Join our innovative team at Molina Healthcare as a Program Manager, Provider Engagement, and play a vital role in driving success in our Risk Adjustment department! As a key member of our team, you will be responsible for developing and implementing business strategies, operations, and vendor management related to provider engagement activities. This is a remote opportunity, and we are looking for a talented individual who is based in Mississippi.
We offer a competitive compensation package starting at $59,810.6 – $129,589.63 per year, as well as a comprehensive benefits package. If you are a motivated and experienced professional looking for a new challenge, we encourage you to apply for this exciting opportunity.
Job Summary
The Program Manager, Provider Engagement will be part of our innovative Risk Adjustment department, working closely with our team of data leaders, risk adjustment experts, and developers to drive success. The successful candidate will be accountable for implementing and managing prospective provider engagement programs, leading to improved risk score accuracy, compliancy, and completeness in risk adjustment revenue for all government lines of business.
Key Responsibilities
- Collaborate with colleagues to implement and manage provider engagement program initiatives, such as provider education and incentives
- Develop and implement provider education and engagement in risk adjustment models to better align with clinical documentation requirements and value-based payment programs
- Track and monitor the success of provider engagement program initiatives, developing corrective action plans and communicating program progress to key stakeholders
- Communicate provider engagement activities to key stakeholders, such as provider network teams and health plan teams
- Develop and maintain program work plans, workflows, and related program documentation, ensuring compliance with all policies and procedures
Requirements
To be successful in this role, you will need:
- A minimum Bachelor’s Degree in Public Health, Business, Finance, or equivalent combination of education and experience
- 3-5 years of managed care experience, preferably with a national or multi-location organization
- Experience in a complex healthcare delivery environment, specifically with government-sponsored programs, including risk revenue management, strategy, and compliancy
- Proven ability to innovate and drive organizational change, with excellent presentation and communication skills
What We Offer
In return for your skills and experience, we offer a competitive benefits and compensation package, as well as the opportunity to work with a friendly and innovative team. We are an Equal Opportunity Employer (EOE) M/F/D/V and encourage applications from all qualified candidates.
Apply Now
If you are a motivated and experienced professional looking for a new challenge, we encourage you to apply for this exciting opportunity. Apply To This Job
