Astrana Health, Inc.
Provider Relations Manager
7 days ago
Riverside
Job DescriptionDescriptionJob Title: Provider Relations Manager (Inland Empire) Department: Provider Relations – Alpha Care About the Role: We are currently seeking a highly motivated Provider Relations Manager to specialize in building and maintaining relationships with healthcare providers in an assigned territory through routine visits and effective communication. Responsibilities include onboarding and training providers to ensure compliance with regulations, collaborating with internal departments to address inquiries, and developing strategies for provider retention and growth. The role requires detailed reporting on provider interactions and the ability to problem-solve effectively. Frequent travel within the service area is necessary. What You'll Do • Routine visits to providers in assigned territory to develop a trusted relationship and maintain open lines of communication between Alpha Care Medical Group 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, • 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, • 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, • 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 3975 Jackson Street, Ste 301, Riverside, CA 92503., • 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., • Assigned territory will be in the Inland Empire. 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.