Provider Relations Lead — Village Health (Hybrid)

SCAN Health Plan; Long Beach (CA); Remote; USD 72,000 - 123,000; Full time

Benefits offered by this job

Mostly Remote

Annual bonus

Generous PTO

401(k) plan

Job summary

SCAN Health Plan is seeking a Provider Relations Lead for Village Health in Long Beach, CA. The role focuses on leading onboarding, education, and ongoing engagement of directly contracted providers, including DaVita, to ensure seamless provider experience and robust member access.

You will monitor performance, manage Joint Success Committees, and collaborate with Contracting, Claims, Operations, and Clinical teams to drive Stars and coding quality improvements. Travel may be required.

Qualifications

• Bachelor's degree or equivalent experience.
• 5+ years in healthcare or Medicare Advantage operations.
• Experience with provider organizations or network management.
• Experience with Joint Success Committees and provider governance.
• Strong written, verbal, and presentation skills.

Responsibilities

• Serve as primary relationship and operational lead for directly contracted providers (DaVita and others) within Village Health ESRD C-SNP.
• Lead onboarding, education, and ongoing outreach for providers across the network.
• Monitor network adequacy, access, and performance; analyze data to address barriers.
• Drive provider performance against Stars and Coding Quality measures.
• Coordinate cross-functional initiatives to improve provider experience and network performance.

Skills

Provider relationships

Data analysis

Cross-functional collaboration

Project management

Communication skills

Education

Bachelor's Degree or equivalent

Tools

SQL

Microsoft Office

Visio

Job description

SCAN Health Plan is seeking a Provider Relations Lead for Village Health in Long Beach, CA. The role focuses on leading onboarding, education, and ongoing engagement of directly contracted providers, including DaVita, to ensure seamless provider experience and robust member access.

You will monitor performance, manage Joint Success Committees, and collaborate with Contracting, Claims, Operations, and Clinical teams to drive Stars and coding quality improvements. Travel may be required.