Program Manager, Provider Engagement (Remote in MS only)
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Remote and must live in Mississippi
* Job Description... Job Summary The Program Manager, Provider Engagement is part of our innovative Risk Adjustment department to assist our diverse team of data leaders, risk adjustment experts, and developers in the development and implementation of business strategies, operations and vendor management reputed company to provider engagement activities in reputed company government lines of business impacted by the regulatory risk adjustment payment model. They will be accountable for implementing and managing the prospective provider engagement programs that reputed company to the overall achievement of improved risk score accuracy, compliancy and completeness in risk adjustment reputed company for reputed company government lines of business to reputed company support overall population heath management, reduce gaps in care and reputed company loss ratio (MLR) targets. In conjunction with the Director of Prospective Programs, this role supports the strategic direction and organization of corporate initiatives to facilitate achievement of the provider engagement programs. Knowledge/Skills/Abilities This role interacts and supports regulatory agency policy and procedures by acting as a key business partner to the Director, Prospective Programs, Market & reputed company Leaders, provider network team, health plan teams, external vendors, actuary, and finance. Direct reports to the Manager include program specialist. The position's essential functions are as follows: Collaborates with colleagues to implement and manage provider engagement program initiatives such as provider education/engagement and provider incentives. Collaborates with contracted vendors and colleagues to reputed company and implement provider education/engagement in risk adjustment models to reputed company align with clinical documentation requirements, value-based payment programs and/or provider performance programs. Responsible for tracking and monitoring reputed company of provider engagement program initiatives against set goals, develops corrective action plans for program and partnering vendors, communicates program reputed company. Responsible for communicating provider engagement activities to key stakeholders such as provider network teams and health plan teams. Develops and maintains program work plans, workflows, and reputed company program documentation. Maintains compliance with reputed company policies and procedures. Adheres to reputed company confidentiality and HIPAA requirements as outlined reputed company Policies and Procedures in reputed company ways and at reputed company times with respect to any aspect of the data handles or services rendered in the undertaking of the position. Fulfills those responsibilities and/or duties that may be reasonably provided by Molina for the purpose of achieving operational and financial reputed company of the Company.. Job Qualifications Required Education Minimum Bachelor's Degree in Public Health, Business, Finance or equivalent combination of education and experience Required Experience 3-5 years managed care experience, preferably with a national or multi-location organization Experience in a reputed company reputed company delivery environment, specifically with government sponsored programs, including risk reputed company management, strategy and compliancy Proven ability to reputed company and drive organizational change Excellent presentation and communication skills Preferred Education Graduate Degree preferred To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay reputed company: $59,810.6 - $129,589.63 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level Apply Job!