About this role
About the Role
- We are currently seeking a highly motivated Market Provider Relations Specialist to support our IPA Operations / Provider Relations team at Astrana Health.
This field-based role serves as the primary liaison between Astrana Health and assigned provider practices, supporting provider engagement, practice transformation, quality improvement, risk adjustment performance, utilization management, and value-based care initiatives. The Market Provider Relations Specialist partners closely with physicians, practice leadership, and care teams to identify operational and clinical improvement opportunities, implement value-based care strategies, and support achievement of organizational performance goals.
Through provider education, performance analysis, workflow optimization, and ongoing relationship management, this role helps practices improve patient outcomes, documentation accuracy, operational effectiveness, and financial performance. The ideal candidate is relationship-driven, analytical, and passionate about helping providers succeed in a value-based care environment. Our Values Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team Serve as the primary point of contact for assigned provider practices and build strong relationships with physicians, office managers, practice administrators, and clinical staff Conduct provider meetings and site visits to review performance, discuss initiatives, address challenges, and support improvement efforts Support provider engagement, practice transformation, quality improvement, risk adjustment, utilization management, and value-based care initiatives Educate providers and practice staff on HEDIS, CMS Star Ratings, risk adjustment, documentation requirements, population health, and quality improvement programs Review provider performance reports and scorecards, identify improvement opportunities, and assist with development of action plans Support providers in improving documentation accuracy, coding practices, care gap closure, chronic disease management, and patient outcomes Assist with operational questions related to claims, referrals, authorizations, credentialing, provider data, and other provider service functions Partner with Quality, Risk Adjustment, Care Management, Medical Management, Claims, Contracting, Credentialing, and Operations teams to support provider success Monitor provider engagement activities, maintain accurate documentation, and provide updates on market and provider performance Support implementation of new programs, payer initiatives, regulatory requirements, and organizational priorities