Strategic Provider Relations & Performance Specialist II

L.A. Care Health Plan; Los Angeles (CA); On-site; USD 77,000 - 124,000; Full time

Benefits offered by this job

Paid Time Off (PTO)

Tuition Reimbursement

Retirement Plans

Medical, Dental and Vision

Wellness Program

Volunteer Time Off (VTO)

Job summary

L.A. Care Health Plan in Los Angeles is looking for a Provider Relations and Performance Specialist II to drive provider engagement and operational excellence.

This role builds transparent relationships with providers, supports onboarding, and documents concerns for timely escalation and resolution. The Specialist II collaborates across departments, manages structured issue intake, and provides timely status updates to providers and stakeholders to enable continuous improvement and high‑quality

Qualifications

• Working knowledge of managed care operations and delegated risk arrangements.
• Strong communication, relationship‑building, and problem‑solving skills.
• Ability to document provider concerns clearly and categorize issues appropriately.
• Strong teamwork, accountability, adaptability, and customer‑focused service skills, with the ability to collaborate effectively, respond to changing priorities, and deliver high-quality support to providers and internal stakeholders.

Responsibilities

• Fosters collaborative relationships with the organization’s provider network, aligning provider engagement activities with strategic objectives, and supporting operational excellence across the network.
• Manages provider onboarding and orientation activities by delivering clear, actionable education on policies, workflows, and essential tools.
• Guides providers through administrative requirements, operational updates, and process changes, while maintaining documentation of provider inquiries, concerns, and recurring issues to support timely escalation and resolution.
• Identifies recurring provider concerns and operational trends and escalates systemic or complex issues to appropriate business areas.
• Collaborates across internal teams to communicate provider questions and concerns, identify administrative barriers, monitor progress toward issue resolution, and gather and share provider feedback to support continuous improvement and enhance organizational performance.

Skills

Managed care operations

Communication skills

Documentation & categorization

Teamwork & adaptability

Education

Bachelor's Degree in Healthcare Administration or Related Field

Job description

L.A. Care Health Plan in Los Angeles is looking for a Provider Relations and Performance Specialist II to drive provider engagement and operational excellence.

This role builds transparent relationships with providers, supports onboarding, and documents concerns for timely escalation and resolution. The Specialist II collaborates across departments, manages structured issue intake, and provides timely status updates to providers and stakeholders to enable continuous improvement and high‑quality