Associate Director, Provider Engagement (Medicaid)

Location: Remote Illinois; must reside in the state of Illinois. Occasional travel throughout Illinois and to hirify.global offices for training or meetings may be required.

Salary: $115,200–$158,400 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare and health insurance company serving Medicare, Medicaid, families, individuals, military personnel, and communities.

What you will do

• Lead a team of provider engagement associates and establish operating policies and procedures.
• Develop provider engagement strategies that improve adult and child quality measures, close care gaps, and support value-based payment arrangements.
• Plan and execute provider outreach campaigns with Quality and other internal partners.
• Monitor provider feedback, team KPIs, contractual commitments, and performance requirements.
• Represent Illinois market leadership in strategic planning with corporate partners and expand provider participation in value-based payment arrangements.
• Build positive provider relationships, support Medicaid network retention, and onboard and train new team members.

Requirements

• Must reside in Illinois and be able to travel throughout the state as needed.
• Bachelor's degree and at least six years of progressive experience in managed care operations.
• Experience with the Illinois Medicaid MCO contract, including value-based payment and quality improvement standards.
• Knowledge of Medicaid policies, managed care contracts, reimbursement, and key provider types including pediatrics, OB/GYN, behavioral health, and LTSS.
• Experience analyzing healthcare costs, administrative expenses, quality metrics, HEDIS results, and bonus performance.
• At least two years of leadership and management experience, with strong relationship management and strategic collaboration skills.

Nice to have

• Master's degree.
• Clinical degree such as RN, APRN, or PA.
• Experience in healthcare administration or quality improvement.
• Experience building teams in a fast-paced implementation environment.

Culture & Benefits

• Remote work with occasional office travel for training or meetings.
• Dedicated workspace and reliable home internet with at least 25 Mbps download and 10 Mbps upload speeds are required to protect member PHI and HIPAA information.
• Medical, dental, and vision benefits.
• 401(k), paid time off, company and personal holidays, and paid parental and caregiver leave.
• Short- and long-term disability, life insurance, and other wellness benefits.
• Valid state driver's license and personal vehicle liability insurance are required under the driver safety program.