provider relations specialist - El Monte, CA , USA, United States - Astrana Health

Astrana Health El Monte, CA , USA, United States

4 weeks ago

Description

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 network.

The Provider Relations Specialist 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:

Develop trusted relationships and maintain open lines of communication with providers through in-person visits, emails, phone
Conduct provider onboarding, orientation, and ongoing educational training throughout the year to ensure providers remain compliant.
Collaborate with other departments to ensure provider inquiries are resolved in a timely and effective manner
Create detailed reporting of provider visits, inquiries, trainings, and growth opportunities
Problem-solve and identify ways to address provider issues timely and effectively
Work cross-functionally with internal departments
Must be able to travel frequently to the assigned service areas
Other duties assigned by department leaders

Qualifications:

Bachelor's degree or equivalent years of experience preferred
2-3 years experience in provider network scope of services
Strong understanding of Managed Care Operations
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:

Patients First
Empowering the Independent Provider
Be Innovative
Operate with Integrity & Deliver Excellence
Team of One

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.
Occasionally required to work overtime and /or during the weekend. Must always have and maintain a reliable source of transportation.
The target pay range for this role is $65K - $75K 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 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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