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Director - Provider Relations @ Astrana Health, Inc.

19500 HWY 249, Suite 570 Houston, TX 77070, TexasOnsiteFull-time
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About this role

About the Role We are seeking a highly motivated Director, Provider Relations to support our Provider Relations team at Astrana Health. This senior leadership role is responsible for developing and executing provider engagement, practice transformation, provider performance improvement, and value-based care strategies across assigned markets. The Director serves as the strategic liaison between Astrana Health and contracted provider partners and is accountable for driving improvements in quality performance, risk adjustment, utilization management, provider satisfaction, operational effectiveness, and financial outcomes. This role partners closely with Quality, Risk Adjustment, Operations, Network Development, Contracting, Claims, Clinical Operations, and executive leadership to ensure providers succeed within value-based care arrangements. The ideal candidate is a strategic healthcare leader with deep expertise in provider operations, managed care, population health, and value-based care who is passionate about improving outcomes for patients, providers, and the healthcare system. Our Values Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team Develop and execute provider engagement and performance improvement strategies aligned with organizational and market goals Lead provider-facing initiatives focused on quality improvement, risk adjustment, utilization management, value-based care performance, and financial sustainability Partner with provider organizations to drive practice transformation, workflow optimization, care coordination, and population health management initiatives Monitor provider performance against key metrics and develop action plans to improve quality outcomes, coding accuracy, documentation, utilization, and cost of care Serve as a strategic advisor and executive sponsor for key provider organizations and partnerships Collaborate with internal teams to address provider operational issues related to claims, authorizations, credentialing, rosters, directory accuracy, and delegated services Support network development, provider retention, network optimization, and market expansion initiatives Lead provider education efforts related to HEDIS, CMS Star Ratings, risk adjustment, value-based care programs, and regulatory requirements Analyze provider, clinical, operational, utilization, and financial performance data to identify trends and improvement opportunities Develop executive-level reporting and present provider performance updates, recommendations, and strategic initiatives to leadership and stakeholders Lead, mentor, and develop Provider Relations Managers and market-based provider engagement teams Foster a culture of accountability, collaboration, continuous improvement, and performance excellence

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