[Hiring] Provider Network Manager @Astrana Health, Inc.

Role Description

Astrana is seeking a Provider Network Manager to be responsible for building and maintaining strong provider relationships to support engagement, satisfaction, compliance, and performance in the Accountable Care Organization (ACO).

• Independently manage complex, cross-functional projects.
• Exercise sound judgment in evaluating performance and recommending strategies that impact value-based care outcomes.
• Analyze practice performance and execute strategies to improve and optimize ACO performance across Florida and emerging markets.
• Identify practice-specific opportunities and translate data into actionable strategies.
• Drive ACO initiatives aligned with organizational and market objectives.
• Serve as a strategic partner to internal stakeholders and external providers.
• Integrate data analysis, provider engagement, and operational execution to drive sustainable performance improvement.

Our Values:

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

What You'll Do:

• Serve as a primary point of contact for ACO providers, guiding them through recruitment, onboarding, education, and process improvement processes.
• Conduct in-person and virtual meetings with physicians, provider groups, and staff members to present practice-specific improvement opportunities.
• Identify and recommend improvements to provider engagement strategies and onboarding experiences.
• Build and maintain relationships with key provider stakeholders to support long-term ACO success.
• Monitor overall provider performance utilizing performance data and insights (i.e., quality, utilization, referral management, risk).
• Support HCC improvement activities with assigned practices, in collaboration with Astrana’s coding team.
• Implement provider change management activities at the practice and market level.
• Serve as a liaison among Value-Based Care, Business Development, Operations, Quality, and other internal teams.
• Provide data-driven insights and recommendations to leadership for operational improvements.
• Serve as a subject matter expert on Market Representative activities that support ACO performance.
• Partner with leadership to align performance improvement initiatives with broader ACO and organizational objectives.
• Other duties as assigned.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required.
• At least 5 years of experience in provider network relations, healthcare operations, managed care, or related field.
• Experience in provider relations and ACO experience preferred.
• Demonstrated experience analyzing data and making recommendations that impact business or operational outcomes.
• Valid driver’s license with ability to travel within the Florida service area and occasionally to the West coast.
• Demonstrated ability to exercise independent judgment and discretion in evaluating provider opportunities for ACO performance improvement.
• Strong analytical skills with the ability to interpret data and translate findings into actionable strategies.
• Understanding of value-based care and ability to bridge the gap in provider understanding of the concepts.
• Knowledge of CMS, Medicare, and ACO regulatory requirements.
• Ability to influence stakeholders and build relationships with providers and internal partners.
• Strong communication and presentation skills.
• Ability to manage multiple priorities and adapt in a fast-paced environment.
• Proficiency in Microsoft Office and data/reporting tools.

Requirements

• This is a full-time, remote position with regular travel and field-work required across Florida (travel up to Jacksonville and down to Miami required).
• Travel to California and Nevada will also be required per business need.
• The national target compensation for this position is $70,000 - $95,000 per year.
• Actual compensation will be determined based on geographic location, experience, and other job-related factors.

Company Description

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.