**JOB DESCRIPTION** **Job Summary** **The Specialist, Practice Transformation implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Drives provider practices to ensure assigned Tier 2 & Tier 3 Practice Transformation plan is in place and carried out to meet annual quality & risk adjustment performance goals.** **Job Duties** + Ensures assigned Tier 2 & Tier 3 providers have a Practice Transformation plan to meet annual quality & risk adjustment performance goals. + Drives provider partner coaching and collaboration to improve quality performance and risk adjustment accuracy through consistent provider meetings, action item development and execution. + 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, 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 a Practice Transformation subject matter expert; works collaboratively within the Health Plan and with shared service partners to ensure alignment to business goals. + Accountable for use of standard Molina Practice Transformation reports and training materials. + Facilitates connectivity to internal partners to support appropriate data exchanges, documentation education and patient engagement activities. + Develops, organizes, analyzes, documents and implements processes and procedures as prescribed by Plan and Corporate policies. + Communicates comfortably and effectively with Physician Leaders, Providers, Practice Managers, Medical Assistants within assigned provider practices. + Maintains the highest level of compliance. + This position may require same day out of office travel couple of days a year. **JOB QUALIFICATIONS** **REQUIRED QUALIFICATIONS:** + Associate’s degree or equivalent combination of education and work experience. + Min 1-3 years experience in healthcare with minimum 1 year experience improving provider Quality performance through provider engagement, practice transformation, managed care quality improvement, or equivalent experience. + Experience with various managed healthcare provider compensation methodologies including but not limited to: fee-for service, value-based care, and capitation + Strong working knowledge of Quality metrics and risk adjustment practices across all business lines + Demonstrates data analytic skills + Operational knowledge and experience with PowerPoint, Excel, Visio + Effective communication skills **PREFERRED QUALIFICATIONS:** + Degree in Preferred field: Clinical Quality, Public Health or Healthcare. + 1 year of experience in Medicaid and/or Medicare managed care 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: $47,433 - $97,362.61 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.