Provider Engagement /Field Care Specialist

Advanced Medical Management • Lakewood, WA

17h

About The Position

The Provider Engagement Coordinator (PEC) serves as a key field liaison between the IPA/MSO and its network of Primary Care Providers (PCPs) participating in Medicare Advantage and other Value-Based Care (VBC) full-risk contracts.

This role is responsible for supporting provider performance and practice transformation by guiding physicians and practice staff in the execution of value-based care workflows, including:

Quality performance improvement
Care gap closure
Accurate and compliant clinical documentation
Chronic condition capture
Medicare Annual Wellness Visit optimization
Preventive screening compliance
Practice workflow best practices

The Provider Engagement Coordinator partners closely with providers, practice managers, medical assistants, and IPA clinical operations teams to ensure practices are equipped with the tools, training, and operational guidance needed to succeed under value-based care contracts.

The ideal candidate is comfortable working directly inside physician offices, coaching staff on operational best practices, and supporting providers in understanding how documentation, quality performance, and preventive care impact both patient outcomes and value-based reimbursement.

Requirements

• Bachelor’s Degree in Healthcare Administration, Public Health, Nursing, or related field preferred.
• Equivalent experience in healthcare operations may be considered.
• 3–5 years of experience in healthcare operations, provider relations, clinical quality, or risk adjustment support.
• Strong understanding of:
• Medicare Advantage quality measures
• HEDIS and Star Ratings
• Chronic condition documentation
• Value-Based Care models
• Primary care practice workflows
• Ability to educate providers and staff in a clear and supportive manner.
• Excellent communication and relationship-building skills.
• Strong organizational and project coordination abilities.
• Comfortable presenting information to providers and clinical staff.
• Ability to analyze performance data and translate insights into practice improvement actions.
• Experience working with:
• Electronic Health Records (EHR)
• Population health platforms
• Care gap reporting tools
• Microsoft Office (Excel, PowerPoint, Word)
• Healthcare analytics dashboards

Nice To Haves

• Experience working with:
• Primary Care Practices
• Medicare Advantage Programs
• Value-Based Care Models
• IPA/MSO environments strongly preferred.
• Experience with HEDIS, RAF documentation, and care gap management highly desirable.

Responsibilities

• Provider Relationship Management
• Develop and maintain strong working relationships with assigned PCP practices.
• Serve as the primary liaison between the IPA/MSO and provider offices.
• Conduct regular provider office visits to support engagement initiatives and address operational needs.
• Facilitate communication between providers and internal departments including:
• Quality
• Risk Adjustment
• Care Management
• Utilization Management
• Network Operations
• Claims and Eligibility
• Ensure providers understand IPA programs, initiatives, and performance expectations.
• Support onboarding of new providers joining the IPA network.
• Quality Performance & Care Gap Closure
• Assist providers and practice staff in improving performance on Medicare Advantage quality measures including HEDIS and Star measures.
• Support practices in identifying and closing care gaps such as:
• Annual Wellness Visits (AWVs)
• Diabetes screenings
• Kidney disease monitoring
• Breast and colorectal cancer screenings
• Blood pressure control
• Medication adherence
• Educate providers and staff on how to use care gap reports and dashboards
• Collaborate with IPA quality teams to develop action plans for underperforming practices.
• Support implementation of outreach strategies for patient care gap closure.
• Practice Workflow Optimization
• Train and support practice teams on value-based care workflows including:
• -Annual Wellness Visit (AWV) optimization
• -Pre-Visit Planning workflows
• -Use of Pre-Visit Checklists
• -Care gap identification prior to patient visits
• -Preventive screening tracking
• -Chronic disease management workflows
• -Assist practices in implementing efficient office processes that support value-based care delivery.
• -Educate front office, medical assistants, and practice managers on operational best practices.
• -Promote standardized workflows across IPA practices.
• Annual Wellness Visit (AWV) Program Support
• Promote adoption and completion of Medicare Annual Wellness Visits across IPA practices.
• -Train practice teams on AWV best practices including:
• -Patient identification and scheduling
• -Pre-visit preparation
• -Screening tool utilization
• -Health risk assessment completion
• -Care plan development
• -Assist practices in implementing AWV tracking tools and outreach processes.
• -Monitor AWV completion rates and provide feedback to practices.
• Performance Monitoring & Reporting
• Track performance metrics for assigned practices including:
• Quality scores
• Care gap closure rates
• Annual Wellness Visit completion
• Chronic condition documentation
• Screening rates
• Provide actionable insights to providers and practice leadership.
• Escalate performance concerns to Provider Engagement leadership when necessary.
• Collaborate with internal analytics teams to monitor progress.

Benefits

• Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
• Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
• Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
• Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
• Career Development: Tuition reimbursement to support your education and growth.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level