Job Description

Provider Relations Specialist

Department: Provider Relations

Employment Type: Full Time

Location: 19500 HWY 249, Suite 570 Houston, TX 77070

Reporting To: Terry Caston

Compensation: $72,000 - $80,000 / year

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 IPA’s 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 You'll 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

• 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
• 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: $72,000 - $80,000. 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 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.