Top 58 implementation specialist Jobs in orem, ut

Senior Specialist, Provider Engagement (Must reside in Idaho)
Molina Healthcare —Orem, UT
- $54,922 - $107,099 a year
- Full-time
- Nursing
- Office
- 3 years
- Health insurance
Part-Time Access Control Specialist - Utah
CenCore Associates —Saratoga Springs, UT
- Part-time
- Ability to walk for extended periods
- English
- High school diploma or GED
Field Logistics Specialist
Intermountain Healthcare —Provo, UT
- $18.30 - $23.79 an hour
- Part-time
- Hospital
- Word processing
- Computer literacy
AI Onboarding Specialist
Podium —Lehi, UT
- Office
- Bachelor's degree
- 1 year
- Paid parental leave
- Disability insurance
Payroll & Benefits Specialist
Romex Pest Control —Pleasant Grove, UT
- $55,000 - $60,000 a year
- Mid-level
- Finance
- Analysis skills
- Employee stock purchase plan
- Paid holidays
Quick Apply
13d
Access Control Specialist - Utah
CenCore Associates —Saratoga Springs, UT
- Full-time
- Ability to walk for extended periods
- English
- High school diploma or GED
Field Logistics Specialist I
Intermountain Healthcare —Provo, UT
- $18.30 - $23.79 an hour
- Full-time
- Hospital
- Word processing
- Computer literacy
2d
Customer Onboarding Specialist
JobNimbus —Lehi, UT
- Full-time
- Pass drug screening
- Mid-level
- Criminal background check
Quick Apply
Site Logistics Operations Specialist
Meta —Eagle Mountain, UT
- $115,000 - $163,000 a year
- Oracle
- 5 years
- Analysis skills
Staff Data Analyst (eCommerce Analytics Specialist)
Pura —Pleasant Grove, UT
- Full-time
- Background check
- Mid-level
- SQL
Quick Apply
Specialist - UX Research and Analysis
Utah Valley University —Orem, UT
- $23.48 - $28.18 an hour
- Microsoft Word
- HIPAA
- Mid-level
1d
Digital Analytics Specialist
Smarty —Orem, UT
- Urgently hiring
- Background check
- Mid-level
- Office
- Disability insurance
- Dental insurance
Quick Apply
8d
Product Support Specialist
Podium —Lehi, UT
- From $21.63 an hour
- Mid-level
- Office
- 2 years
- Paid parental leave
- Disability insurance
QHSE Professional- (LATAM focused) Bilingual Spanish/English
Avetta, LLC —Lehi, UT
- $46,500 - $70,000 a year
- Online Application
- Hybrid work
- Spanish
- Sales
- English
- Health insurance
- Dental insurance
Quick Apply
Product Specialist
Blueprint —Lehi, UT
- Hybrid work
- Mid-level
- Office
- 2 years
- Health savings account
- Health insurance
Quick Apply
HR Specialist
CandyCo LLC —Lindon, UT
- Full-time
- Mid-level
- Office
- Ability to lift 50 pounds
Quick Apply
Advisor | Global Protection Services Specialist
Verisk —Lehi, UT
- Full-time
- Hybrid work
- 18 years or older
- Microsoft Excel
- Military
- Health insurance
- Paid time off
Sales Tax Technology Specialist
Squire & Company PC- —Orem, UT
- Full-time
- Hybrid work
- 5 years
- Finance
- SQL
- Health savings account
- Disability insurance
Quick Apply
Product Specialist
Rocketlane —Lehi, UT
- Full-time
- Mid-level
- Office
- 2 years
- Health savings account
- Health insurance
Lifecycle Marketing Specialist
Podium —Lehi, UT
- Mid-level
- Analysis skills
- 2 years
4d

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implementation specialist jobs near orem, ut

Senior Specialist, Provider Engagement (Must reside in Idaho)

Molina Healthcare -
Orem, UT

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Job Details

Full-time
$54,922 - $107,099 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
Healthcare reimbursement methods
Clinical data analysis
Healthcare performance metrics analysis
Healthcare data reporting
Cross-functional communication
HEDIS
Data analysis software

Full Job Description

Job Description

Job Summary

Provides senior level 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. Ensures assigned Tier 1 & Tier 2 providers have engagement plans ensuring they 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 1, Tier 2, and where applicable 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 and 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.
Provides training and support for new and existing practice transformation and provider engagement team members.
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 3 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.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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

Pay Range: $54,922 - $107,099 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

implementation specialist jobs in orem, ut

Senior Specialist, Provider Engagement (Must reside in Idaho)

Part-Time Access Control Specialist - Utah

Field Logistics Specialist

AI Onboarding Specialist

Payroll & Benefits Specialist

Access Control Specialist - Utah

Field Logistics Specialist I

Customer Onboarding Specialist

Site Logistics Operations Specialist

Staff Data Analyst (eCommerce Analytics Specialist)

Specialist - UX Research and Analysis

Digital Analytics Specialist

Product Support Specialist

QHSE Professional- (LATAM focused) Bilingual Spanish/English

Product Specialist

HR Specialist

Advisor | Global Protection Services Specialist

Sales Tax Technology Specialist

Product Specialist

Lifecycle Marketing Specialist

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