Provider Education and Outreach Professional

The Provider Engagement Professional will develop and grow positive, long-term relationships with physicians, providers, and healthcare systems to improve financial and quality performance. This role involves interpreting and determining courses of action for varied work assignments, representing the health plan/provider relationship across multiple areas including financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements, provider performance, member experience, market growth, provider experience, and operational excellence. The professional will understand department, segment, and organizational strategy and operating objectives and make decisions regarding their own work methods, occasionally in ambiguous situations with minimal direction.