Provider Engagement Professional
The Provider Engagement Professional 2 represents the scope of health plan/provider relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to provider performance, member experience, market growth, provider experience and operational excellence. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Additional Job Description
Required Qualifications
- Associate's Degree
- 1-3 years working with data analytics
- Proficiency creating and maintaining reports within MS Excel (Excel Reports, pivot tables)
- Experience working with Adobe products to create PDF reports
- Experience with data mining
- Proven planning and preparation skills
- Demonstrated ability to manage multiple projects and meet deadlines
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
- Bachelor's Degree
- Experience with programming code
- Experience working in managed care or with health care data
- Comprehensive knowledge of Medicare policies, processes and procedures