Provider Relations Lead

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do.

Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.

Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.

At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

Job Description:

The Job

The Provider Relations Lead will be responsible for building and maintaining effective provider relationships with medical groups, primary care physicians, specialists, hospitals and ancillaries. The Provider Relations Lead may focus on a particular provider type or geographic region, but will have skillsets to be agnostic and flexible based on business needs.

The job entails partnering closely with Contracting counterparts to facilitate an integrated onboarding process, conducting provider awareness and orientation about SCAN Health Plan, ongoing education and outreach, relationship building with office staff and providers, and quarterbacking the overall relationship including acting as the liaison with cross-functional stakeholders across reporting needs, performance monitoring, issue resolution, and clinical programs or growth efforts with the group/provider.

There will be daily interface with office staff and providers, as well as interactions with corporate leadership at medical groups and constant collaboration with internal stakeholders to effectively establish and maintain a positive provider experience and resolve escalated issues in a timely manner.

You Will

• This position will perform work under no/minimal supervision while handling complex issues and problems and work complex issues with managers.

• The Provider Relations Lead will serve as primary contact for medical groups, providers, hospitals and ancillaries and act as a key liaison between the providers/entities and the health plan.

• Closely partners with Contracting to facilitate an integrated onboarding experience, leading project management planning for cross-functional onboarding efforts and establishing a robust playbook.

• Establish and maintain excellent relationships with the provider network, with efforts focused on a particular region in which the Lead is based locally.

• The Provider Relations Lead conducts office staff and provider orientation, on-going education, training and relationship building both virtually and via onsite visits.

• Conducts regular provider office visits within assigned geographic region.

• Investigates and responds to escalated provider concerns and issues.

• The Provider Relations Lead participates in data driven operations meetings with assigned network of providers, corporate leadership and internal SCAN stakeholders.

• Creates educational materials and formal presentations to support provider touchpoints and initiatives.

• Supports cost and quality performance monitoring of the provider network, and liaison for trainings on deficiencies.

• Coordinates data extracts and data analysis interpretation.

• Partners with Contracting on network adequacy and robustness of local provider access and reputation to evaluate the need for additional providers; supports on internal awareness of network changes.

• Acts as a key liaison for network needs to support clinical programs or growth efforts.

• The Provider Relations Lead coordinates efforts to ensure SCAN and its contracted providers follow regulatory requirements.

• May provide leadership, coaching, and/or mentoring to group.

• Supports on internal company initiatives/projects/process improvements that further improve provider experience.

• Actively support the achievement of SCAN’s Vision and Goals.

• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

• Actively support the achievement of SCAN’s Vision and Goals. 

• Other duties as assigned.

Your Qualifications

• Bachelor’s degree or combination of education/experience and/or training will be considered equivalent to the education.

• 3-5 years of prior relevant experience in a health plan, medical group or equivalent environment

• Knowledge of medical group, provider, hospital, ancillary contract language

• Knowledge of health plan, medical group risk arrangements strongly preferred

• Experience in Project Management

• Strong quantitative, written and oral communication skills including presentations, and interpersonal skills strongly preferred

• Ability to travel to meet with office staff and providers

• Ability to present in group settings, independently drive provider issues to resolution

• Strong multi-tasking and organization skills with minimal supervision

• Ability to execute work under pressure and tight deadlines

• Ownership mentality

• Ability to collaborate with various internal functional areas, be a team player, and cultivate business relationships with various constituents

What's in it for you?

• Base Pay Range: $71,700 to $103,732 annually

• Work Mode: Mostly Remote

• An annual employee bonus program

• Robust Wellness Program

• Generous paid-time-off (PTO)

• 11 paid holidays per year, plus 1 additional floating holiday, plus 1 birthday holiday

• Excellent 401(k) Retirement Saving Plan with employer match

• Robust employee recognition program

• Tuition reimbursement

• An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team!  Qualified applicants are encouraged to apply now!

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, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)