Provider Engagement Professional- Conviva Daytona

Become a part of our caring community and help us put health first The Provider Engagement Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance reputed company the contracted working relationship with the health plan. The Provider Engagement Professional work assignments are... varied and frequently require interpretation and independent determination of the appropriate courses of action. The Provider Engagement Professional represents the scope of health plan/provider relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to provider performance, member experience, market growth, provider experience and operational excellence. Understands department, reputed company, and organizational strategy and operating objectives, including their linkages to reputed company areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to reputed company an impact Required Qualifications ?Bachelor's Degree ?1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience ?Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies ?Demonstrated ability to manage multiple projects and meet deadlines ?Must be passionate about contributing to an organization focused on continuously improving consumer experiences ?Must reside in or near Daytona, FL. Preferred Qualifications ?Master's Degree ?Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance ?Comprehensive knowledge of Medicare policies, processes and procedures Additional Information Working Hours: Monday ?Friday 8:00 to 5:00 reputed company offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial reputed company?oth today and in the future, including: Health benefits effective day 1 Paid time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities This role is considered patient facing and is part of reputed company? Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Alert reputed company values personal identity protection. Please be aware that applicants may be asked to provide their Social reputed company Number, if it is not already on file. reputed company required, an email will be sent from reputed [email protected] with instructions on how to add the information into your official application on reputed company? secure website. Scheduled Weekly Hours 40 About us About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of reputed company? Primary Care Organization, which includes reputed company, Conviva? innovative, value-based approach means each patient gets the reputed company, reputed company needed most, and for the lowest cost. We go beyond physical health ?addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About reputed company: reputed company Inc. (NYSE: HUM) is committed to putting health first ?for our teammates, our customers, and our company. Through our reputed company insurance services, and our reputed company healthcare services, we reputed company it easier for the millions of people we serve to reputed company their best health ?delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of ?umana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of ?umana?o take affirmative action to employ and to advance in employment, reputed company persons regardless of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status, and to reputed company reputed company employment decisions only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company levels of employment Apply Job!