Provider Relations & Quality Performance Strategist

Astrana Health, Inc.; Georgia; On-site; USD 72,000 - 85,000; Full time

Job summary

Astrana Health, Inc. seeks a Provider Relations Specialist to support the day-to-day management of provider relationships and performance across our contracted network, including Medicare Advantage, Medicaid, Marketplace, and MSSP ACO.

The role combines field and office work, delivering education, operational support, and engagement to providers and practices, with a focus on improving HEDIS and quality outcomes, closing care gaps, and managing cost trends to advance population health.

Qualifications

• Bachelor's degree or equivalent education/experience.
• 2–3 years in Provider Relations or related healthcare field.
• Experience with physician practices and provider organizations.
• Knowledge of Medicare Advantage, Medicaid, MSSP ACO.
• Strong data interpretation and communication skills.
• Willingness to travel regularly.

Responsibilities

• Serve as primary relationship contact for an assigned portfolio of providers across Medicare Advantage, Medicaid, Marketplace, and MSSP ACO programs.
• Build provider relationships through routine visits, education, onboarding, and ongoing support.
• Partner with providers to improve HEDIS performance, close care gaps, enhance quality outcomes, and support population health initiatives.
• Analyze provider quality, utilization, and cost-of-care performance data to identify trends and improvement opportunities.
• Conduct provider performance reviews and develop action plans to drive measurable results.
• Support provider engagement, retention, issue resolution, and network growth initiatives.
• Collaborate with internal teams including Quality, Population Health, Clinical Operations, Credentialing, Contracting, and Analytics to support provider success.
• Monitor provider performance, maintain accurate documentation, and communicate key insights, risks, and opportunities to leadership.
• Promote high-quality, cost-effective care while supporting value-based care objectives across contracted networks.

Skills

Analytical skills

Relationship building

Communication skills

Organizational skills

Travel willingness

Education

Bachelor's degree or equivalent

Tools

Excel

Word

PowerPoint

Outlook

Teams

SharePoint

Job description

Astrana Health, Inc. seeks a Provider Relations Specialist to support the day-to-day management of provider relationships and performance across our contracted network, including Medicare Advantage, Medicaid, Marketplace, and MSSP ACO.

The role combines field and office work, delivering education, operational support, and engagement to providers and practices, with a focus on improving HEDIS and quality outcomes, closing care gaps, and managing cost trends to advance population health.