Provider Practice Success & Relations Advisor

Vivant Health; Sacramento (CA); On-site; USD 70,000 - 85,000; Full time

Job summary

Vivant Health in Sacramento, CA seeks a Provider Practice Support Advisor to serve as the primary liaison for an assigned portfolio of provider practices. You will coordinate engagement, education, quality improvement, and operational performance, partnering with Quality, Risk Adjustment, Credentialing, Contracting, Compliance, and other teams to resolve provider needs.

The role requires travel up to 50% in the greater Sacramento area and demands strong communication, organization, and

Qualifications

• Experience in provider relations, provider services, managed care, healthcare operations, or quality improvement preferred.
• Working knowledge of health plan operations, including claims, authorizations, referrals, credentialing, contracting, utilization management, and quality improvement programs.
• Strong written and verbal communication, interpersonal, relationship-management, organizational, and problem-solving skills.
• Ability to independently manage multiple provider relationships, priorities, and deadlines in a dynamic, fast-paced environment.
• Ability to maintain confidentiality and handle sensitive information with professionalism.
• Demonstrated commitment to delivering excellent customer service and representing the Company.
• Typing speed of 40 words per minute or greater preferred.

Responsibilities

• Serve as the primary relationship and coordination resource for assigned provider practices.
• Conduct provider meetings, outreach, education, and practice support activities.
• Support HEDIS, Stars, quality measures, care-gap closure, and other health plan initiatives.
• Review provider performance information and communicate opportunities requiring provider action.
• Educate providers and staff regarding health plan requirements, authorizations, referrals, claims processes, and workflows.
• Coordinate provider onboarding, orientation, and system access.
• Assist providers with operational issues involving claims, credentialing, contracting, utilization management, and compliance.
• Route issues to the appropriate internal department and maintain communication through resolution.
• Identify recurring provider barriers and escalate complex issues to Senior Practice Coach.

Skills

Provider relations

Communication

Relationship management

Time management

Documentation

Problem solving

Organizational skills

Team collaboration

Customer service

Confidentiality

Learning agility

Education

Bachelor's degree in healthcare administration, business, public health, nursing, or related field

High School Diploma or GED minimum

Active/unrestricted Driver’s License

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Visio

Email applications

Job description

Vivant Health in Sacramento, CA seeks a Provider Practice Support Advisor to serve as the primary liaison for an assigned portfolio of provider practices. You will coordinate engagement, education, quality improvement, and operational performance, partnering with Quality, Risk Adjustment, Credentialing, Contracting, Compliance, and other teams to resolve provider needs.

The role requires travel up to 50% in the greater Sacramento area and demands strong communication, organization, and