Provider Relations & Performance Lead

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

Benefits offered by this job

Annual bonus program

Wellness program

Generous PTO

11 holidays + floating holiday

401(k) with employer match

Tuition reimbursement

Employee recognition program

Job summary

SCAN Group's Washington Provider Relations Lead manages and strengthens relationships with MSOs, IPAs, medical groups, PCPs, specialists, hospitals, and ancillaries within the region, driving performance initiatives across quality, cost, utilization, access, and regulatory metrics.

You will serve as the primary liaison and quarterback for provider relationships, coordinating with contracting, operations, analytics, and clinical teams, while delivering education, resolving escalations, and

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 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 provider organizations within a defined geographic region.
• Executes and monitors regional provider performance initiatives aligned to 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.
• Supports provider onboarding and lifecycle management with Contracting and Operations.
• Investigates and resolves provider escalations and operational concerns.
• Delivers provider education and training related to SCAN programs and regulatory requirements.
• Analyzes provider-level data to identify trends and support action plans.
• Ensures provider alignment with regulatory, contractual, and compliance requirements.

Skills

Medicare Advantage experience

Provider operations

Risk-based provider arrangements

Performance improvement

Data presentation

Communication skills

Cross-functional collaboration

Relationship building

Technical skills

Healthcare operations

Education

Bachelor's Degree or equivalent experience

Job description

SCAN Group's Washington Provider Relations Lead manages and strengthens relationships with MSOs, IPAs, medical groups, PCPs, specialists, hospitals, and ancillaries within the region, driving performance initiatives across quality, cost, utilization, access, and regulatory metrics.

You will serve as the primary liaison and quarterback for provider relationships, coordinating with contracting, operations, analytics, and clinical teams, while delivering education, resolving escalations, and