Provider Engagement Manager - Roseburg
P3 Health Partners - Roseburg, OR
Hiring: Provider Engagement Manager - Roseburg Company: P3 Health Partners Location: Roseburg, OR Job Posted Time: 2026-09-11 13:33:49 Employment Type: Remote Target Skills & Keywords : Clinical Documentation, HIPAA, Medicare, Microsoft Office About the job Experience: •7+ years of experience in the health care industry working with an: IPA/Medical Group, Healthplan, or hospital; preferably with direct physician interaction. •5+ years of combined experience in Medicare Advantage, CMS and/or CMMI programs such as Accountable Care Organization Model or DCE models required. •Proficiency with MS Office suite, and related software tools. Ability to learn new technical skills as needed. •Confidence and comfortable with public speaking. Strong verbal and written communication required. •5+ years supervising, managing, and hiring teams. Required Skills: •Serves as the key stakeholder and primary contact in establishing and maintaining relationships with the affiliated clinic leadership, providers, and staff. •Accountable for evaluating provider/clinic performance and developing strategic plans tailored to the unique needs of each group/clinic; to drive performance improvement and achieve progress towards organizational goals, MCR/MLR initiatives and opportunities for improved delivery of care to patients. •Drives provider performance improvement in the following areas: documentation accuracy and specificity, HEDIS/Quality, medical cost and institutional and specialty utilization, etc. •Lead and oversee triaging and effectively escalating provider issues both internally and externally as needed. •Coaches and performance manages assigned team on effective communication and consultation with affiliate leadership and providers, helping to problem solve identified opportunities and issues as they arise. •Lead and oversee management of project team and coordinating efforts to maximize effectiveness based on the skills of the staff and the needs of the group/clinic as they relate to the overall goal of the project, region, and organization. •Updates dashboards for reporting purposes, identifies areas of underperformance, and contributes to developing/executing plans to correct. •Organizes and assists in facilitating Joint Operations Committee meetings with assigned affiliated clinics and monthly operating review meetings with executive leadership and key stakeholders. Qualifications: •The ability to interact with, support, and influence positively the behaviors and activities of referring clinicians, industry partners, leadership, and staff. •Result-oriented individual who strategically pursues business with energy and drive and can contribute to the growth and success of a rapidly growing organization. •Extensive experience in diverse managed care organizations with understanding of key drivers of performance. •Proven expertise in managed care and value-based models of care. •Clinical operations experience preferred including operational metrics and financial understanding. •Strong customer service skills, is customer service driven, has a positive attitude and is a clear and effective communicator. •Strong analytical, critical thinking, and problem-solving skills. •Understands the principles of CMS, HEDIS, NCQA, Health Plan Quality Standards and HIPAA required •Familiarity of federal, national, state, and health plan regulatory requirements, as well as managed care and health plan standards required •Operational familiarity with Medicare Advantage and special needs programs Compensation: •$85,000 - $100,000 / year •Flexible work environment (work from home / hybrid options) Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!