Provider Relations Specialist

Astrana Health

. Serve as the primary relationship contact for an assigned portfolio of providers across Medicare Advantage, Medicaid, Marketplace, and MSSP ACO programs.

Posted 10/13/2026full-timeUnited StatesJuniorMid-Level💰 $72,000 - $85,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Provider Relations and Network Management, with a strong focus on improving HEDIS performance and supporting value-based care initiatives. Proficient in analyzing performance data to drive actionable insights and enhance provider engagement.

Highest-signal resume keywords

Provider Relations ExperienceHEDIS Performance ImprovementData Analysis SkillsValue-Based Care KnowledgeRelationship-Building Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisQuality ImprovementUtilization ManagementCare Gap ClosurePerformance ReviewHealthcare OperationsNetwork ManagementProvider Performance InitiativesManaged Care KnowledgePopulation Health

Soft Skills

Relationship-BuildingCustomer ServiceProblem-SolvingCommunicationOrganizational Skills

Tools & Technologies

Microsoft Office SuiteExcelWordPowerPointOutlookTeamsSharePoint

Industry Keywords

Medicare AdvantageMedicaidMarketplaceMSSP ACOValue-Based CareProvider OrganizationsIPAsHealth PlansMedical GroupsProvider Engagement

About the role

Key responsibilities & impact

Serve as the primary relationship contact for an assigned portfolio of providers across Medicare Advantage, Medicaid, Marketplace, and MSSP ACO programs.
Build strong provider relationships through routine visits, education, onboarding, and ongoing support.
Partner with providers to improve HEDIS performance, close care gaps, enhance quality outcomes, and support population health initiatives.
Analyze provider quality, utilization, and cost-of-care performance data to identify trends and improvement opportunities.
Conduct provider performance reviews and develop action plans to drive measurable results.
Support provider engagement, retention, issue resolution, and network growth initiatives.
Collaborate with internal teams including Quality, Population Health, Clinical Operations, Credentialing, Contracting, and Analytics to support provider success.
Monitor provider performance, maintain accurate documentation, and communicate key insights, risks, and opportunities to leadership.
Promote high-quality, cost-effective care while supporting value-based care objectives across contracted networks.

Requirements

What you’ll need

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.

Benefits

Comp & perks

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.