Health Partner Engagement Specialist II
Location
United States
Posted
2 hours ago
Salary
$72.2K - $115.5K / year
Seniority
Senior
Job Description
Health Partner Engagement Specialist II
CareSource
• Execute the quality, engagement, and contracting strategy • Develop provisions based on cost, quality/analysis and monitor key metrics • Responsible for provider recruitment, contracting and initiating loading and credentialing processes • Negotiate and re-negotiate contracts, terms, reimbursement rates, etc. • Analyze financial data to establish network strategic initiatives and partnerships • Collaborate with Population Health Analytics team • Provide on-site practice transformation support and education to Providers identified as partners in the CareSource PCMH program
Job Requirements
- Bachelor's degree in a healthcare related field, or equivalent years of relevant work experience
- Minimum of five (5) years of healthcare experience, including three (3) years of direct work experience in provider relations and/or provider contracting
- Managed care experience is required
- NCQA PCMH experience is preferred
- Intermediate proficiency level with Microsoft Outlook, Word, and Excel
- Knowledge of Provider Network Management Processes & Services
- Strong negotiation skills
Benefits
- Health insurance
- Flexible hours
- Professional development opportunities
- Influenza vaccination requirement
- Reasonable accommodations for individuals with disabilities or medical conditions
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