Astrana Health
Provider Relations Specialist
Join to apply for the Provider Relations Specialist role at Astrana Health.
Description We are currently seeking a highly motivated Provider Relations Specialist responsible for field and office activities in providing education and supporting the IPA/ACO’s provider network. The Provider Relations Specialist will be working with contracted providers on managed care operations and comply with IPA/ACO and Health Plan standards.
Department:
Provider Relations
Location:
Georgia, USA
Compensation:
$75,000 - $89,000 per year
Our Values
Put Patients First
Empower Entrepreneurial Provider and Care Teams
Operate with Integrity & Excellence
Be Innovative
Work As One Team
What You'll Do
Develop trusted relationships and maintain open lines of communication with providers through in-person visits, emails, phone
Conduct provider onboarding, orientation, and ongoing educational training throughout the year to ensure providers remain compliant.
Educate providers on quality programs, including HEDIS, STARS, and other clinical/operational quality measures
Review, analyze, and interpret financial, utilization, and quality-related data to identify performance gaps and opportunities for improvement
Translate quality and operational data into clear, actionable guidance for providers to help drive improved outcomes and compliance
Collaborate with other departments to ensure provider inquiries are resolved in a timely and effective manner
Create detailed reporting of provider visits, inquiries, training, and growth opportunities
Problem-solve and identify ways to address provider issues timely and effectively
Work cross-functionally with internal departments
Must be able to travel frequently to the assigned service areas
Other duties assigned by department leaders
Qualifications
Bachelor’s degree or equivalent years of experience preferred
2-3 years’ experience in provider network scope of services
Strong understanding of Managed Care Operations
Excellent written and verbal communication skills
Proficient computer skills and Microsoft Office programs (i.e., Outlook, Excel, Word, and PowerPoint)
Environmental Job Requirements and Working Conditions
Our organization follows a hybrid work structure where the expectation is to work in the field in the Atlanta, Georgia territory and at home on a weekly basis.
The total compensation target pay range for this role is: $75,000 - $89,000 per year. The salary range represents our national target range for this role.
Astrana Health is proud to be an Equal Employment Opportunity and Affimative 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 humanresourcesdept@astranahealth.com 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.
#J-18808-Ljbffr
Description We are currently seeking a highly motivated Provider Relations Specialist responsible for field and office activities in providing education and supporting the IPA/ACO’s provider network. The Provider Relations Specialist will be working with contracted providers on managed care operations and comply with IPA/ACO and Health Plan standards.
Department:
Provider Relations
Location:
Georgia, USA
Compensation:
$75,000 - $89,000 per year
Our Values
Put Patients First
Empower Entrepreneurial Provider and Care Teams
Operate with Integrity & Excellence
Be Innovative
Work As One Team
What You'll Do
Develop trusted relationships and maintain open lines of communication with providers through in-person visits, emails, phone
Conduct provider onboarding, orientation, and ongoing educational training throughout the year to ensure providers remain compliant.
Educate providers on quality programs, including HEDIS, STARS, and other clinical/operational quality measures
Review, analyze, and interpret financial, utilization, and quality-related data to identify performance gaps and opportunities for improvement
Translate quality and operational data into clear, actionable guidance for providers to help drive improved outcomes and compliance
Collaborate with other departments to ensure provider inquiries are resolved in a timely and effective manner
Create detailed reporting of provider visits, inquiries, training, and growth opportunities
Problem-solve and identify ways to address provider issues timely and effectively
Work cross-functionally with internal departments
Must be able to travel frequently to the assigned service areas
Other duties assigned by department leaders
Qualifications
Bachelor’s degree or equivalent years of experience preferred
2-3 years’ experience in provider network scope of services
Strong understanding of Managed Care Operations
Excellent written and verbal communication skills
Proficient computer skills and Microsoft Office programs (i.e., Outlook, Excel, Word, and PowerPoint)
Environmental Job Requirements and Working Conditions
Our organization follows a hybrid work structure where the expectation is to work in the field in the Atlanta, Georgia territory and at home on a weekly basis.
The total compensation target pay range for this role is: $75,000 - $89,000 per year. The salary range represents our national target range for this role.
Astrana Health is proud to be an Equal Employment Opportunity and Affimative 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 humanresourcesdept@astranahealth.com 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.
#J-18808-Ljbffr