Remote Provider Relations Lead, Village Health Partnerships

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

Benefits offered by this job

Annual bonus program

Wellness program

PTO

11 paid holidays + floating holiday +

401(k) with employer match

Tuition reimbursement

Job summary

SCAN is a nonprofit health organization serving communities across multiple states. The Provider Relations Lead - Village Health role focuses on directing the relationship and performance of directly contracted providers, DaVita, and strategic partners to ensure seamless onboarding, education, and ongoing engagement for Village Health ESRD C-SNP and related programs.

You will partner with cross-functional teams to manage education, data exchange, and performance metrics while driving proactive

Qualifications

• Bachelor's Degree or equivalent experience.
• 5 years of relevant healthcare or Medicare Advantage experience; experience with provider organizations or healthcare operations.
• Knowledge of fee-for-service provider operations, provider contracting, claims and payment workflows, network access and referral-network management
• Experience managing complex provider and strategic partner relationships, including Joint Success Committees and recurring operational governance, as well as driving Star & Coding Quality
• Ability to travel for provider and partner meetings and conduct onsite relationship management
• Strong written, oral and presentation skills, including the ability to communicate with provider leadership, office staff and internal executives

Responsibilities

• Serve as the primary relationship and operational lead for directly contracted specialists, hospitals, ancillary providers, DaVita, and other strategic partners supporting Village Health ESRD C-SNP and other products or programs utilizing the direct contracted referral network.
• Lead onboarding and lifecycle management for directly contracted fee-for-service providers, coordinating readiness, orientation, education, access, claims, payment, data exchange, and operational requirements with cross-functional partners.
• Create and deliver provider-facing education, presentations and communications that clarify SCAN requirements, workflows, resources and program expectations; develop and execute proactive outreach and engagement strategies that strengthen provider relationships and ongoing operational support.
• Own the DaVita relationship and Joint Success Committee cadence, including meeting content, operational priorities, commitments, action tracking, data exchange needs, escalations, and leadership follow-through.
• Monitor and analyze network adequacy, access, provider availability, referral-network performance, claims, payment, and operational data to identify trends, address barriers, and support timely member access to care.
• Lead cross-functional resolution of complex provider issues and escalations, including claims, payment, access, and operational concerns, ensuring clear ownership, communication, and timely closure.
• Establish and maintain strong relationships with provider leadership, office staff, and operational teams through structured touchpoints, operational meetings, onsite visits, and virtual engagement to drive performance and operational efficiencies.
• Drive provider performance against key market, cost, and quality measures, including Stars and Coding Quality, using data to prioritize interventions, execute initiatives, measure outcomes, and reinforce accountability.
• Coordinate regulatory, contractual, network, and operational requirements for assigned providers and serve as a key liaison across Contracting, Claims, Operations, Clinical, Network Management, and other stakeholders to support network changes, clinical programs, and growth initiatives.
• Support cross-functional initiatives, projects, and process improvements that strengthen provider experience, Village Health network performance, and SCAN’s Ways of Working.
• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
• Actively support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

Skills

Analytical skills

Communication skills

SQL

MS Office

Visio

Provider relations

Travel readiness

Education

Bachelor's Degree or equivalent experience

Tools

SQL

MS Office

Visio

Job description

SCAN is a nonprofit health organization serving communities across multiple states. The Provider Relations Lead - Village Health role focuses on directing the relationship and performance of directly contracted providers, DaVita, and strategic partners to ensure seamless onboarding, education, and ongoing engagement for Village Health ESRD C-SNP and related programs.

You will partner with cross-functional teams to manage education, data exchange, and performance metrics while driving proactive