Provider Programs Specialist PH Risk Adjustment

Corewell Health • Grand Rapids, MI

4d • Onsite

About The Position

The Provider Programs Specialist is part of the Risk Adjustment department and works with teams across the organization to plan, organize, and implement programs within the provider network. The role develops strategic communications plans and messaging, then creates and disseminates communications for internal and external audiences to support provider performance on strategic initiatives.

The specialist partners with internal teams and serves as a liaison to providers, community partners, and network stakeholders. The role also coordinates projects and clinical pilot programs, supports the assessment and evaluation of programs and interventions, analyzes and communicates network performance information, and develops educational materials and provider-facing engagement activities for Risk Adjustment and Coding Documentation Improvement efforts.

Requirements

• Bachelor’s degree or equivalent.
• Two years of relevant work experience.
• One of the following credentials is required for Risk Adjustment, with 180 days allowed: Certified Professional Coder (CPC) from the American Academy of Professional Coders, or Coding Specialist (CCS) from AHIMA.

Responsibilities

• Partner with internal teams and serve as a liaison to providers, community partners, and network stakeholders to support strategic initiatives, programs, training, and engagement activities.
• Coordinate and manage multiple projects, including scope, timelines, milestones, resource requirements, deliverables, and performance tracking.
• Support the assessment, planning, implementation, and evaluation of programs and interventions designed to improve network efficiency, health outcomes, and patient experience.
• Coordinate the implementation and monitoring of clinical pilot programs to ensure program goals, objectives, and deadlines are met.
• Analyze, review, and communicate network performance information related to Risk Adjustment initiatives.
• Develop strategic communications, messaging, and educational materials for internal and external audiences, including provider network partners.
• Support provider-facing engagement activities, including webinars, meetings, trainings, presentations, and other educational events.
• Develop written reports, presentations, and communication materials to support program initiatives and operational goals.
• Collaborate with stakeholders across the organization to plan, implement, and evaluate provider network programs and initiatives.
• Develop strategic communications, messaging, and tactics for the provider network relating to Risk Adjustment initiatives and Coding Documentation Improvement efforts.

Benefits

• Comprehensive benefits package supporting financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv.
• Discounts directory with deals on restaurants, phone plans, spas, and other offerings.
• Optional identity theft protection, home and auto insurance.
• Traditional and Roth retirement options with service contribution and match savings.

What This Job Offers

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