Provider Relations Lead (Northern/Central California)

SCAN Group; California (MO); Hybrid; USD 71,000 - 115,000; Full time

Job summary

Ein innovatives Unternehmen im Gesundheitswesen sucht einen Provider Relations Lead, um effektive Beziehungen zu medizinischen Gruppen und Anbietern aufzubauen. In dieser Rolle sind Sie verantwortlich für die Schulung, das Management von Beziehungen und die Unterstützung von Programmen zur klinischen Versorgung. Mit einem Fokus auf eine positive Erfahrung für Anbieter und einem Engagement für die Verbesserung der Gesundheitsversorgung für ältere Erwachsene bietet diese Position die Möglichkeit, einen echten Unterschied zu machen. Wenn Sie eine Leidenschaft für die Gesundheitsversorgung haben und in einem dynamischen Umfeld arbeiten möchten, ist dies die perfekte Gelegenheit für Sie.

Benefits

Jährlicher Bonus

Wellness-Programm

Großzügiger PTO

401(k) mit Arbeitgeberbeitrag

Tuition Reimbursement

Anerkennungsprogramme

11 Feiertage plus ein zusätzlicher Feiertag

Qualifications

• 3-5 Jahre relevante Erfahrung im Gesundheitswesen oder in einer medizinischen Gruppe.
• Kenntnisse über Vertragsbedingungen von Anbietern und Krankenhäusern.

Responsibilities

• Entwicklung und Pflege von Beziehungen zu Anbietern in Ihrer Region.
• Durchführung von Schulungen und Orientierungen für Anbieter.

Skills

Projektmanagement

Kommunikationsfähigkeiten

Beziehungsmanagement

Datenanalyse

Education

Bachelor-Abschluss oder gleichwertige Erfahrung

Job description

Provider Relations Lead (Northern/Central California)

Join to apply for the Provider Relations Lead (Northern/Central California) role at SCAN.

About SCAN

SCAN Group is a not-for-profit organization dedicated to addressing the pressing issues facing older adults in the United States. It is the sole corporate member of SCAN Health Plan, a leading not-for-profit Medicare Advantage plan serving over 285,000 members across California, Arizona, Nevada, and Texas. With over 40 years of experience, SCAN is committed to keeping seniors healthy and independent, and is recognized as an industry leader in senior healthcare. Our team of passionate professionals supports older adults and innovates healthcare solutions. We offer comprehensive training, advanced tools, and opportunities for professional growth. Learn more at www.thescangroup.org or www.scanhealthplan.com.

The Job

The Provider Relations Lead is responsible for developing and maintaining effective relationships with medical groups, primary care physicians, specialists, hospitals, and ancillary providers. The role may focus on specific provider types or regions but requires flexibility to meet business needs. Key responsibilities include onboarding, provider education, relationship management, issue resolution, and collaboration with internal teams to ensure a positive provider experience and support clinical programs and growth initiatives.

You Will

• Work independently on complex issues, serving as the primary contact for providers and acting as a liaison with internal stakeholders.
• Partner with Contracting to facilitate onboarding and develop a comprehensive onboarding playbook.
• Build and maintain strong relationships with providers in your designated region.
• Conduct provider orientations, ongoing education, and relationship-building activities both virtually and onsite.
• Visit provider offices regularly within your geographic area.
• Address escalated provider concerns promptly.
• Participate in data-driven meetings with providers and internal teams.
• Create educational materials and presentations for provider engagement.
• Support performance monitoring and address deficiencies through training.
• Coordinate data analysis and interpret results.
• Assist in evaluating network adequacy and provider access.
• Ensure compliance with regulatory requirements across the network.
• Provide leadership, coaching, or mentoring as needed.
• Contribute to internal initiatives and process improvements to enhance provider experience.
• Align efforts with SCAN’s vision and goals.
• Perform additional duties as assigned.

Qualifications

• Bachelor’s degree or equivalent experience.
• 3-5 years of relevant experience in a health plan or medical group environment.
• Knowledge of provider and hospital contract language.
• Experience with risk arrangements is preferred.
• Strong project management skills.
• Excellent communication, presentation, and interpersonal skills.
• Willingness to travel within the region.
• Ability to independently resolve provider issues and manage multiple tasks efficiently.
• Ownership mentality and collaborative approach.

What’s in it for you?

• Annual salary range: $71,700 - $114,700.
• Mostly remote work environment.
• Annual bonus, wellness program, generous PTO, 11 holidays plus a floating holiday.
• 401(k) plan with employer match.
• Recognition programs, tuition reimbursement, and opportunities to make a difference.

SCAN values diversity and is committed to creating an inclusive workplace. We are an Equal Employment Opportunity employer. Background checks are required.