Provider Relations Specialist

What You'll Do

Qualifications

• Bachelor's degree or equivalent combination of education and relevant experience preferred.
• 2-3 years of experience in Provider Relations, Network Management, Managed Care, Healthcare Operations, or a related healthcare field.
• Experience working with physician practices, medical groups, IPAs, health plans, ACOs, or provider organizations preferred.
• Knowledge of Medicare Advantage, Medicaid, Marketplace, MSSP ACO, value-based care, population health, and managed care programs.
• Familiarity with HEDIS measures, quality improvement, care gap closure, utilization management, and provider performance initiatives.
• Strong analytical skills with the ability to interpret performance data and translate findings into actionable recommendations.
• Excellent relationship-building, customer service, problem-solving, and communication skills.
• Strong organizational skills with the ability to manage multiple providers, priorities, and deadlines.
• Proficiency with Microsoft Office Suite, including Excel, Word, PowerPoint, Outlook, Teams, and SharePoint.
• Ability to travel regularly throughout assigned markets.
• An authentic passion for improving provider performance, patient outcomes, and advancing value-based care.

Environmental Job Requirements and Working Conditions

• This position is a field-based role and requires frequent travel throughout assigned markets and provider territories.
• Regular provider office visits are required to support relationship management, education, and performance improvement activities.
• Must maintain a valid driver's license and reliable transportation.
• Occasional evening, overtime, and weekend work may be required based on business needs and provider engagement activities.
• The target compensation range for this role is $72,000 - $85,000 annually. The range represents our national target range for this position and may vary based on experience, education, skills, internal equity, and business needs.