Provider Services - Provider Performance Specialist_115-2008

A Provider Performance Specialist strengthens relationships between a health plan and its provider network by delivering education and support on quality improvement initiatives. The role involves collaborating with internal clinical and reporting teams to manage Star Ratings, HEDIS, and risk adjustment strategies while training colleagues on provider outreach. Key duties include coordinating educational sessions, assisting providers with performance metrics and coding best practices, and supporting the onboarding of new providers.