Top 131 Health care provider Jobs in Jackson Ms

Specialist, Health Plan Provider Engagement (Remote in MS)
Molina Healthcare —Jackson, MS
- $40,851.44 - $88,511.46 a year
- Full-time
- Remote
- Nursing
- Mid-level
- Analysis skills
- Health insurance
Medical Assistant/Phlebotomist
CVS Health —Jackson, MS
- $18.50 - $31.72 an hour
- Full-time
- Vital signs
- Clinic
- Fair chance
- Employee stock purchase plan
- Health insurance
5d
Medical Office Receptionist
Urology Healthcare Group, Inc. —Jackson, MS
- Urgently hiring
- Medical terminology
- Entry level
- Profit sharing
- Health savings account
Quick Apply
Clinic Office Assistant - Bariatrics - Flowood
Merit Health River Oaks —Flowood, MS
- Full-time
- Administrative experience
- Clinic
- Quality control
- Health insurance
- Dental insurance
Quick Apply
1d
Lactation Consultant - RN PRN Premium
Franciscan Missionaries of Our Lady Health System —Jackson, MS
- Weekends as needed
- Nursing
- RN License
- BLS Certification
9d
BlueHealth Mobile Nurse Practitioner
Blue Cross & Blue Shield of Mississippi —Flowood, MS
- Full-time
- Nursing
- Microsoft Excel
- Doctoral degree
- Health insurance
- 401(k)
Clinic Office Assistant - Medical Group - Madison
Merit Health Medical Group (hub) —Madison, MS
- Full-time
- Administrative experience
- Clinic
- Quality control
- Health insurance
- Dental insurance
Quick Apply
Medical Assistant - Cardiology - Flowood
Merit Health Medical Group (hub) —Flowood, MS
- Full-time
- Vital signs
- BLS Certification
- Clinic
- Health insurance
- Dental insurance
Quick Apply
1d
Scheduling Coordinator (Jackson, MS)
Ennoble Care —Jackson, MS
- $18 an hour
- Full-time
- Office
- Administrative experience
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
13h
Business Development Representative
ADDICTION AND MENTAL HEALTH SERVICES, LLC —Jackson, MS
- Full-time
- Remote
- Marketing
- Mid-level
- 3 years
- Loan repayment program
- Health insurance
13d
Personal Care Assistant - Part-time, Weekends Only
Help at Home —Ridgeland, MS
- $13 an hour
- Weekends only
- Background check
- No experience needed
- Military encouraged
- 401(k)
Quick Apply
Patient Access Representative - Ambulatory
Franciscan Missionaries of Our Lady Health System —Jackson, MS
- Day shift
- Computer literacy
- High school diploma or GED
- Clinic
13d
Personal Care Assistant
Help at Home —Jackson, MS
- $13 an hour
- Online Application
- Background check
- No experience needed
- Military encouraged
- 401(k)
Quick Apply
Territory Manager, Sales
ESPERION THERAPEUTICS INC —Jackson, MS
- $85,000 - $145,000 a year
- Full-time
- Remote
- Clean driving record
- Inventory management
- Military
- Paid holidays
- Health insurance
Quick Apply
Health Plan Provider Contracts Manager (Contract Experience Required)
Molina Healthcare —Ridgeland, MS
- $65,792 - $142,548 a year
- Full-time
- 3 years
- Analysis skills
- Mentoring
- Health insurance
Patient Access Representative - Neurology Clinic
Franciscan Missionaries of Our Lady Health System —Jackson, MS
- Day shift
- Computer literacy
- High school diploma or GED
- Clinic
Patient Care Coordinator
Beltone —Madison, MS
- Full-time
- High school diploma or GED
- Clinic
- 21 years or older
- Paid training
- Paid holidays
2d
Social Worker 2 - LMSW
Franciscan Missionaries of Our Lady Health System —Jackson, MS
- Day shift
- Acute care
- Computer literacy
- Mid-level
Medical Assistant (Full Time with Benefits and PTO) Jackson, MS
Marathon Health —Jackson, MS
- $21 - $27 an hour
- Full-time
- CPR Certification
- Vital signs
- BLS Certification
- Health savings account
- Paid holidays
Quick Apply
Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens —Jackson, MS
- $16.50 - $20.00 an hour
- Part-time
- Computer literacy
- English
- Fair chance
- Health insurance
- Dental insurance
14d

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Specialist, Health Plan Provider Engagement (Remote in MS)

Molina Healthcare -
Jackson, MS

Apply Now

Job Details

Full-time
$40,851.44 - $88,511.46 a year

Benefits

Health insurance

Qualifications

Optimizing workflow processes
Data visualization software proficiency
Medicare
Managed care
Managed care organization experience
Health insurance policy knowledge
Data reporting
Employee relationship building
Metrics Reporting
Change management
Quality performance measurement
Business intelligence tools
Clinical performance metrics
Medicaid
Productivity software
Cross-functional collaboration
Healthcare performance metrics analysis
Healthcare data reporting
Cross-functional communication
HEDIS
Data analysis software

Full Job Description

JOB DESCRIPTION Job Summary

Provides support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes. Uses a consultative approach, emphasizing physician engagement and behavior change through actionable data and analytics. Drives value-based care strategies through risk adjustment and quality improvement activities. Focuses on smaller, less advanced Tier 2 and Tier 3 providers, ensuring they have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to improve performance through regular meetings and action plans. Addresses practice environment challenges to achieve program goals and improve health outcomes. Tracks engagement activities using standard tools, facilitate data exchanges, and supports training and problem resolution for assigned providers - driving provider participation in Molina's risk adjustment and quality initiatives.

Essential Job Duties

Provides support for provider engagement activities including enhancing value-based strategies, and risk adjustment/quality improvement initiatives.
Ensures assigned Tier 2 and Tier 3 providers have a provider engagement plan to meet annual quality and risk adjustment performance goals.
Drives provider partner coaching and collaboration to improve Medicaid, Medicare and Marketplace quality performance and risk adjustment accuracy through consistent provider meetings, action item development, and execution.
Works with provider front-office staff to get the Molina members with the most open gaps on the schedule seen by their assigned provider. Coordinates with Health Plan Community and Member Engagement resources to drive supporting effort on the member side.
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, electronic medical record (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 provider engagement subject matter expert; works collaboratively with health plan and shared service partners to ensure alignment to business goals.
Collaborates with assigned health plan Provider Relations Network team member on operational, provider and member issues.
Accountable for use of standard Molina Provider Engagement reports and training materials.
Develops, organizes, analyzes, documents, and implements processes and procedures as prescribed by health plan and corporate policies.
Communicates comfortably and effectively with internal and external stakeholders, including physician leaders, providers, practice managers, and medical assistants within assigned provider practices.
Maintains the highest level of compliance.

May require same day out-of-office travel up to 80% of the time, depending upon state/health plan requirements.
*

Required Qualifications

At least 2 years of experience improving population-level HEDIS quality scores and burden of illness documentation accuracy through provider engagement, or equivalent combination of relevant education and experience.
Experience with various managed health care provider compensation methodologies including but not limited to fee-for service (FFS), value-based care (VBC), and capitation.
Working knowledge of quality metrics and risk adjustment practices across all business lines.
Knowledge and understanding of HEDIS/NCQA and/or CMS STARs quality measures and risk adjustment practices across Medicaid, Medicare, and Marketplace
Proficiency with data analysis, manipulation, interpretation, and reporting.
Critical-thinking, problem-solving, and analytical skills.
Relationship building skills.
Attention to detail and organizational skills.
Ability to implement process improvement initiatives and drive change.
Ability to work independently in a fast-paced, deadline-driven environment.
Ability to foster and build relationships in a cross-functional highly matrixed organization to obtain buy-in and drive results.
Effective verbal and written communication skills.
Microsoft Office suite (including Excel), Power BI, and other applicable software programs proficiency, and ability to learn new information systems and software programs.

Preferred Qualifications

Bachelor’s degree in Nursing, Health Administration or relevant discipline.
Solid understanding of health insurance, provider messaging/design, and project management

Strong experience using Microsoft products, including Excel (knowledge of pivot tables, VLOOKUP, etc.) and PowerPoint

#PJHPO

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $40,851.44 - $70,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

health care provider jobs in jackson ms

Specialist, Health Plan Provider Engagement (Remote in MS)

Medical Assistant/Phlebotomist

Medical Office Receptionist

Clinic Office Assistant - Bariatrics - Flowood

Lactation Consultant - RN PRN Premium

BlueHealth Mobile Nurse Practitioner

Clinic Office Assistant - Medical Group - Madison

Medical Assistant - Cardiology - Flowood

Scheduling Coordinator (Jackson, MS)

Business Development Representative

Personal Care Assistant - Part-time, Weekends Only

Patient Access Representative - Ambulatory

Personal Care Assistant

Territory Manager, Sales

Health Plan Provider Contracts Manager (Contract Experience Required)

Patient Access Representative - Neurology Clinic

Patient Care Coordinator

Social Worker 2 - LMSW

Medical Assistant (Full Time with Benefits and PTO) Jackson, MS

Pharmacy Technician / Pharm Tech Apprenticeship

I want to receive the latest job alert for health care provider in jackson ms

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