Provider Programs & Engagement Lead - Risk Adjustment

Spectrum Health

Grand Rapids (MI)

On-site

USD 55,000 - 85,000

Full time

9 days ago

A complete application in a minute

Tailored resume and cover letter, ready to send.

Get past ATS filters

Benefits offered by this job

Comprehensive benefits package
On-demand pay program
Identity theft protection
Retirement options with company match

Job summary

Corewell Health in Grand Rapids, MI is seeking a Provider Program Specialist to collaborate across the Risk Adjustment department and plan, organize, and implement network programs. You will work with ACNs and the provider network to disseminate tactics that improve RA initiatives and performance.

The role involves coordinating projects, supporting program evaluation, and creating communications for internal and external audiences, including webinars, trainings, and reports.

Qualifications

  • Bachelor's degree or equivalent with related work experience.
  • CPC or CCS certification for Risk Adjustment required.
  • Experience in coding/documentation improvement (CDI) is a plus.

Responsibilities

  • Partner with internal teams and providers to support strategic initiatives and engagement.
  • Coordinate multiple projects with scope, timelines, milestones, and deliverables.
  • Assess, plan, implement, and evaluate RA programs to improve network efficiency and patient experience.
  • Develop strategic communications and training materials for provider networks.
  • Support provider-facing webinars, meetings, and educational events.
  • Prepare written reports and presentations to support operational goals.
  • Collaborate with stakeholders to plan and evaluate provider network programs.

Skills

Stakeholder communication
Project coordination

Education

Bachelor's Degree or equivalent
CPC Certification
CCS Certification

Job description

Corewell Health in Grand Rapids, MI is seeking a Provider Program Specialist to collaborate across the Risk Adjustment department and plan, organize, and implement network programs. You will work with ACNs and the provider network to disseminate tactics that improve RA initiatives and performance.

The role involves coordinating projects, supporting program evaluation, and creating communications for internal and external audiences, including webinars, trainings, and reports.

Get your free, confidential resume review.

or drag and drop your file here.

Similar jobs

Similar jobs worth comparing

Provider Network Programs Lead
Provider Network Programs Lead

Corewell Health • Grand Rapids (MI)

On-site
USD 60,000 - 80,000
Comprehensive benefits
On-demand pay
Discounts directory
+2
Provider Programs Specialist PH Risk Adjustment
Provider Programs Specialist PH Risk Adjustment

Spectrum Health • Grand Rapids (MI)

On-site
USD 55,000 - 85,000
Comprehensive benefits package
On-demand pay program
Identity theft protection
+1
Provider Programs Specialist PH Risk Adjustment
Provider Programs Specialist PH Risk Adjustment

Corewell Health • Grand Rapids (MI)

On-site
USD 60,000 - 80,000
Comprehensive benefits
On-demand pay
Discounts directory
+2
Provider Programs & Communications Lead
Provider Programs & Communications Lead

Spectrum Health • Grand Rapids (MI)

On-site
USD 60,000 - 80,000
Provider Programs Specialist
Provider Programs Specialist

Spectrum Health • Grand Rapids (MI)

On-site
USD 60,000 - 80,000
RN Care Manager: Care Coordination & Population Health
RN Care Manager: Care Coordination & Population Health

Corewell Health • Grand Rapids (MI)

On-site
USD 70,000 - 95,000
Comprehensive benefits package
On-demand pay (Payactiv)
Discounts directory for deals and more
Healthcare Payment Integrity Lead
Healthcare Payment Integrity Lead

Priority Health • Grand Rapids (MI)

On-site
USD 90,000 - 130,000
Health benefits
On‑demand pay
Discounts directory
+2
RN Clinical Compliance Lead
RN Clinical Compliance Lead

Corewell Health • Grand Rapids (MI)

On-site
USD 70,000 - 90,000
Comprehensive benefits package
On-demand pay program
Discounts directory
+2
MI Physician Relations Intern: Healthcare Connectivity
MI Physician Relations Intern: Healthcare Connectivity

Spectrum Health • Grand Rapids (MI)

On-site
USD 35,000 - 58,000
Comprehensive benefits package
On-demand pay program
Discounts directory
+2
Manager, Risk Adjustment, Provider Partnerships (Fully Remote)
Manager, Risk Adjustment, Provider Partnerships (Fully Remote)

Oscar • United States

Remote
USD 120,000 - 160,000