Execute the quality, engagement, and contracting strategy
Develop provisions based on cost, quality/analysis and monitor key metrics
Responsible for provider recruitment, contracting and initiating loading and credentialing processes
Negotiate and re-negotiate contracts, terms, reimbursement rates, etc.
Analyze financial data to establish network strategic initiatives and partnerships
Collaborate with Population Health Analytics team
Provide on-site practice transformation support and education to Providers identified as partners in the CareSource PCMH program

Bachelor's degree in a healthcare related field, or equivalent years of relevant work experience
Minimum of five (5) years of healthcare experience, including three (3) years of direct work experience in provider relations and/or provider contracting
Managed care experience is required
NCQA PCMH experience is preferred
Intermediate proficiency level with Microsoft Outlook, Word, and Excel
Knowledge of Provider Network Management Processes & Services
Strong negotiation skills

Health insurance
Flexible hours
Professional development opportunities
Influenza vaccination requirement
Reasonable accommodations for individuals with disabilities or medical conditions

Health Partner Engagement Specialist II

Key skills