzing and interpreting performance data and reports

Licensure & Requirements

• Valid driver’s license required
• Reliable transportation and current automobile insurance required

Work Environment & Travel

• Up to 80% travel by car within the assigned market
• Occasional air travel as needed
• Ability to work extended hours when necessary
• Remote work available with approval

Physical Requirements

• Regularly required to sit, stand, walk, and use hands for tasks.
• Ability to lift to 10 pounds occasionally
• Close vision and focus adjustment required

Why This Role

This is an opportunity to take ownership of a territory, build meaningful provider relationships, and directly impact healthcare quality and outcomes. You’ll be in the field, making decisions, and driving real change - not sitting behind a desk pushing paperwork.