Provider Relations Manager

P3 Health Partners•Henderson, NV

1d•Hybrid

About The Position

The Provider Relations Manager is responsible for developing and maintaining collaborative relationships with contracted primary care providers, clinic leadership, office managers, and practice staff across P3 Health Partners' provider network. This role serves as the primary operational liaison between provider practices and internal departments to support value-based care initiatives, operational excellence, and provider satisfaction. Working collaboratively with Care Management, Quality, Risk Adjustment & Clinical Documentation (RACD), Compliance, Clinical Operations, Claims Operations, and Network Contracting, the Provider Relations Manager facilitates communication, resolves operational issues, supports provider education, and drives initiatives that improve provider performance, patient outcomes, regulatory compliance, and organizational goals. This position plays a critical role in ensuring providers are engaged, informed, and equipped to successfully participate in P3's delegated care model.

Requirements

Minimum of five (5) years of experience in Provider Relations, Provider Network Operations, Managed Care, Practice Management, Healthcare Operations, or a related healthcare environment.
Experience working with physicians, provider organizations, or medical practices required.
Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Nursing, or a related field required.
Proficiency with Microsoft Office applications, including Excel, PowerPoint, and reporting tools.
Ability to maintain confidentiality and exercise sound judgment in sensitive situations.

Nice To Haves

Experience supporting Medicare Advantage, delegated healthcare models, Accountable Care Organizations (ACOs), or value-based care initiatives preferred.
Previous leadership or supervisory experience preferred.

Responsibilities

Develop and maintain strong working relationships with physicians, advanced practice providers, clinic leadership, office managers, and practice staff within assigned provider networks.
Serve as the primary operational liaison between provider practices and internal departments to facilitate communication, collaboration, and issue resolution.
Partner with Care Management, Quality, Risk Adjustment & Clinical Documentation (RACD), Compliance, Clinical Operations, Claims Operations, and Network Contracting to support provider performance and operational initiatives.
Conduct routine provider office visits to strengthen relationships, assess operational needs, communicate organizational initiatives, and identify opportunities for improvement.
Collaborate with providers to improve quality outcomes, risk adjustment performance, clinical documentation, care coordination, patient access, and operational efficiency.
Educate providers and office staff on value-based care initiatives, quality programs, HEDIS, STARS, Risk Adjustment, Clinical Documentation Improvement (CDI), delegated responsibilities, and organizational workflows.
Coordinate implementation of new operational initiatives, regulatory requirements, policies, and process improvements within provider practices.
Investigate and resolve provider concerns related to operational workflows, claims, referrals, authorizations, eligibility, provider data, and other delegated services through collaboration with internal business partners.
Monitor provider satisfaction and proactively identify trends or concerns that may impact provider engagement, operational effectiveness, or network performance.
Support onboarding and orientation of newly contracted providers to ensure successful implementation of P3 operational processes and delegated responsibilities.
Analyze provider performance reports and operational metrics to identify improvement opportunities and assist providers in developing action plans.
Facilitate communication between provider practices and internal operational teams to ensure timely follow-up, accountability, and resolution of provider concerns.
Maintain documentation of provider interactions, issue resolution, provider education, and follow-up activities.
Participate in cross-functional committees, operational work groups, and provider engagement initiatives that support organizational objectives.
Ensure provider interactions and operational activities comply with applicable federal, state, CMS, contractual, delegated entity, and organizational requirements.
Promote the mission, vision, and values of P3 Health Partners.