Remote Provider Engagement Specialist

CenterWell Certified Healthcare Corp.; United States; Remote; USD 59,000 - 81,000; Full time

Benefits offered by this job

Medical, dental & vision benefits

401(k) retirement savings plan

Paid time off & holidays

Disability insurance

Life insurance

Parental and caregiver leave

Job summary

CenterWell Certified Healthcare Corp. seeks a Provider Engagement Professional to build enduring relationships with physicians, providers and health systems.

You will support financial and quality performance within the contracted health plan relationship and report to the Director, Provider Engagement. The role is remote, requires 40 hours weekly, and involves travel to provider offices about 3–4 days per week.

Qualifications

• Bachelor's degree required; Master’s preferred.
• 1–5 years in health care or managed care with Provider Contracting, Network Management or Provider Relations.
• Experience with service fund reports, reimbursement and bonus methodologies.
• Demonstrated ability to manage multiple projects and meet deadlines.

Responsibilities

• Develops and grows positive relationships with physicians, providers and health systems to support financial and quality performance.
• Represents scope across financial performance, quality programs, population health, data sharing, documentation and coding, HEDIS and STARs.
• Works remote from home, with travel to provider offices about 3–4 days per week.
• Reports to the Director, Provider Engagement.

Skills

Provider contracting

Network management

Provider relations

Reimbursement methodologies

Project management

Customer experience

Education

Bachelor's Degree

Master's Degree

Job description

CenterWell Certified Healthcare Corp. seeks a Provider Engagement Professional to build enduring relationships with physicians, providers and health systems.

You will support financial and quality performance within the contracted health plan relationship and report to the Director, Provider Engagement. The role is remote, requires 40 hours weekly, and involves travel to provider offices about 3–4 days per week.