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Remote Provider Engagement Jobs in Michigan (NOW HIRING)

Option Care

Chronic Practice Liaison

Lansing, MI · Remote

$48K - $80K/yr

Serve as a primary point of contact for key accounts Provider Engagement In partnership with ... Minimal travel (up to ~20%) * Primarily remote with virtual engagement Due to state pay ...

CSAA

Change Manager I - Remote

Three Rivers, MI · Remote

Provide mentorship and support to leaders to help them effectively sponsor and reinforce IT changes ... engagement, change strategy and change story development for sophisticated, large scale change ...

CSAA

Provide mentorship and support to leaders to help them effectively sponsor and reinforce IT changes ... engagement, change strategy and change story development for sophisticated, large scale change ...

Belle, LLC

Nurse Practitioner: Remote Urgent Care

Detroit, MI · Remote

$109K - $151K/yr

About Belle Belle is a fast growing engagement company that is revolutionizing home healthcare - ... Belle trains and manages a network of nail technicians or "Belle Technicians" who provide in-home ...

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Remote Provider Engagement information

What is the difference between Remote Provider Engagement vs Remote Healthcare Coordinator?

AspectRemote Provider EngagementRemote Healthcare Coordinator
CredentialsTypically requires healthcare or provider relations experience, certifications varyOften requires healthcare administration or patient coordination certifications
Work EnvironmentRemote, primarily engaging healthcare providers and networksRemote, managing patient schedules and healthcare services
Employer & Industry UsageUsed in healthcare networks, telehealth companies, insurance firmsCommon in hospitals, clinics, and healthcare organizations
Search & Comparison IntentUnderstanding provider relations roles, engagement strategiesPatient care coordination, appointment management

Remote Provider Engagement focuses on building relationships with healthcare providers and networks, often involving provider relations and outreach. Remote Healthcare Coordinators primarily manage patient appointments and care logistics. While both roles are remote and healthcare-related, their core functions and target audiences differ significantly.

What is a remote provider engagement specialist?

A Remote Provider Engagement specialist is a professional who works with healthcare providers, such as doctors and clinics, to build and maintain effective relationships, typically from a remote or virtual location. Their main responsibilities include facilitating communication between healthcare organizations and providers, ensuring providers have the resources and support they need, and promoting participation in network programs or initiatives. They use digital tools like video calls, emails, and online platforms to engage with providers, address concerns, and provide education. This role is crucial for improving provider satisfaction and ensuring efficient healthcare delivery.

What are some common challenges faced in a remote provider engagement role, and how can I overcome them?

A common challenge in Remote Provider Engagement roles is building strong relationships and fostering collaboration with providers when interactions are primarily virtual. It can be difficult to establish trust and effective communication without in-person meetings. To overcome this, it's important to utilize clear and consistent communication, leverage video conferencing tools to personalize interactions, and ensure timely follow-up on provider concerns. Staying organized and proactive in addressing provider needs can also help build rapport and maintain productive partnerships.

What are the key skills and qualifications needed to thrive as a remote provider engagement specialist, and why are they important?

To thrive as a Remote Provider Engagement Specialist, you need strong interpersonal communication, healthcare industry knowledge, and experience with provider relations—often supported by a bachelor's degree in healthcare administration or a related field. Familiarity with CRM software, teleconferencing tools, and healthcare data management systems is typically required. Exceptional organizational skills, problem-solving abilities, and a customer-focused mindset help professionals excel in engaging and supporting providers remotely. These skills ensure effective collaboration, improve provider satisfaction, and drive successful healthcare network operations from a distance.
What are the most commonly searched types of Provider Engagement jobs in Michigan? The most popular types of Provider Engagement jobs in Michigan are:
What are popular job titles related to Remote Provider Engagement jobs in Michigan? For Remote Provider Engagement jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Remote Provider Engagement jobs in Michigan look for? The top searched job categories for Remote Provider Engagement jobs in Michigan are:
What cities in Michigan are hiring for Remote Provider Engagement jobs? Cities in Michigan with the most Remote Provider Engagement job openings:
Remote Provider Engagement jobs near you
Infographic showing various Remote Provider Engagement job openings in Michigan as of August 2026, with employment types broken down into 73% Full Time, 24% Part Time, and 3% Contract. Highlights an 74% Physical, 3% Hybrid, and 23% Remote job distribution.

Specialist, Health Plan Provider Engagement (Remote in MI)

Molina Healthcare

Detroit, MI • On-site, Remote

$45K - $88K/yr

Full-time

Medical

Posted 4 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 197 frontline employees who took The Breakroom Quiz

163rd of 301 rated insurance

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

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

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

Social media

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