Provider Relations Lead, Washington
Core
Managing and strengthening provider relationships within a geographic region to execute performance initiatives across quality, cost, utilization, access, and regulatory metrics.
Role type
Provider Relations Lead
Builds
Performance execution and engagement for contracted providers (MSOs, IPAs, medical groups, hospitals, ancillaries) to improve Star ratings, cost of care, and risk adjustment.
Domain
Healthcare / Medicare Advantage
Deliverable
client delivery
Required skills
Provider relationship management, performance improvement initiatives, regulatory compliance, data analysis, cross-functional partnership, operational liaison, onboarding support, escalation management, provider training, workflow optimization
Preferred skills
Curiosity about AI and its operational applications
Technologies
None explicitly stated
Responsibilities
Act as primary operational liaison between SCAN and assigned provider organizations; Execute and monitor regional provider performance initiatives aligned to KPIs; Conduct regular operational touchpoints and Joint Operating Committee meetings with providers; Partner cross-functionally with Network Contracting, Network Operations, Clinical, Quality, Growth, and Analytics teams; Support provider onboarding and lifecycle management; Investigate and resolve provider escalations and operational concerns; Deliver provider education and training related to SCAN programs and regulatory requirements; Analyze provider-level data to identify trends and opportunities; Ensure provider alignment with regulatory, contractual, and compliance requirements; Support internal communication of network changes and market insights.
Seniority
Mid-level, hands-on IC