Manager - Provider Relations - El Monte, United States - Astrana Health

Astrana Health El Monte, United States

2 weeks ago

Description

Job Title: Manager - Provider Relations

Department: Provider Relations Department

About the Role:

We are currently seeking a highly motivated Provider Relations Manager. This role will report to our Director - Provider Relations.

What You'll Do:

Routine visits to providers in assigned territory to develop a trusted relationship and maintain open lines of communication between internal and external stakeholders
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
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

Qualifications:

At least two (2) years' experience in provider network scope of services
Strong understanding of Managed Care Operations (i.e., Quality, HEDIS, HCC, etc.)
Minimum of two (2) years' customer service, provider services or relevant work experience in a healthcare setting
Excellent oral and written communication skills
Proven in MS office programs (i.e., Excel, Word, Outlook and PowerPoint)

You're great for this role if:

Experienced in healthcare - provider engagement, Medicare, Commercial and Medi-Cal managed care systems
Detail oriented and possess strong organizational skills in a fast-paced environment.
Strong priority management
Passionate about helping others
Comfortable working in a fast-paced environment

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
Be Innovative
Operate With Integrity & Excellence
Work As One Team

Environmental Job Requirements and Working Conditions:

Our organization follows an in-person work structure where the expectation is to work in office on a weekly basis. The office is located at 9700 Flair Drive, El Monte, CA 91731.
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.
The total compensation target pay range for this role is $85,000 - $90,000. 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 [email protected] 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.

provider relations specialist

4 weeks ago

Astrana Health El Monte, CA , USA, United States

Job Title: Provider Relations Specialist · Department: Provider Relations Department · About the Role: · We are currently seeking a highly motivated Provider Relations Specialist responsible for field and office activities in providing education and supporting the IPA's providers ...
Provider Relations Specialist

1 hour ago

Astrana Health El Monte, United States

· Job Title: Provider Relations Specialist · Department: Provider Relations Department · About the Role: · We are currently seeking a highly motivated Provider Relations Specialist responsible for field and office activities in providing education and supporting the IPA's provid ...
Manager - Provider Relations

4 weeks ago

Astrana Health El Monte, United States

Job Title: Manager - Provider Relations · Department: Provider Relations Department · About the Role: · We are currently seeking a highly motivated Provider Relations Manager. This role will report to our Director - Provider Relations. · What You'll Do: · * Routine visits to prov ...
Provider Relations Representative

1 hour ago

Clever Care Health Plan Arcadia, United States

Wage Range: $24.00/hr - $28.00/hr · Job Summary · This position serves as an integral member of the Provider Relations and Contracting Team and reports to the Senior Manager of Community & Provider Development. This role assists and supports day-to-day contracting, network develo ...
Provider Relations Specialist

4 weeks ago

Apollo Medical Holdings, Inc. El Monte, United States

Job Title: · Provide · r · Relations · Specialist · Department: · Provider Relations · Department · About the Role: · We are currently seeking a highly motivated · Provider Relations Specialist responsible for field and office activities in providing education and supporti ...
Provider Relations Specialist

3 weeks ago

Astrana Health El Monte, United States

· Job Title: Provider Relations Specialist · Department: Provider Relations Department · About the Role: · We are currently seeking a highly motivated Provider Relations Specialist responsible for field and office activities in providing education and supporting the IPA's pro ...
Provider Relations Representative

1 week ago

CLEVER CARE OF GOLDEN STATE INC Arcadia, United States

**Wage Range**: $24.00/hr - $28.00/hr · **Job Summary** · This position serves as an integral member of the Provider Relations and Contracting Team and reports to the Senior Manager of Community & Provider Development. This role assists and supports day-to-day contracting, networ ...
Marketing & Provider Relations

2 weeks ago

United Medical Imaging Healthcare Los Angeles, United States

Job Description · Job DescriptionWe are large Imaging group, with 26 locations in Southern California, proud leading providers of quality healthcare to the community. Our centers are equipped to treat diagnostics, traumatic, and life-threatening injuries, with caring and innovati ...
Provider Relations Representative

1 day ago

Molina Healthcare Long Beach, United States

Job Description · ***Remote and must live in the San Diego area*** · Job Description · Job Summary · Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthc ...
Provider Relations Manager

3 days ago

Dental Health Services Long Beach, United States

Job Description · Job DescriptionYou will contribute to the strength of our team approach to collaborative dental health. · Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized hea ...
Provider Relations Coordinator

4 days ago

Optum Signal Hill, United States

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel ...
Provider Relations Coordinator

3 days ago

Dental Health Services Long Beach, United States

Job Description · Job DescriptionYou will contribute to the strength of our team approach to collaborative dental health. · Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized hea ...
Temporary Provider Relations Representative

3 weeks ago

Motion Picture Industry Pension & Health Plans Los Angeles, United States

Motion Picture Industry Pension & Health Plans (MPI) is seeking a temporary Provider Relations Representative. The Representative reviews escalated health claims for reconsideration, confirms accumulator benefits to outside vendors, and communicates with participants and provider ...
Provider Relations Network Manager

1 day ago

Regal Medical Group Orange, United States

Job Description · We are looking to hire a Provider Relations Network Manager to help support our Provider Relations Network Management team in Southern California in Orange County and surrounding areas. · The Provider Relations Network Manager is responsible for general manage ...
Provider Relations Specialist I

4 weeks ago

CorVel Healthcare Corporation Irvine, United States

Job Description Job Description CorVel is hiring a Provider Relations Specialist for the Irvine, CA office. The Provider Relations Specialist assists providers via phone and email with basic to complex bill review questions and requests. Documents bill review errors for tracking ...
Provider Relations Representative

2 weeks ago

Molina Healthcare Long Beach, United States

Job Description***Remote and must live in the San Diego area***Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall ...
Provider Relations Representative

4 weeks ago

Molina Healthcare Long Beach, United States

Job Description***Remote and must live in downstate New York***Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall ...
Provider Relations Representative

3 weeks ago

Molina Healthcare Long Beach, United States

Job Description · ***Remote and must live in downstate New York*** · Job Description · Job Summary · Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthc ...
Provider Relations Manager

3 weeks ago

Molina Healthcare Long Beach, United States

**Remote and must live in Wisconsin** · **Job Description**: · Job Summary · Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, co ...
Dir, Provider Relations

2 weeks ago

Molina Healthcare Long Beach, United States

Job Description · Job Summary · Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in complian ...