Senior Provider Relations Executive – Regional Performance

Scan-Health-Plan; Houston (TX); On-site; USD 80,000 - 138,000; Full time

Benefits offered by this job

Annual employee bonus program

PTO + holidays

401(k) with employer match

Wellness program

Tuition reimbursement

Mostly remote with travel

Job summary

SCAN is seeking a Senior Provider Relations Lead in Houston to drive regional provider performance, governance, and executive-level relationship management for high-complexity provider groups. You will own regional strategy across markets and coordinate with Contracting, Network Operations, Clinical, Quality, Analytics, and Growth teams to align enterprise priorities.

The role requires 7+ years in healthcare/Medicare Advantage, experience with delegated or risk-based arrangements, and a track

Qualifications

• Bachelor's degree or equivalent experience.
• 7 years of healthcare / Medicare Advantage experience in a Provider Relations or similar role.
• Experience with delegated or risk-based provider arrangements.
• Experience leading cross-functional initiatives.
• Experience presenting to executive provider leadership.
• Must live in or within a reasonable commute of the Houston, TX area.

Responsibilities

• Serve as the senior strategic contact and primary escalation point for assigned high-complexity provider organizations, maintaining executive-level engagement, accountability, and alignment with SCAN’s objectives.
• Owns and drives regional provider performance strategy across assigned markets, delivering improvements in quality, utilization, cost, and access.
• Lead complex performance reviews and governance forums with provider leadership, translating data into actionable improvement plans.
• Partner cross-functionally with Contracting, Network Operations, Clinical, Quality, Analytics, and Growth teams.
• Analyze provider-level performance data to identify trends, risks, and opportunities; develop and monitor corrective action plans.
• Lead investigations and resolutions of escalations with structured root cause analysis.
• Support strategic contracting and provider partnerships by aligning readiness and governance frameworks.
• Provide subject-matter leadership by coaching Provider Relations Leads and strengthening engagement practices.
• Ensure regulatory and contractual compliance and drive continuous improvement across markets.

Skills

Provider relations

Executive communication

Cross-functional leadership

Data analysis

Stakeholder management

Executive presentations

Education

Bachelor's degree

Tools

Analytics tools

Job description

SCAN is seeking a Senior Provider Relations Lead in Houston to drive regional provider performance, governance, and executive-level relationship management for high-complexity provider groups. You will own regional strategy across markets and coordinate with Contracting, Network Operations, Clinical, Quality, Analytics, and Growth teams to align enterprise priorities.

The role requires 7+ years in healthcare/Medicare Advantage, experience with delegated or risk-based arrangements, and a track