Provider Relations Intake Specialist

UCLA Outpatient Clinics; Los Angeles (CA); Hybrid; USD 90,922,000 - 144,648,000; Full time

Job summary

UCLA Outpatient Clinics is seeking a Provider Relations Intake Specialist in the Los Angeles area to serve as the centralized liaison for provider network changes. You will coordinate provider additions, changes, and terminations while supporting data accuracy and timely health plan submissions across the provider lifecycle.

The role requires collaboration with multiple departments to monitor requests through completion, follow up on delays, and maintain audit-ready documentation to support

Responsibilities

• Manage and track provider-related requests, including new provider additions, demographic and practice changes, and terminations.
• Review and validate provider rosters and reconcile discrepancies across medical group systems, health plans, credentialing, contracting, and configuration records.
• Support health plan roster submissions, provider directory accuracy, health plan activation, and management of health plan IDs.
• Collaborate with Provider Relations, Contracting, Credentialing, Configuration, Claims, Billing, Finance, Member Services, Quality, and Compliance to coordinate provider changes.
• Monitor requests through completion, proactively follow up on delays, and elevate stalled requests as needed.
• Maintain accurate, audit-ready documentation and support compliance, regulatory, and process improvement initiatives.

Job description

Description

The Provider Relations Intake Specialist serves as the centralized point of contact for provider network changes within Managed Care Operations. This role coordinates and tracks provider additions, changes, and terminations while supporting accurate provider data, health plan submissions, and timely processing across the provider lifecycle.

Key Responsibilities:

• Manage and track provider-related requests, including new provider additions, demographic and practice changes, and terminations.
• Review and validate provider rosters and reconcile discrepancies across medical group systems, health plans, credentialing, contracting, and configuration records.
• Support health plan roster submissions, provider directory accuracy, health plan activation, and management of health plan IDs.
• Collaborate with Provider Relations, Contracting, Credentialing, Configuration, Claims, Billing, Finance, Member Services, Quality, and Compliance to coordinate provider changes.
• Monitor requests through completion, proactively follow up on delays, and elevate stalled requests as needed.
• Maintain accurate, audit-ready documentation and support compliance, regulatory, and process improvement initiatives.

Salary Range: $31.99 - $50.24/hourly