Senior Provider Engagement & Quality Improvement Strategist

Molina Talent Acquisition; New Mexico; Remote; USD 80,000 - 110,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is seeking a senior-level specialist to drive engagement strategies with providers and advance risk adjustment and quality outcomes. You will influence physician behavior, coach providers, and collaborate across teams to meet annual metrics.

The role requires data-driven decision making, strong communication, and the ability to manage multiple initiatives in a fast-paced environment with travel up to 80% depending on state requirements.

Qualifications

• At least 3 years of experience in improving population-level quality scores and risk adjustment through provider engagement.
• Knowledge of HEDIS/NCQA/CMS STARs quality measures and risk adjustment practices.
• Proficiency with data analysis, manipulation, interpretation and reporting.

Responsibilities

• Supports provider engagement activities including value-based strategies and risk adjustment/quality initiatives.
• Ensures provider engagement plans meet annual quality and risk adjustment goals.
• Drives coaching and collaboration to improve quality performance and risk adjustment accuracy.
• Works with front-office staff to schedule Molina members with gaps for assigned providers.
• Addresses practice environment challenges to improve health outcomes and program goals.
• Tracks engagement and training activities using standard tools and reports.

Skills

Data analysis

Project management

Communication skills

Critical thinking

Relationship building

Attention to detail

Excel

Power BI

Independent work

Education

Bachelor's degree

Tools

Microsoft Office

Power BI

Job description

Molina Healthcare is seeking a senior-level specialist to drive engagement strategies with providers and advance risk adjustment and quality outcomes. You will influence physician behavior, coach providers, and collaborate across teams to meet annual metrics.

The role requires data-driven decision making, strong communication, and the ability to manage multiple initiatives in a fast-paced environment with travel up to 80% depending on state requirements.