Remote Provider Relations Intake Specialist

UCLA Health; Los Angeles (CA); Hybrid; USD 67,000 - 105,000; Full time

Job summary

UCLA Health in Los Angeles seeks a Provider Relations Intake Specialist to serve as the centralized point for provider network changes within Managed Care Operations.

You will coordinate provider additions, credentialing handoffs, and data submissions across plans, contracting, and configuration, ensuring audit-ready documentation and timely processing.

The role supports a hybrid onsite/remote work model with Monday–Friday hours 8am–5pm PST.

Qualifications

• High school diploma required.
• Two years or more of Healthcare managed care operations, IPA, or MSO provider relations experience.
• Two years or more of working knowledge of credentialing documents, contracting terminology, or network operations.
• Two years or more of understanding Provider Lifecycle Management (PLM) handoffs.
• Two years or more of experience with provider rosters, credentialing data, and health plan submissions.
• Two years or more of proficiency with Microsoft Office (Word, Excel, Outlook Teams).
• Strong communication skills with providers and stakeholders.
• Ability to work in remote or hybrid environments.

Responsibilities

• Manage and track provider-related requests, including new provider additions, demographic and practice changes, and terminations.
• Review and validate provider rosters and reconcile discrepancies across medical group systems, health plans, credentialing, contracting, and configuration records.
• Support health plan roster submissions, provider directory accuracy, health plan activation, and management of health plan IDs.
• Collaborate with Provider Relations, Contracting, Credentialing, Configuration, Claims, Billing, Finance, Member Services, Quality, and Compliance to coordinate provider changes.
• Monitor requests through completion, proactively follow up on delays, and correctly resolve stalled requests as needed.
• Maintain accurate, audit-ready documentation and support compliance, regulatory, and process improvement initiatives.

Skills

Communication skills

Microsoft Office

Attention to detail

Provider relations knowledge

Remote collaboration

Education

High school diploma

Associate or Bachelor's degree preferred

Tools

PLM or CRM software

Job description

UCLA Health in Los Angeles seeks a Provider Relations Intake Specialist to serve as the centralized point for provider network changes within Managed Care Operations.

You will coordinate provider additions, credentialing handoffs, and data submissions across plans, contracting, and configuration, ensuring audit-ready documentation and timely processing.

The role supports a hybrid onsite/remote work model with Monday–Friday hours 8am–5pm PST.