Specialist, Provider Engagement (Remote in TX)
MolinaLongview, Texas, United States • Texarkana, Texas, United States • Texas, United States • Tyler, Texas, United States • Texas, United States
Posted September 15, 2025
Full Time
About the Company
Molina Healthcare is a FORTUNE 500 company specializing in government-sponsored health care programs. They contract with state governments to provide managed care services across multiple states, including Medicaid and Medicare plans. Molina's focus on quality health care services for eligible families and individuals sets them apart in the industry.
Job Description
The Provider Engagement Specialist is responsible for implementing Health Plan provider engagement strategies to improve quality and reduce risk adjustment. This role focuses on driving provider performance through coaching, collaboration, and addressing practice environment challenges to achieve program goals. The position requires tracking engagement activities, facilitating data exchanges, and communicating effectively with healthcare professionals.
Requirements
- Ensures assigned Tier 2 & Tier 3 providers have a Provider Engagement plan.
- Drives provider partner coaching and collaboration to improve quality performance and risk adjustment accuracy.
- Tracks engagement and training activities using standard Molina Provider Engagement tools.
- Serves as a Provider Engagement subject matter expert.
- Communicates comfortably and effectively with multiple healthcare professionals.
Benefits
- Competitive benefits
- Compensation package
