Provider Data & Relations Specialist (Hybrid)

Western Health Advantage; Sacramento (CA); Hybrid; USD 63,038,976 - 68,769,792; Full time

Job summary

Western Health Advantage is seeking a Provider Relations Representative I to support accurate and compliant provider data management in a Sacramento hybrid role. This position emphasizes data-focused work, problem-solving, and cross-team collaboration to ensure timely responses and high-quality data for our network.

Responsibilities include maintaining provider data, responding to time-sensitive requests, resolving data discrepancies, supporting provider reporting, and coordinating access to

Qualifications

• Associate’s degree in Business Administration or related field.
• 2+ years of healthcare experience (HMO preferred).
• Strong attention to detail and ability to manage multiple priorities.
• Intermediate skills in Excel, Word, email, and database systems.
• Experience with Facets is a plus.

Responsibilities

• Maintain and update provider data (additions, terminations, changes) with strong accuracy.
• Manage and respond to time-sensitive emails and requests.
• Research and resolve provider data discrepancies and issues.
• Support provider reporting, including monthly and quarterly deliverables.
• Provide and manage access to eligibility systems for providers.
• Assist with system testing (Facets) and website updates.
• Collaborate with internal teams, provider groups, and vendors.

Skills

Data-focused work

Problem-solving

Collaborating across teams

Attention to detail

Managing multiple priorities

Education

Associate’s degree in Business Administration or related field

Tools

Facets

Job description

Western Health Advantage is seeking a Provider Relations Representative I to support accurate and compliant provider data management in a Sacramento hybrid role. This position emphasizes data-focused work, problem-solving, and cross-team collaboration to ensure timely responses and high-quality data for our network.

Responsibilities include maintaining provider data, responding to time-sensitive requests, resolving data discrepancies, supporting provider reporting, and coordinating access to