Provider Relations Manager
Description
Job Title: Provider Relations Manager (Inland Empire)
Department: Provider Relations – Alpha Care
About the Role:
Department: Provider Relations – Alpha Care
About the Role:
We are currently seeking a highly motivated Provider Relations Manager to specialize in building and maintaining relationships with healthcare providers in an assigned territory through routine visits and effective communication. Responsibilities include onboarding and training providers to ensure compliance with regulations, collaborating with internal departments to address inquiries, and developing strategies for provider retention and growth. The role requires detailed reporting on provider interactions and the ability to problem-solve effectively. Frequent travel within the service area is necessary.
Who you are:
- Experienced in healthcare - Provider engagement, Medicare, Commercial and Medi-Cal managed care systems
- Detail oriented and possess strong organizational skills in a fast-paced environment.
- Strong priority management
- Passionate about helping others
- Comfortable working in a fast-paced environment
What You'll Do:
- Routine visits to providers in assigned territory to develop a trusted relationship and maintain open lines of communication between Alpha Care Medical Group and providers
- Conduct provider onboarding, orientation, and ongoing educational training throughout the year to ensure providers remain compliant with state, federal regulations and company policies and procedures
- Collaborate with other departments to ensure provider inquiries are resolved in a timely and effective manner
- Develop and implement strategies for retention, growth, and marketing within assigned territories
- Detailed reporting of provider visits, inquiries, trainings, and growth opportunities
- Must be able to problem solve and identify ways to address provider issues timely and effectively
- Must be able to travel frequently to assigned service area.
- Other duties assigned by department Manager
Minimum Qualifications:
- At least two (2) years' experience in provider network scope of services.
- Strong understanding of Managed Care Operations (i.e., Quality, HEDIS, HCC, etc.).
- Minimum of two (2) years’ customer service, provider services or relevant work experience in a healthcare setting.
- Excellent oral and written communication skills.
- Proven in MS office programs (i.e., Excel, Word, Outlook and PowerPoint).
Who We Are:
Astrana Health (NASDAQ: AMEH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best- in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.
Our platform currently empowers over 10,000 physicians to provide care for over 1.2 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.
Our Values:
- Patients First
- Empowering the Independent Provider
- Be Innovative
- Operate with Integrity & Deliver Excellence
- Team of One
Environmental Job Requirements and Working Conditions:
- Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 3975 Jackson Street, Ste 301, Riverside, CA 92503. Assigned territory will be in the Inland Empire.
- This position is a field representative position and requires traveling depending on assignments or projects. This could be 2-3 times per week, and also requires monthly visits to provider offices.
- The target pay range for this role is $70,000 - $76,000. This salary range represents our national target range for this role.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.