Director - Provider Relations

Director - Provider Relations

Department: ApolloCare TX - Provider Relations

Employment Type: Full Time

Location: 19500 HWY 249, Suite 570 Houston, TX 77070

Reporting To: Karen Holt

Compensation: $100,000 - $130,000 / year

Description

Job Title: Director - Provider Relations
Department: Provider Relations

About the Role:

The Director of Business Development & Provider Relations will lead the growth and optimization of Astrana Health's provider network through strategic partnerships, market expansion, and value-based care alignment. This dual-role position requires a balance of outward-facing business development acumen and inward-facing provider relationship management expertise. You will drive the acquisition of new provider groups and ensure the long-term success of those relationships in alignment with Astrana's population health and VBC objectives.

Our Values:

• Patients First
• Empowering the Independent Provider
• Be Innovative
• Operate with Integrity & Deliver Excellence
• Team of One

What You'll Do

Business Development:

• Identify, assess, and negotiate with independent physician associations (IPAs), medical groups, and health systems to join Astrana's network.
• Develop and execute strategic growth initiatives to expand Astrana's provider network in targeted markets.
• Identify, assess, and negotiate with independent physician associations (IPAs), medical groups, and health systems to join Astrana's network.
• Lead end-to-end deal management including prospecting, financial modeling, contract negotiations, and onboarding.
• Supporting network expansion, contract implementation, and provider onboarding.

Provider Relations:

• Serve as the strategic relationship lead for contracted providers post-acquisition to ensure alignment with Astrana's care delivery and value-based performance standards.
• Serving as a liaison between provider organizations and internal stakeholders in contracting, quality, analytics, and claims.
• Develop engagement strategies to enhance provider satisfaction, retention, and performance in shared savings programs.
• Conduct regular business reviews with providers to identify opportunities for improvement, education, and operational alignment.
• Resolve provider escalations and act as liaison between network partners and internal departments.
• Collaborate with leadership to scale provider engagement strategies tailored to multiple payors and models.

Qualifications

• Bachelor's degree required; Master's preferred.
• 8+ years in managed care, network development, or provider relations, with at least 3 years in leadership strategic role.
• Deep understanding of Medicare Advantage, ACO REACH, and population health models.
• Proven leadership skills, with experience coaching and developing cross-functional teams.
• Financial and quality performance acumen, including RAF/HCC, MLR, Stars, and HEDIS.
• Strong negotiation and relationship management skills.
• Experience creating tools, workflows, and team playbooks to scale operations.
• Knowledge of Texas markets and healthcare delivery preferred.

Environmental Job Requirements and Working Conditions

• Our organization follows an in-person work structure where the expectation is to work in office on a weekly basis. The office is located at 19500 HWY 249, Suite 570 Houston, TX 77070.
• This position is a field position and requires traveling depending on assignments. or projects. This could be 25-30% of the time and also requires monthly visits to provider offices.
• The total compensation target pay range for this role is $100,000 - $130,000 annually and represents our national target range for this role.