Sr. Provider Relations Lead, Houston

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.

About the role

The Senior Provider Relations Lead - Houston is responsible for strategic performance governance and executive-level relationship management for high-complexity provider groups within an assigned geographic region. This role drives measurable outcomes across quality, cost, utilization, access, and regulatory performance while serving as the primary senior liaison between SCAN and provider leadership. The Senior Lead provides oversight across markets, identifies performance trends, and ensures consistent execution of provider performance initiatives. This role also serves as a subject-matter leader, coaching and developing other Provider Relations Leads and elevating overall team effectiveness.

Responsibilities

• Serves as the senior strategic contact and primary escalation point for assigned high-complexity provider organizations, including IPAs, MSOs, medical groups, hospitals, and ancillary partners, maintaining executive-level engagement, accountability, and alignment with SCAN’s strategic, financial, and regulatory objectives.
• Owns and drives regional provider performance strategy across assigned markets, delivering measurable improvements in quality outcomes, utilization management, cost performance, risk adjustment, network adequacy, access, and growth initiatives, while ensuring consistent execution of enterprise performance priorities.
• Leads complex performance reviews and executive-level governance forums with provider leadership, translating multi-dimensional performance data into actionable improvement plans that advance quality, financial sustainability, and operational effectiveness.
• Partners cross-functionally at a senior level with Contracting, Network Operations, Clinical, Quality, Analytics, and Growth teams to align enterprise strategies, coordinate provider initiatives, and ensure integrated execution across markets.
• Analyzes provider-level performance data across regions to identify trends, risks, and opportunities; develops, implements, and monitors corrective action plans with defined milestones, governance oversight, and performance accountability.
• Leads investigation and resolution of high-impact, multi-department escalations, conducting structured root cause analysis and implementing sustainable process and performance improvements that mitigate operational, financial, and regulatory risk.
• Supports strategic contracting and provider partnership efforts by aligning operational readiness, performance expectations, and governance frameworks to ensure successful execution of contractual, delegated, and risk-based arrangements.
• Provides subject-matter leadership by coaching and mentoring Provider Relations Leads, strengthening performance management capability, data fluency, executive presence, and consistency of provider engagement practices across the team.
• Ensures provider alignment with regulatory, contractual, delegation oversight, and compliance standards, proactively identifying and addressing risks to support sustained performance, audit readiness, and organizational integrity.
• Drives continuous improvement initiatives across assigned markets that enhance provider experience, operational efficiency, and performance accountability, while advancing scalable best practices and enterprise consistency.
• Actively support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

Requirements

• Bachelor's Degree or equivalent experience
• 7 years of relevant healthcare / health plan or Medicare Advantage experience in a Provider Relations or similar role
• Experience working with delegated or risk-based provider arrangements
• Experience leading cross-functional initiatives
• Experience presenting to executive provider leadership
• Experience managing complex provider relationships
• Demonstrated performance improvement leadership
• Advanced technical skills for functional area
• Advanced problem-solving skills and critical thinking capabilities that tie to functional strategy
• Advanced ability to partner with variety of functions across the enterprise
• Advanced experience developing relationships with all provider types
• Must live in or within a reasonable commute of the Houston, TX area

Pay

Base Pay Range: $80,300 - $138,330 annually

Schedule

Work Mode: Mostly Remote with travel throughout the assigned territory

Benefits

• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 11 paid holidays per year, plus 1 birthday holiday, and 1 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!