Ohio Licensed Provider Engagement Specialist

A company is looking for a Senior Provider Engagement Professional-1-1 to enhance provider relationships and improve performance within the Medicaid team. Key Responsibilities Develop and maintain long-term relationships with physicians, providers, and healthcare systems Analyze complex issues to improve financial and quality performance in provider contracts Represent health plan/provider relationships across various performance and operational areas Required Qualifications Bachelor's Degree 5 or more years of experience in healthcare or managed care, focusing on Provider Contracting, Network Management, or Provider Relations Proven experience in planning, preparation, and presenting with knowledge of reimbursement methodologies Ability to manage multiple projects and meet deadlines Passion for improving consumer experiences

Feb 27, 2025 - 18:23

A company is looking for a Senior Provider Engagement Professional-1-1 to enhance provider relationships and improve performance within the Medicaid team. Key Responsibilities Develop and maintain long-term relationships with physicians, providers, and healthcare systems Analyze complex issues to improve financial and quality performance in provider contracts Represent health plan/provider relationships across various performance and operational areas Required Qualifications Bachelor's Degree 5 or more years of experience in healthcare or managed care, focusing on Provider Contracting, Network Management, or Provider Relations Proven experience in planning, preparation, and presenting with knowledge of reimbursement methodologies Ability to manage multiple projects and meet deadlines Passion for improving consumer experiences