Senior Health Plan Provider Engagement Strategist

Molina Healthcare; Louisville (KY); Remote; USD 52,000 - 102,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare seeks a senior professional to support provider engagement strategies focused on value-based care, risk adjustment, and quality outcomes. The role requires coordinating with provider practices and health plans to meet annual performance goals.

The position emphasizes data-driven coaching, actionable analytics, and collaboration with cross-functional teams to enhance quality and risk adjustment results within Medicaid, Medicare and Marketplace programs.

Qualifications

• Experience improving population-level HEDIS quality scores through provider engagement.
• Experience with Medicaid, Medicare and Marketplace quality measures and risk adjustment.

Responsibilities

• Provide support for provider engagement and risk adjustment/quality initiatives.
• Ensure provider engagement plans meet annual quality and risk adjustment goals.
• Coach providers to improve Medicaid, Medicare and Marketplace quality performance.

Skills

HEDIS quality

Population analytics

Data manipulation

Power BI

Excel

CMS STARs

Provider engagement

Quality improvement

Communication

Education

Bachelor's degree in Nursing/Health Administration

Tools

Power BI

Excel

Pivot Tables

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Job description

Molina Healthcare seeks a senior professional to support provider engagement strategies focused on value-based care, risk adjustment, and quality outcomes. The role requires coordinating with provider practices and health plans to meet annual performance goals.

The position emphasizes data-driven coaching, actionable analytics, and collaboration with cross-functional teams to enhance quality and risk adjustment results within Medicaid, Medicare and Marketplace programs.