Provider Relations Lead - Remote & Performance Champion

SCAN Group; Olympia (WA); Hybrid; USD 71,700 - 123,490; Full time

Benefits offered by this job

Base pay range: $71,700 - $123,490 Ann

Annual bonus program

Wellness Program

Generous PTO

11 paid holidays + floating holiday

401(k) with employer match

Tuition reimbursement

Opportunity to make a difference

Job summary

SCAN is seeking a Provider Relations Lead in Washington to manage and strengthen provider relationships, focusing on executing performance initiatives across quality, cost, utilization, access, and regulatory metrics, while serving as the primary liaison between SCAN and contracted providers. In this role you will drive performance, engage providers, and own issue resolution with accountability.

You will collaborate with Contracting, Operations, Clinical, Quality, Growth, and Analytics teams,

Qualifications

• Bachelor's Degree or equivalent experience
• 5 years of relevant healthcare or Medicare Advantage experience
• Experience working with provider organizations or healthcare operations
• Experience with delegated or risk-based provider arrangements
• Experience supporting provider performance improvement initiatives
• Experience presenting data to provider or operational audiences
• Strong technical skills for functional area
• Strong problem-solving skills and critical thinking capabilities
• Strong communication and interpersonal skills
• Strong ability to partner with variety of functions across the enterprise
• Strong experience developing relationships with all provider types

Responsibilities

• Acts as the primary operational liaison between SCAN and assigned provider organizations.
• Executes and monitors regional provider performance initiatives aligned to SCAN's KPIs.
• Conducts regular operational touchpoints and Joint Operating Committee meetings with providers.
• Partners cross-functionally with Network Contracting, Network Operations, Clinical, Quality, Growth, and Analytics teams to ensure coordinated provider engagement.
• Supports provider onboarding and lifecycle management in collaboration with Contracting and Operations.
• Investigates and resolves provider escalations and operational concerns, escalating complex issues to senior leadership when appropriate.
• Delivers provider education and training related to SCAN programs, policies, regulatory requirements, performance standards, and operational best practices.
• Analyzes provider-level data to identify trends and opportunities, supporting corrective action plans and continuous performance improvement.
• Uses workflow optimization and process enhancements to drive performance improvements.
• Ensures provider alignment with regulatory, contractual, and compliance requirements.
• Supports internal communication of network changes, provider performance updates, and market level insights.
• We 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.

Skills

Communication skills

Interpersonal skills

Problem solving

Critical thinking

Cross-functional partnership

Data presentation

Provider operations knowledge

Technical skills

Education

Bachelor's Degree or equivalent experience

Job description

SCAN is seeking a Provider Relations Lead in Washington to manage and strengthen provider relationships, focusing on executing performance initiatives across quality, cost, utilization, access, and regulatory metrics, while serving as the primary liaison between SCAN and contracted providers. In this role you will drive performance, engage providers, and own issue resolution with accountability.

You will collaborate with Contracting, Operations, Clinical, Quality, Growth, and Analytics teams,