Molina Healthcare · 1 day ago
Provider Engagement Manager - REMOTE
United States
Full-time
Remote
Senior Level
$80K/yr - $149K/yr
5+ years expMolina Healthcare is seeking a Provider Engagement Manager to implement their provider engagement strategy aimed at achieving positive quality and risk adjustment outcomes. This role involves driving coaching and collaboration with healthcare providers, tracking engagement activities, and ensuring compliance with policies to improve health outcomes.
Health CareHospitalMedical
Responsibilities
Ensures assigned Tier 1 providers have a Provider Engagement plan to meet annual quality & risk adjustment performance goals. May engage Tier 2 providers as needed by Health Plan
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 Provider Engagement subject matter expert; works collaboratively within the Health Plan and with shared service partners to ensure alignment to business goals
Mentors and assists Provider Engagement Sr. Specialists and Specialists with training and problem escalation
Accountable for use of standard Molina Provider Engagement 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
Qualification
Required
Bachelor's degree in Business, Healthcare, Nursing, or related field, or equivalent combination of education and relevant experience
Minimum 5 years of 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, and Visio
Effective communication skills
Strong leadership skills
Benefits
Competitive benefits and compensation package
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10001+ employees
H1B Sponsorship
Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (56)
2024 (45)
2023 (43)
2022 (31)
2021 (35)
2020 (55)
Funding
Current Stage
Public CompanyTotal Funding
$2.35B2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
Leadership Team
Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
Debbie Simkins
Vice President, Office of the CIO
Recent News
2026-01-17
2026-01-16
Hartford Business Journal
2026-01-14
Company data provided by crunchbase