Sr. 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.

The Job

The SeniorProviderRelations Leadis responsible forthe strategic development, governance, and sustainment of high-impact provider relationships across medical groups, primary care physicians, specialists, hospitals, and ancillary providers. This roleoperateswith a high degree of autonomy and strategic judgment, with responsibility for a defined provider portfolioin ageographic region, whilemaintainingthe agility to support enterprise priorities and evolving business needs.

This position serves as a senior partnertoNetworkContracting and othercross-functionalinternal stakeholders to ensure an integrated, seamless providerexperienceand lifecycle management experience. The SeniorProvider RelationsLead leads provider education and orientation efforts related to SCAN Health Plan programs, policies, and performance expectations, while driving ongoing engagement, relationship stewardship, andperformanceKPIs. The role "quarterbacks" the end-to-end provider relationship, acting as the primaryfirst line of engagement as well asescalation point and strategic liaison across cross-functional teams, including reporting, operations, clinical programs, quality, and growth initiatives.

It is integral for thisindividualtobe ableto understand the nuanced dynamics within a provider organization (be it a MSO, IPA, medical group, or practice)and independently navigatein order tomeet objectives needed for the partnership.This role must excel at account management skills including the ability to projectmanagemultiple complex tasks or issues,exhibitcritical thinking, proactiveness, and creative problem solving. The Senior Provider Relations Lead willhave a deep understanding ofsubject matter content around Medicare Advantage, Star Quality, coding,and foundational processes around delegation oversight, claims, grievance & appeals, and providercontractual constructs.

The SeniorProvider RelationsLead engages regularly with both front-line office staff and executive leadership at medical groupsand provider practices,demonstratingexecutive presence and the ability to influence at all organizational levels. This role is accountable for proactivelyidentifyingrisks, resolving complex and escalated issues, aligning stakeholders, and ensuring a consistently positive provider experience. Success in this role requires strong strategic thinking, cross-functional leadership, and the ability to drive outcomes in a matrixed environment.

You Will

• Operates with minimal to no supervision, exercising advanced judgment to manage complex, high-impact provider relations issues while prioritizing performance outcomes and operational effectiveness.

• Serves as the primary strategic contact and escalation point for assignedIPA/medical groups, PCPs, specialists, hospitals, and ancillary partners, with a deep understanding of the "who" (key stakeholders, decision-makers, influencers) and the "what" (businessobjectives, performance drivers, operational realities).

• Ownsproviderengagement strategy for an assigned region, provider type, or strategic portfolio, with accountability for improving provider performance, alignment, and consistency.
  Builds and sustains executive-level relationships with provider leadership and key office staff to influence performance expectations, accountability, and operational improvement.

• Partners with Contracting toidentify, engage, and support potential contracting opportunities, ensuring performance expectations and operational readiness areestablishedearly in the relationship.

• Leadsproviderorientation, ongoing education, and training initiatives to reinforce performance standards, regulatory requirements, and operational best practices.

• Drives cross-functional performance initiatives across Contracting, Operations, Clinical, Quality, and Analytics teams to address gaps, streamline processes, and improve provider outcomes.

• Investigates, resolves, and mitigates complex and escalated provider issues, leading root cause analysis and implementing sustainable performance improvements.

• Facilitates and leads data-driven operational and performance discussions with providers and internal stakeholders, translating insights into targeted improvement strategies for cost, quality, access, and operational metrics.

• Actively drives provider performance byidentifyingtrends, risks, and opportunities, influencing behavior change, and supporting corrective action plans and continuous improvement efforts.

• Providescoaching, guidance, and mentorship toProviderRelations Leads, elevating team capability to consistently drive provider performance and accountability.

• Ensures alignment with regulatory, contractual, and compliance requirements while advancing organizational priorities through disciplined execution and measurable performance improvement.

• 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

• 7 years of prior relevant experience

• Ability to build, sustain, andleverageexecutive-level provider relationships to drive performance improvement and operational alignment.

• Proven ability to analyze performance data,identifygaps, and drive targeted improvement strategies across cost, quality, access, and operational metrics.

• Demonstrated ability to understand the "who" and the "what" within complex organizations, navigate decision-making structures, and influence outcomes across multiple stakeholders.

• Ability to lead and align cross-functional teams (e.g., Contracting, Operations, Clinical, Quality, Analytics) without direct authority to achieve shared performanceobjectives.

• Expertisein diagnosing multifaceted provider issues, conducting root cause analysis, and implementing sustainable, system-level solutions.

• Strong ability to interpret complex data, translate insights into actionable recommendations, and drive accountability through performance metrics and KPIs.

• Ability to drive behaviorchangeamong providers and internal stakeholders, influencing adoption of best practices and performance standards.

• Advanced written and verbal communication skills, including the ability to deliver executive-ready presentations and translate complex concepts into clear, compelling messages.

• Proven ability to lead high-impact initiatives, prioritize competing demands, and deliver measurable outcomes in a matrixed environment.

• Ability to coach, guide, and mentor Provider Relations Leads, strengthening team capability and consistency without formal people management responsibility.

• Strong understanding of healthcare regulatory requirements, contractual frameworks, and compliance standardsimpactingprovider networks.

• Demonstrated ability tooperateindependently with sound judgment, balancing strategic priorities, risk, and performance outcomes.

• Ability to travelregularly toprovideroffices and sites within assignedregionto support relationship management, performance oversight, and issue resolution.

What's in it for you?

• Base Pay Range: $80,300 - $138,330 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

• 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)