Job details

Senior Manager - Provider Relations (Texas)

Job Title: Senior Manager - Provider Relations
Department: Provider Relations

About the Role:

We are currently seeking a highly motivated Senior Provider Relations Manager responsible for field and office activities in providing education and supporting the IPA’s providers network. The Provider Relations Manager will be working with contracted providers on managed care operations and to comply with IPA and Health Plan standards.

You are:

Experienced in healthcare, provider engagement, Medicare, Commercial and Medi-Cal managed care systems
Relentlessly resourceful. You enjoy taking ownership and can get things done without excuses. You are resilient, detail-oriented, and truly believe that no task is beneath you
Possess strong organizational skills, plans daily activities, and demonstrate initiative with minimal supervision to complete projects
Comfortable with ambiguity and biased towards action. You enjoy thinking about complex and ambiguous problems and can execute consistently and add compounding value
Comfortable working in a fast-paced environment
Strong priority management, work independently, effectively manage time and resources

What You’ll Do:

Routine visits to providers in assigned territory to develop a trusted relationship and maintain open lines of communication between AstranaCare Texas and providers
Conduct provider onboarding, orientation, and ongoing educational training throughout the year to ensure providers remain compliant with state, federal regulations and company policies and procedures
Lead, mentor, and manage a team of Provider Relations Specialists to ensure effective support of healthcare providers
Set performance goals and track KPIs to provide coaching and development opportunities for direct reports
Collaborate with other departments to ensure provider inquiries are resolved in a timely and effective manner
Develop and implement strategies for retention, growth, and marketing within assigned territories
Detailed reporting of provider visits, inquiries, trainings, and growth opportunities
Must be able to problem solve and identify ways to address provider issues timely and effectively
Must be able to travel frequently to assigned service area.
Other duties assigned by department Manager

Minimum Qualifications:

Bachelor’s degree or equivalent years of experience preferred
5+ years experience in provider network scope of services
Strong understanding of Managed Care Operations
Minimum of 5 years' customer service, provider services or relevant work experience in a healthcare setting
Excellent written and verbal communication skills
Proficient computer skills and Microsoft Office programs (i.e., Outlook, Excel, Word, and PowerPoint)

Who We Are:

Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise in order to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers over 10,000 physicians to provide care for ~1 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise in order to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

Our Values:

Put Patients First
Empower Entrepreneurial Provider and Care Teams
Operate with Integrity & Excellence
Be Innovative
Work As One Team

Environmental Job Requirements and Working Conditions:

Our organization follows a hybrid work structure where the expectation is to work in the field, in office, and at home on a weekly basis.
This position is a field representative position and requires traveling depending on assignments or projects. This could be 2-3 times per week, and also requires monthly visits to provider offices.
Occasionally required to work overtime and /or during the weekend
The total compensation target pay range for this role is $100,000 - $125,000 annually. This salary range represents our national target range for this role.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

Additional Information:

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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Brandon Sim

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By Astrana Health

Astrana Health is a forward-thinking team of physician-led innovators with a strong foundation of physician empowerment, committed to enhancing physician work satisfaction and repairing the healthcare system. Our core mission revolves around under...

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Public

DEPARTMENTS

Operations

SENIORITY LEVEL REQUIREMENT

Senior

INDUSTRY

Health Care Services & Hospitals

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