Sr. Provider Relations Lead, Texas
SCAN, Mountain Home, TX, United States
Overview
Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do.
Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.
Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next‑generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.
At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.
Job The Senior Provider Relations Lead is responsible for strategic performance governance and executive-level relationship management for high‑complexity provider groups within an assigned geographic region. This role drives measurable outcomes across quality, cost, utilization, access, and regulatory performance while serving as the primary senior liaison between SCAN and provider leadership. The Senior Lead provides oversight across markets, identifies performance trends, and ensures consistent execution of provider performance initiatives. This role also serves as a subject‑matter leader, coaching and developing other Provider Relations Leads and elevating overall team effectiveness. The Senior Provider Relations Lead has proven experience developing relationships with providers and understanding their operations to drive performance improvements.
You Will
Serve as the senior strategic contact and primary escalation point for assigned high‑complexity provider organizations, including IPAs, MSOs, medical groups, hospitals, and ancillary partners, maintaining executive‑level engagement, accountability, and alignment with SCAN’s strategic, financial, and regulatory objectives.
Own and drive regional provider performance strategy across assigned markets, delivering measurable improvements in quality outcomes, utilization management, cost performance, risk adjustment, network adequacy, access, and growth initiatives, while ensuring consistent execution of enterprise performance priorities.
Lead complex performance reviews and executive‑level governance forums with provider leadership, translating multi‑dimensional performance data into actionable improvement plans that advance quality, financial sustainability, and operational effectiveness.
Partner cross‑functionally at a senior level with Contracting, Network Operations, Clinical, Quality, Analytics, and Growth teams to align enterprise strategies, coordinate provider initiatives, and ensure integrated execution across markets.
Analyze provider‑level performance data across regions to identify trends, risks, and opportunities; develop, implement, and monitor corrective action plans with defined milestones, governance oversight, and performance accountability.
Lead investigation and resolution of high‑impact, multi‑department escalations, conducting structured root cause analysis and implementing sustainable process and performance improvements that mitigate operational, financial, and regulatory risk.
Support strategic contracting and provider partnership efforts by aligning operational readiness, performance expectations, and governance frameworks to ensure successful execution of contractual, delegated, and risk‑based arrangements.
Provide subject‑matter leadership by coaching and mentoring Provider Relations Leads, strengthening performance management capability, data fluency, executive presence, and consistency of provider engagement practices across the team.
Ensure provider alignment with regulatory, contractual, delegation oversight, and compliance standards, proactively identifying and addressing risks to support sustained performance, audit readiness, and organizational integrity.
Drive continuous improvement initiatives across assigned markets that enhance provider experience, operational efficiency, and performance accountability, while advancing scalable best practices and enterprise consistency.
Seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
Actively support the achievement of SCAN’s Vision and Goals.
Other duties as assigned.
Your Qualifications
Bachelor's Degree or equivalent experience
7 years of relevant healthcare or Medicare Advantage experience
Experience working with delegated or risk‑based provider arrangements
Experience leading cross‑functional initiatives
Experience presenting to executive provider leadership
Experience managing complex provider relationships
Demonstrated performance improvement leadership
Advanced technical skills for functional area
Advanced problem‑solving skills and critical thinking capabilities that tie to functional strategy
Advanced technical skills for functional area
Advanced ability to partner with variety of functions across the enterprise
Advanced experience developing relationships with all provider types
What's in it for you?
Base Pay Range: $80,300 - $$138,330
Work Mode: Mostly Remote
An annual employee bonus program
Robust Wellness Program
Generous paid‑time‑off (PTO)
11 paid holidays per year, plus 1 additional floating holiday
Excellent 401(k) Retirement Saving Plan with employer match
Robust employee recognition program
Tuition reimbursement
An opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affiliation workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
Equal Opportunity Employer/Protected Veterans/Individuals With Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
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Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.
Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next‑generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.
At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.
Job The Senior Provider Relations Lead is responsible for strategic performance governance and executive-level relationship management for high‑complexity provider groups within an assigned geographic region. This role drives measurable outcomes across quality, cost, utilization, access, and regulatory performance while serving as the primary senior liaison between SCAN and provider leadership. The Senior Lead provides oversight across markets, identifies performance trends, and ensures consistent execution of provider performance initiatives. This role also serves as a subject‑matter leader, coaching and developing other Provider Relations Leads and elevating overall team effectiveness. The Senior Provider Relations Lead has proven experience developing relationships with providers and understanding their operations to drive performance improvements.
You Will
Serve as the senior strategic contact and primary escalation point for assigned high‑complexity provider organizations, including IPAs, MSOs, medical groups, hospitals, and ancillary partners, maintaining executive‑level engagement, accountability, and alignment with SCAN’s strategic, financial, and regulatory objectives.
Own and drive regional provider performance strategy across assigned markets, delivering measurable improvements in quality outcomes, utilization management, cost performance, risk adjustment, network adequacy, access, and growth initiatives, while ensuring consistent execution of enterprise performance priorities.
Lead complex performance reviews and executive‑level governance forums with provider leadership, translating multi‑dimensional performance data into actionable improvement plans that advance quality, financial sustainability, and operational effectiveness.
Partner cross‑functionally at a senior level with Contracting, Network Operations, Clinical, Quality, Analytics, and Growth teams to align enterprise strategies, coordinate provider initiatives, and ensure integrated execution across markets.
Analyze provider‑level performance data across regions to identify trends, risks, and opportunities; develop, implement, and monitor corrective action plans with defined milestones, governance oversight, and performance accountability.
Lead investigation and resolution of high‑impact, multi‑department escalations, conducting structured root cause analysis and implementing sustainable process and performance improvements that mitigate operational, financial, and regulatory risk.
Support strategic contracting and provider partnership efforts by aligning operational readiness, performance expectations, and governance frameworks to ensure successful execution of contractual, delegated, and risk‑based arrangements.
Provide subject‑matter leadership by coaching and mentoring Provider Relations Leads, strengthening performance management capability, data fluency, executive presence, and consistency of provider engagement practices across the team.
Ensure provider alignment with regulatory, contractual, delegation oversight, and compliance standards, proactively identifying and addressing risks to support sustained performance, audit readiness, and organizational integrity.
Drive continuous improvement initiatives across assigned markets that enhance provider experience, operational efficiency, and performance accountability, while advancing scalable best practices and enterprise consistency.
Seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
Actively support the achievement of SCAN’s Vision and Goals.
Other duties as assigned.
Your Qualifications
Bachelor's Degree or equivalent experience
7 years of relevant healthcare or Medicare Advantage experience
Experience working with delegated or risk‑based provider arrangements
Experience leading cross‑functional initiatives
Experience presenting to executive provider leadership
Experience managing complex provider relationships
Demonstrated performance improvement leadership
Advanced technical skills for functional area
Advanced problem‑solving skills and critical thinking capabilities that tie to functional strategy
Advanced technical skills for functional area
Advanced ability to partner with variety of functions across the enterprise
Advanced experience developing relationships with all provider types
What's in it for you?
Base Pay Range: $80,300 - $$138,330
Work Mode: Mostly Remote
An annual employee bonus program
Robust Wellness Program
Generous paid‑time‑off (PTO)
11 paid holidays per year, plus 1 additional floating holiday
Excellent 401(k) Retirement Saving Plan with employer match
Robust employee recognition program
Tuition reimbursement
An opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affiliation workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
Equal Opportunity Employer/Protected Veterans/Individuals With Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
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