California Provider Relations Manager

Job Summary

To enhance provider relationships, the full-time California Provider Relations Manager will manage a medium to low complex book of business, ensuring an optimal provider experience through collaboration, strategic planning, and service improvements in a remote setting.

Key responsibilities

• Accountable for the end-to-end provider experience and overall service delivery for assigned providers
• Proactively identifies opportunities and risks, driving resolution to enhance provider relations
• Develops and maintains strategic action plans for individual providers, promoting service improvements

Required qualifications

• Bachelor's degree or equivalent work experience preferred
• 5+ years of experience in provider relations preferred
• Claims administration experience preferred
• Solid proficiency in Microsoft Office Suite (Outlook, Teams, Excel, PowerPoint, Word)
• Understanding of medical insurance products and associated provider issues