New

Provider Engagement Manager

HMSA
United States, Hawaii, Honolulu
818 Ke’eaumoku Street (Show on map)
Oct 28, 2026
Provider Pod Leadership Lead recurring Provider Pod meetings for assigned provider organizations. Develop meeting agendas and facilitate productive discussions. Coordinate participation from internal subject matter experts. Track action items and ensure accountability for completion. Aggregate data with the Senior Financial Analyst and the Senior Data Analyst. Present findings in the POD meetings to rank-and-file providers. Value-Based Performance Management Lead performance reviews and action planning related to: Revenue cycle optimization and issue resolution Medicare STAR quality gap closure opportunities Risk Adjustment Factor (RAF) optimization Suspect condition validation and documentation improvement HCC coding opportunities Cost of care reduction initiatives Emergency Department utilization Hospital admissions Readmission reduction Specialist referral optimization Preventive care performance Clinical quality measures Provider Relationship Management Build trusted relationships with physician leaders and practice administrators. Serve as the primary strategic liaison between the (provider organization / IPAs / Systems / ACOs) and the MSO. Identify operational barriers impacting provider performance. Coordinate internal resources to resolve provider concerns. Promote adoption of MSO programs, tools, and best practices. Performance Improvement Analyze provider performance trends. Develop action plans to improve financial and clinical outcomes. Monitor progress toward established performance goals. Present performance dashboards and recommendations. Cross-Functional Collaboration Partner with teams responsible for: Revenue Cycle Clinical Operations Care Management Coding and Documentation Quality Improvement Provider Contracting Population Health Analytics Pharmacy Network Operations Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid