Provider Engagement Specialist, Geisinger Health Plan (pennsylvania Resident)

Geisinger

Pennsylvania, United States
**
2-4 years healthcare administration experience
Knowledge of pa medicaid evv requirements
Experience with electronic visit verification platforms
** Geisinger is seeking a Provider Engagement Specialist to support their team in enhancing provider relationships and driving value-based care initiatives, particularly in home health services. This fully remote position requires expertise in Electronic Visit Verification (EVV), healthcare regulations, and strong communication skills. **

Job Summary

  • The role supports value-based care initiatives by strengthening relationships with providers across home health and private duty nursing programs.
  • Candidates must act as a subject matter expert on Electronic Visit Verification (EVV) policies, workflows, and compliance requirements specific to Pennsylvania.
  • Geisinger offers comprehensive healthcare benefits including vision, dental, and domestic partners from day one for full-time and part-time positions.

Matching Summary

Match Score: 75

** Geisinger is seeking a Provider Engagement Specialist to support their team in enhancing provider relationships and driving value-based care initiatives, particularly in home health services. This fully remote position requires expertise in Electronic Visit Verification (EVV), healthcare regulations, and strong communication skills. **

Skills & Requirements

Must-have

  • 2-4 years healthcare administration experience
  • Knowledge of PA Medicaid EVV requirements
  • Experience with Electronic Visit Verification platforms
  • Ability to resolve claim denials related to EVV
  • Proficiency in Microsoft Office suite

Nice-to-have

  • Strong communication and relationship-building skills
  • Experience creating provider education materials
  • Ability to travel up to 20% within territory
  • Bachelor's degree preferred over high school diploma
  • Data analysis and trend identification capabilities

Key Requirements

  • High School Diploma or GED required
  • Minimum 3 years relevant experience in healthcare or managed care
  • Working knowledge of Medicare/Medicaid home health regulations
  • PA Medicaid Private Duty Nursing and Shift Care authorization rules
  • Not specified

Work Rights

Pennsylvania Resident

Tailored Resume

Cover Letter