Specialist, Practice Transformation (Must reside in Iowa)
Molina HealthcareShare this job:
**JOB DESCRIPTION**
- *Job Summary**
- *The Specialist, Practice Transformation implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Drives provider practices to ensure assigned Tier 2 & Tier 3 Practice Transformation plan is in place and carried out to meet annual quality & risk adjustment performance goals.**
- *Job Duties**
+ Ensures assigned Tier 2 & Tier 3 providers have a Practice Transformation plan to meet annual quality & risk adjustment performance goals.
+ Drives provider partner coaching and collaboration to improve quality performance and risk adjustment accuracy through consistent provider meetings, action item development and execution.
+ Addresses challenges/barriers in the practice environment impeding successful attainment of program goals and understands solutions required to improve health outcomes.
+ Drives provider participation in Molina risk adjustment and quality efforts (e.g. Supplemental data, EMR connection, Clinical Profiles programs) and use of the Molina Provider Collaboration Portal.
+ Tracks all engagement and training activities using standard Molina Provider Engagement tools to measure effectiveness both within and across Molina Health Plans.
+ Serves as a Practice Transformation subject matter expert; works collaboratively within the Health Plan and with shared service partners to ensure alignment to business goals.
+ Accountable for use of standard Molina Practice Transformation reports and training materials.
+ Facilitates connectivity to internal partners to support appropriate data exchanges, documentation education and patient engagement activities.
+ Develops, organizes, analyzes, documents and implements processes and procedures as prescribed by Plan and Corporate policies.
+ Communicates comfortably and effectively with Physician Leaders, Providers, Practice Managers, Medical Assistants within assigned provider practices.
+ Maintains the highest level of compliance.
+ This position may require same day out of office travel approximately 0 - 80% of the time, depending upon location.
- *JOB QUALIFICATIONS**
- *REQUIRED QUALIFICATIONS:**
+ Associate’s degree or equivalent combination of education and work experience.
+ Min 1-3 years experience in healthcare with minimum 1 year experience improving provider Quality performance through provider engagement, practice transformation, managed care quality improvement, or equivalent experience.
+ Experience with various managed healthcare provider compensation methodologies including but not limited to: fee-for service, value-based care, and capitation
+ Strong working knowledge of Quality metrics and risk adjustment practices across all business lines
+ Demonstrates data analytic skills
+ Operational knowledge and experience with PowerPoint, Excel, Visio
+ Effective communication skills
- *PREFERRED QUALIFICATIONS:**
+ Degree in Preferred field: Clinical Quality, Public Health or Healthcare.
+ 1 year of experience in Medicaid and/or Medicare managed care
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $47,433 - $97,362.61 / ANNUAL
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
- *JOB DESCRIPTION**
- *Job Summary**
- *The Specialist, Practice Transformation implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Drives provider practices to ensure assigned Tier 2 & Tier 3 Practice Transformation plan is in place and carried out to meet annual quality & risk adjustment performance goals.**
- *Job Duties**
+ Ensures assigned Tier 2 & Tier 3 providers have a Practice Transformation plan to meet annual quality & risk adjustment performance goals.
+ Drives provider partner coaching and collaboration to improve quality performance and risk adjustment accuracy through consistent provider meetings, action item development and execution.
+ Addresses challenges/barriers in the practice environment impeding successful attainment of program goals and understands solutions required to improve health outcomes.
+ Drives provider participation in Molina risk adjustment and quality efforts (e.g. Supplemental data, EMR connection, Clinical Profiles programs) and use of the Molina Provider Collaboration Portal.
+ Tracks all engagement and training activities using standard Molina Provider Engagement tools to measure effectiveness both within and across Molina Health Plans.
+ Serves as a Practice Transformation subject matter expert; works collaboratively within the Health Plan and with shared service partners to ensure alignment to business goals.
+ Accountable for use of standard Molina Practice Transformation reports and training materials.
+ Facilitates connectivity to internal partners to support appropriate data exchanges, documentation education and patient engagement activities.
+ Develops, organizes, analyzes, documents and implements processes and procedures as prescribed by Plan and Corporate policies.
+ Communicates comfortably and effectively with Physician Leaders, Providers, Practice Managers, Medical Assistants within assigned provider practices.
+ Maintains the highest level of compliance.
+ This position may require same day out of office travel approximately 0 - 80% of the time, depending upon location.
- *JOB QUALIFICATIONS**
- *REQUIRED QUALIFICATIONS:**
+ Associate’s degree or equivalent combination of education and work experience.
+ Min 1-3 years experience in healthcare with minimum 1 year experience improving provider Quality performance through provider engagement, practice transformation, managed care quality improvement, or equivalent experience.
+ Experience with various managed healthcare provider compensation methodologies including but not limited to: fee-for service, value-based care, and capitation
+ Strong working knowledge of Quality metrics and risk adjustment practices across all business lines
+ Demonstrates data analytic skills
+ Operational knowledge and experience with PowerPoint, Excel, Visio
+ Effective communication skills
- *PREFERRED QUALIFICATIONS:**
+ Degree in Preferred field: Clinical Quality, Public Health or Healthcare.
+ 1 year of experience in Medicaid and/or Medicare managed care
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $47,433 - $97,362.61 / ANNUAL
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job Type
- Job Type
- Full Time
- Salary Range
- USD 47,433 - 97,362.61 yearly
- Location
- Des Moines, IA
Share this job: