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Remote Provider Engagement Jobs in Rhode Island (NOW HIRING)

EnthuZiastic

Growth Hacker - Remote

Bristol, RI · Remote

Develop strategies to increase customer retention and reduce churn through engagement, loyalty ... Provide regular reports on growth performance, including key metrics and insights to relevant ...

EnthuZiastic

Growth Hacker - Remote

Cranston, RI · Remote

Develop strategies to increase customer retention and reduce churn through engagement, loyalty ... Provide regular reports on growth performance, including key metrics and insights to relevant ...

EnthuZiastic

Growth Hacker - Remote

Providence, RI · Remote

Develop strategies to increase customer retention and reduce churn through engagement, loyalty ... Provide regular reports on growth performance, including key metrics and insights to relevant ...

EnthuZiastic

Growth Hacker - Remote

Warwick, RI · Remote

Develop strategies to increase customer retention and reduce churn through engagement, loyalty ... Provide regular reports on growth performance, including key metrics and insights to relevant ...

EnthuZiastic

Growth Hacker - Remote

Pawtucket, RI · Remote

Develop strategies to increase customer retention and reduce churn through engagement, loyalty ... Provide regular reports on growth performance, including key metrics and insights to relevant ...

Harris

Remote Care Management - CMA

Carolina, RI · Remote

... employee engagement activities resulting in monetary prizes. * There is no pay for onboarding ... Ability to provide prevention and intervention for multiple disease conditions through motivational ...

Cayenta

(Remote) Application Consultant

Carolina, RI · Remote

... engagement contracts, identifying and escalating bottlenecks, and providing project progress ... Remote work and more! About Cayenta: Cayenta is a leading provider of enterprise resource ...

UNFI

Benefits Specialist

Providence, RI · On-site +1

While providing remote support to our national colleagues, our HR Corporate team ensures effective ... This includes areas such as Talent & Culture, Workforce Planning, Talent Acquisition, Engagement ...

Harris

(Remote) Senior Software Engineer

Carolina, RI · Remote

$123K - $162K/yr

You will be responsible for providing accurate effort estimates, identifying system and process ... patient engagement platforms. Their mission is to empower healthcare organizations to enhance ...

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Remote Provider Engagement information

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 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 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 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 are popular job titles related to Remote Provider Engagement jobs in Rhode Island?

For Remote Provider Engagement jobs in Rhode Island, the most frequently searched job titles are:

What job categories do people searching Remote Provider Engagement jobs in Rhode Island look for?

The top searched job categories for Remote Provider Engagement jobs in Rhode Island are:

What cities in Rhode Island are hiring for Remote Provider Engagement jobs?

Cities in Rhode Island with the most Remote Provider Engagement job openings:

Remote Provider Engagement jobs near you
Infographic showing various Remote Provider Engagement job openings in Rhode Island as of August 2026, with employment types broken down into 74% Full Time, 24% Part Time, and 2% Contract. Highlights an 77% Physical, 3% Hybrid, and 20% Remote job distribution.

Manager - Quality Improvement

Astrana Health

Johnston, RI • Remote

Full-time

Posted 16 days ago

Job description

About the Role

The Manager, Quality Improvement is responsible for leading quality improvement initiatives that support performance across HEDIS, Medicare Stars, and other quality programs. This role collaborates with providers, health plans, IPA partners, and cross-functional teams to improve quality outcomes, close care gaps, enhance provider performance, and support organizational quality goals. The Manager provides operational leadership for assigned quality programs, regional quality operations, provider engagement activities, regulatory compliance, and quality performance initiatives while developing high-performing teams and fostering a culture of accountability and continuous improvement.

Our Values:
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team
Quality Performance & Program Management
  • Lead day-to-day operations for assigned quality programs, regions, projects, and lines of business, ensuring achievement of key quality measures and performance goals.
  • Monitor health plan quality metrics and ratings, identify performance gaps, and implement improvement initiatives to drive measurable outcomes.
  • Partner with regional and cross-functional stakeholders to develop and execute care gap closure and quality improvement strategies.
  • Analyze performance trends and communicate findings, risks, barriers, and recommendations to leadership, providers, and health plan partners.
  • Oversee quality data workflows and reporting processes to ensure accurate, complete, and timely submission of required data.
Provider & Health Plan Engagement
  • Lead meetings with health plans, IPA partners, providers, and operational stakeholders to review performance, address opportunities, and advance quality improvement initiatives.
  • Drive provider engagement and education efforts supporting HEDIS, Medicare Stars, NCQA measures, value-based care objectives, and compliant care gap closure activities.
  • Serve as a subject matter expert on quality measures, NCQA standards, and quality improvement best practices.
  • Present performance updates, recommendations, and best practices while maintaining strong relationships with health plans and external partners.
Leadership & Team Development
  •  Manage, mentor, and develop a team responsible for provider engagement, outreach, and quality improvement activities.
  • Lead recruitment, onboarding, performance management, coaching, and professional development efforts to build and retain a high-performing team.
  • Foster a culture of collaboration, accountability, continuous improvement, and service excellence in partnership with Human Resources and department leadership.
Compliance & Operational Excellence
  • Support payer audits, regulatory reviews, and delegated oversight activities while ensuring compliance with contractual, regulatory, and NCQA requirements.
  • Identify operational risks and barriers, implement corrective actions, and ensure consistent execution of quality initiatives across assigned markets and provider networks.
  • Participate in regional meetings and support organizational priorities, special projects, and other duties as assigned.
Education
  • Bachelor's degree in Healthcare Administration, Public Health, Business Administration, Nursing, or a related field preferred, or equivalent combination of education and progressively responsible experience.
  • Master's degree preferred.
Experience
  • At least 5 years of experience in healthcare quality improvement, HEDIS, Medicare Stars, population health, managed care, or related healthcare programs.
  • At least 2 years of leadership experience managing teams, projects, or quality improvement initiatives.
  • Experience working with health plans, IPAs, provider organizations, ACOs, MSOs, or value-based care programs preferred.
  • Experience driving measurable improvements in quality performance metrics and care gap closure initiatives.
  • Strong understanding of NCQA quality programs, HEDIS measures, and Medicare Star Ratings.
License/ Certifications (if applicable)
  • Lean Six Sigma certification preferred.
  • Certified Professional in Healthcare Quality (CPHQ) or other relevant healthcare certification preferred.
Knowledge, Skills, and Abilities
  • Strong knowledge of value-based care, managed care operations, HEDIS, Medicare Stars, NCQA standards, and quality improvement methodologies, including the ability to interpret and apply quality measure requirements.
  • Strong analytical, critical-thinking, and problem-solving skills with the ability to translate data into actionable strategies and operational improvements.
  • Excellent leadership, organizational, stakeholder management, and communication skills, with the ability to influence across matrixed teams and manage remote staff.
  • Proficiency in provider relationship management, presentation delivery, and cross-functional collaboration to drive performance outcomes.
  • Intermediate proficiency in Microsoft Excel, PowerPoint, reporting tools, and data analysis applications.
  • Demonstrated professionalism, accountability, integrity, attention to detail, and the ability to balance operational execution with organizational priorities.
Preferred Qualifications
  • Experience managing HEDIS, Medicare Stars, quality improvement, population health, provider performance, or regional quality operations programs.
  • Experience working within Medicare Advantage, Medicaid, Commercial, or other managed care environments.
  • Experience leading provider engagement, education, quality performance improvement, and cross-functional initiatives.
  • Experience supporting health plan delegation, audits, regulatory compliance activities, and quality-related reporting and analytics.
  • This position may oversee and collaborate with employees and partners in remote, office, and regional settings.
  • Travel up to 25% may be required to support assigned regions, provider groups, and corporate offices.
  • The employee must be able to attend meetings in person or virtually based on business needs.
  • The employee must comply with Astrana Health policies and procedures regarding patient privacy, protected health information, and all applicable federal and state regulations.

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