Provider Relations Representative I

Western Health Advantage; Sacramento (CA); Hybrid; USD 63,038,976 - 68,769,792; Full time

Job summary

Western Health Advantage is seeking a Provider Relations Representative I to support accurate and compliant provider data management in a Sacramento hybrid role. This position emphasizes data-focused work, problem-solving, and cross-team collaboration to ensure timely responses and high-quality data for our network.

Responsibilities include maintaining provider data, responding to time-sensitive requests, resolving data discrepancies, supporting provider reporting, and coordinating access to

Qualifications

• Associate’s degree in Business Administration or related field.
• 2+ years of healthcare experience (HMO preferred).
• Strong attention to detail and ability to manage multiple priorities.
• Intermediate skills in Excel, Word, email, and database systems.
• Experience with Facets is a plus.

Responsibilities

• Maintain and update provider data (additions, terminations, changes) with strong accuracy.
• Manage and respond to time-sensitive emails and requests.
• Research and resolve provider data discrepancies and issues.
• Support provider reporting, including monthly and quarterly deliverables.
• Provide and manage access to eligibility systems for providers.
• Assist with system testing (Facets) and website updates.
• Collaborate with internal teams, provider groups, and vendors.

Skills

Data-focused work

Problem-solving

Collaborating across teams

Attention to detail

Managing multiple priorities

Education

Associate’s degree in Business Administration or related field

Tools

Facets

Job description

Provider Relations Representative I

Western Health Advantage

Location: Sacramento, CA (Hybrid)

Salary: $22.00 – $24.00 hourly

"Purpose that inspires. Impact that improves lives. Join us in building healthier communities." Western Health Advantage

Western Health Advantage is seeking a Provider Relations Representative I to support accurate and compliant provider data management. This role is ideal for someone who enjoys data-focused work, problem-solving, and collaborating across teams in a healthcare environment.

What You’ll Do

• Maintain and update provider data (additions, terminations, changes) with strong accuracy


• Manage and respond to time-sensitive emails and requests


• Research and resolve provider data discrepancies and issues


• Support provider reporting, including monthly and quarterly deliverables


• Provide and manage access to eligibility systems for providers


• Assist with system testing (Facets) and website updates

Collaborate with internal teams, provider groups, and vendors

What You’ll Bring

1. Associate’s degree in Business Administration or related field

• 2+ years of healthcare experience (HMO preferred)


• Strong attention to detail and ability to manage multiple priorities


• Intermediate skills in Excel, Word, email, and database systems


• Experience with Facets is a plus

Western Health Advantage is committed to providing equal employment opportunities to employees and applicants for employment on the basis of merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, genetic information, marital status, ancestry, military or veteran status, or any other basis made unlawful by federal or state law. (EOE)

Western Health Advantage values and supports the unique talents and strengths that each employee brings to our organization. Collaborating with the best and the brightest means a dynamic, fulfilling work experience for you — and excellent customer service for our members.