Provider Transformation Specialist (RN- Eastern PA/Delaware)

Are you passionate about making a positive impact in the healthcare industry? Do you have a strong background in nursing and a drive to improve provider performance? Highmark Health is seeking a highly motivated Provider Transformation Specialist to join our team in Eastern PA and Delaware. In this role, you will play a critical role in transforming and optimizing the performance of our providers, ultimately improving the quality of care for our members. If you have a strong understanding of healthcare operations, a commitment to excellence, and the ability to build strong relationships, we want to hear from you. Join us in our mission to make healthcare more efficient and effective for all.

1. Develop and implement provider transformation strategies to improve healthcare outcomes and performance.
2. Conduct analysis of provider data to identify areas for improvement and develop action plans.
3. Collaborate with internal and external stakeholders to identify and address barriers to provider performance.
4. Monitor and track provider performance metrics, providing regular updates and recommendations for improvement.
5. Train and educate providers on best practices and processes to improve their performance.
6. Build and maintain positive relationships with providers, serving as a primary point of contact for any performance-related concerns.
7. Conduct site visits and audits to evaluate provider performance and identify opportunities for improvement.
8. Utilize data analytics to identify trends and patterns in provider performance and make data-driven recommendations.
9. Develop and deliver presentations and reports to senior leadership on provider performance and transformation initiatives.
10. Stay up-to-date on industry trends and best practices in healthcare performance improvement.
11. Act as a change agent, promoting a culture of continuous improvement and transformation within the provider network.
12. Collaborate with cross-functional teams to ensure alignment and integration of provider transformation efforts with overall company goals and strategies.

According to JobzMall, the average salary range for a Provider Transformation Specialist (RN- Eastern PA/Delaware) is $80,000-$100,000 per year. This may vary depending on factors such as experience, location, and employer.

Highmark Inc. is among the largest health insurers in the United States and the fourth-largest Blue Cross and Blue Shield-affiliated company. Highmark and its diversified businesses and affiliates operate health insurance plans in Pennsylvania, Delaware and West Virginia that serve 5.2 million members. Its diversified health businesses serve group customer and individual health needs across the United States through dental insurance, vision care and other related health businesses. Highmark is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.