Responsibilities

The Provider Engagement Professional 2 will develop and grow positive, long-term relationships with physicians, providers, and healthcare systems to support and improve financial and quality performance within contracted working relationships. They will represent the scope of the health plan/provider relationship across various areas including financial performance, incentive programs, quality, clinical management, population health, data sharing, and operational improvements. The role involves monitoring and interpreting changes in employment legislation and developing HR policies, conducting audits, delivering training, and advising management on HR-related risk mitigation strategies, and ensuring compliance with Medicare policies and procedures.