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Sr. Provider Relations Lead, Southern California

$80.3k - $138.33k

SHPCA SCAN Health Plan

Senior Provider Relations Lead Driving measurable outcomes across quality, cost, utilization, access, and regulatory performance while serving as the primary senior liaison between SCAN and provider leadership. Responsibilities Provide strategic performance governance and executive-level relationship management for high‑complexity provider groups within an assigned geographic region. Identify performance trends across markets and ensure consistent execution of provider performance initiatives. Lead complex performance reviews and executive-level governance forums, translating multi‑dimensional data into actionable improvement plans. Partner cross‑functionally with Contracting, Network Operations, Clinical, Quality, Analytics, and Growth teams to align enterprise strategies and coordinate provider initiatives. Analyze provider-level performance data, develop, implement, and monitor corrective action plans with defined milestones and governance oversight. Investigate and resolve high‑impact escalations, conduct root‑cause analysis, and implement sustainable process improvements. Support strategic contracting and provider partnership efforts, aligning operational readiness, performance expectations, and governance frameworks. Coach and mentor Provider Relations Leads to strengthen performance management capability and consistency of engagement practices. Ensure provider alignment with regulatory, contractual, and compliance standards, proactively addressing risks. Drive continuous improvement initiatives to enhance provider experience, operational efficiency, and performance accountability. Qualifications Bachelor's Degree or equivalent experience. 7+ years of relevant healthcare or Medicare Advantage experience. Experience working with delegated or risk‑based provider arrangements. Experience leading cross‑functional initiatives. Experience presenting to executive provider leadership. Experience managing complex provider relationships. Demonstrated performance improvement leadership. Advanced technical skills and problem‑solving abilities aligned to functional strategy. Ability to partner across a variety of functions throughout the enterprise. Advanced experience developing relationships with all provider types. Benefits Base Pay Range: $80,300 - $138,330 per year. Mostly Remote work mode. Annual employee bonus program. Robust wellness program and tuition reimbursement. Generous paid‑time‑off (PTO) and 11 paid holidays per year, plus 1 additional floating holiday. Excellent 401(k) retirement saving plan with employer match. Robust employee recognition program. Equal Opportunity Employer At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity and affirmative action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, marital status, disability, protected veteran status or any other status protected by law. A background check is required. #J-18808-Ljbffr SHPCA SCAN Health Plan

Vacancy posted 5 days ago
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