Senior Provider Relations Representative

Providence Health & Services; Los Angeles (CA); On-site; USD 60,000 - 80,000; Full time

Job summary

An established industry player seeks a dedicated Provider Relations Specialist to enhance physician recruitment and strengthen relationships with contracted physicians. In this pivotal role, you'll manage network performance, address inquiries, and support continuous education for physician offices. Join a culture that values commitment and mutual respect, where your contributions will directly impact patient care and community health. This opportunity offers a comprehensive benefits package and a chance to thrive in a supportive environment focused on whole-person care.

Benefits

401(k) Savings Plan with employer matching

Health care benefits (medical, dental, vision)

Life insurance

Disability insurance

Paid parental leave

Vacation and holiday time off

Voluntary benefits

Well-being resources

Qualifications

• 3 years of experience in a Provider Relations role.
• Experience in Managed Care/IPA, Medical Group, or Health Plan.

Responsibilities

• Responsible for physician recruitment and building relationships.
• Manage network performance and identify PCP & SPC network gaps.

Skills

Provider Relations

Communication Skills

Problem Solving

Education

Bachelor's Degree in Healthcare Management

Job description

Description

Under the supervision of the Senior Manager Provider Relations, this position is responsible for physician recruitment related activities and building relationships with Providence contracted physicians/specialist offices. Key responsibilities include Physician office in-services, continuous physician office education, fielding questions, researching and resolving inquiries, identifying issues, management and dissemination of network communications, identifying and vetting new PCP contract opportunities, and overall network performance. This position works with leadership to develop action plan for specific metrics/providers needing improvement, identifies PCP & SPC network gaps, and manages network performance meeting agenda and follow-ups. Activities of this role can impact the open enrollment period, and submission of documentation and recuperation of coding to improve Risk Adjusted Factors (RAF) scores.

Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

• Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request.


• 3 years of experience in a Provider Relations role working with physicians in a Managed Care/IPA, Medical Group, Health Plan or MSO environment.

Preferred Qualifications:

• Bachelor's Degree in Healthcare Management or related field.


• 5 years of Managed care Provider Relations experience.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

About the Team

Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.

PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington's greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence's St. John's Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 353840

Company: Providence Jobs

Job Category: Provider Network

Job Function: Health Plans Services

Job Schedule: Full time

Job Shift: Day

Career Track: Business Professional

Department: 7520 PROVIDER RELATIONS CA HERITAGE SERVICES

Address: CA Mission Hills 15451 San Fernando Mission Blv

Work Location: Facey Medical Foundation Admin Office-Mission Hills

Workplace Type: On-site

Pay Range: $33.05 - $51.30

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.