Provider Relations Specialist

Astrana Health

Job Location:

Houston, MS - USA

Yearly Salary: $ 72000 - 80000

Posted on: 7 days ago

Vacancies: 1 Vacancy

Job Summary

We are currently seeking a highly motivated Provider Relations Specialist in the Houston area who will be responsible for field and office activities in providing education and supporting the IPAs provider network. The Provider Relations Specialist will be working with contracted providers on managed care operations and ensure compliance with IPA and Health Plan standards.

Our Values

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

What Youll Do

Routine visits to providers in assigned territory to develop a trusted relationship and maintain open lines of communication between our organization 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
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
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

Qualifications

Bachelors degree or equivalent years of experience preferred
2-3 years experience in provider network scope of services
Strong understanding of Managed Care Operations
Minimum of 2 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)

Environmental Job Requirements and Working Conditions

Our organization follows a hybrid work structure where the expectation is to work in the field and at home on a weekly basis. Our office is located at 19500 HWY 249 Suite 570 Houston TX 77070.
This position is a field representative position and requires traveling depending on assignments. or projects. This could be 3-4 times per week and also requires monthly visits to provider offices.
Occasionally required to work overtime and /or during the weekend.
The national target pay range for this role is: $72000 - $80000. Actual compensation will be determined based on geographic location (current or future) experience and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on 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 based on qualifications merit and business need. If you require assistance in applying for open positions due to a disability please email us at 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.

Required Experience:

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

What Youll Do

Routine visits to providers in assigned territory to develop a trusted relationship and maintain open lines of communication between our organization 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
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
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

Qualifications

Bachelors degree or equivalent years of experience preferred
2-3 years experience in provider network scope of services
Strong understanding of Managed Care Operations
Minimum of 2 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)

Environmental Job Requirements and Working Conditions

Our organization follows a hybrid work structure where the expectation is to work in the field and at home on a weekly basis. Our office is located at 19500 HWY 249 Suite 570 Houston TX 77070.
This position is a field representative position and requires traveling depending on assignments. or projects. This could be 3-4 times per week and also requires monthly visits to provider offices.
Occasionally required to work overtime and /or during the weekend.
The national target pay range for this role is: $72000 - $80000. Actual compensation will be determined based on geographic location (current or future) experience and other job-related factors.

Required Experience: