Provider Engagement Specialist III- Mississippi-Central West and Coastal Region
Core
Execute provider contracting, recruitment, credentialing, and network strategy to align incentives and improve health outcomes for Mississippians.
Role type
Senior provider engagement specialist (network management)
Builds
Provider networks and value-based reimbursement agreements
Domain
US Healthcare / Managed Care
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Provider contracting, network management, negotiation, financial data analysis, regulatory compliance, population health strategy, practice transformation support, JOC leadership, mentorship
Preferred skills
Master's degree, NCQA PCMH experience, Six Sigma or Project Management certification
Technologies
Microsoft Outlook, Word, Excel
Responsibilities
Negotiate and re-negotiate hospital, ancillary, physician, and behavioral health contracts; lead market performance and engagement strategic initiatives; drive quality outcomes through Value Based Reimbursement agreements; provide on-site practice transformation support and education; resolve complex provider issues; mentor new hires
Seniority
Senior, hands-on IC with leadership responsibilities