Description
The Senior Provider Engagement Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Senior Provider Engagement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
Responsibilities
The Senior Provider Engagement Professionalfacilitates the health plan/provider relationship across such areas as HEDIS and Stars performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding,operational improvements, member experience, market growth, provider experience and operational excellence. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed somewhat independently, without constant direction. Exercises considerable latitude in determining objectives and approaches to assignments, with input from collaborating partners.
Required Qualifications
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