Job Description

Provider Relations Specialist

Department: Market Ops - Bay Area

Employment Type: Full Time

Location: 355 Gellert Blvd, S200, Daly City, CA 94015

Reporting To: Kevin Phan

Compensation: $70,000 - $80,000 / year

We are currently seeking a highly motivated Provider Relations Specialist 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.

*This is an in-person role that requires some travel in San Francisco and San Mateo County Please see below for details.

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

• Build and maintain strong relationships with providers, serving as their primary point of contact through routine in-person visits, emails, or phone calls
• Conduct regular outreach, site visits, and training sessions to ensure engagement
• Collaborate with Internal Departments to ensure Provider Inquiries are resolved in a timely and effective manner
• Educate providers on company procedures, updates, and compliance requirements
• Monitor Provider Performance and identify opportunities for improvement
• Support provider onboarding by hosting training sessions with instructions and answering questions
• Other duties as assigned

Qualifications

• Must always have and maintain a reliable source of transportation
• 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)

You're great for the role if:

• You enjoy building relationships and working directly with healthcare providers
• You’re a strong communicator who can clearly explain processes and resolve issues
• You’re proactive and take initiative to solve problems before they escalate
• You work well both independently and as part of a team
• You’re adaptable and open to change in a dynamic healthcare environment

Environmental Job Requirements and Working Conditions

• Our organization follows an in-person work structure where the expectation is to work in office and travel on a weekly basis.
• This is a field representative position that requires travel to provider offices in San Francisco and San Mateo County. Travel is expected to be approximately 30% of your time, but it could vary depending on current projects or assignments. Anytime that you are not traveling, you will be working out of one of the two corporate office sites below.
  • Daly City office: 355 Gellert Blvd, S 200, Daly City, CA 94015
  • San Francisco office: 827 Pacific Ave, San Francisco, CA 94133
• Work hours are Monday through Friday 8:30am-5:00pm PST. Occasionally required to work overtime and /or during the weekend.
• The total compensation target pay range for this role is $70,000 - $80,000 per year. The salary range represents our national target range for this role. 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.