Job Description

Join Astiva Health – Where Compassion Meets Innovation

At Astiva Health, we believe healthcare should be accessible, affordable, and deeply personal. Based in Orange, CA, we serve a diverse community through Medicare and HMO services designed to meet people where they are. We’re not just building networks, we’re building trust, equity, and better outcomes. If you’re ready to help reshape healthcare delivery with purpose and precision, we invite you to bring your talents to our team.

What You’ll Do

The Provider Support Coordinator (PSC) is entrusted with delivering exceptional service to Independent Practice Associations (IPAs), Medical Groups, Management Services Organizations (MSOs), providers, hospitals, and ancillary network providers. The PSC plays a vital role in the recommendation, development, and execution of Quality-of-Service strategies designed to enhance operational effectiveness and elevate provider satisfaction levels.

Why Astiva?

We’re more than a health plan—we’re a movement toward better care. At Astiva, you’ll find a culture of collaboration, innovation, and heart. We celebrate diversity, empower our teams, and invest in the communities we serve. Come build something meaningful with us.

Your Impact and Core Responsibilities

· Relationship Management: Foster strong, collaborative relationships with contracted Providers to ensure seamless communication and partnership.

· Issue Resolution: Coordinate between Providers and internal teams to quickly resolve questions about eligibility, benefits, contracts, claims, and referrals via phone, voicemail, and email.

· Data Accuracy: Conduct outreach to verify Provider information, ensuring the accuracy of the provider directory and compliance with regulatory requirements.

· Portal Support & Training: Assist Providers with portal account setup and deliver virtual training to enhance their ability to navigate and utilize the system efficiently.

· Credentialing Support: Partner with the Credentialing team to collect necessary documentation from Providers, supporting timely onboarding and compliance.

· Quality Improvement Collaboration: Support HEDIS and RAF initiatives by obtaining medical records, contributing to the organization’s quality performance metrics.

· Provider Education: Coordinate and facilitate Provider meetings focused on education and initiatives such as annual wellness exams.

· Policy Adherence: Maintain up-to-date knowledge of departmental policies, procedures, and programs to ensure consistent and compliant operations.

· Flexibility: Perform additional duties as needed to support departmental goals and organizational success.

· Enhances Provider satisfaction and engagement through responsive and proactive support.

· Improves operational efficiency by resolving Provider issues quickly and accurately.

· Supports compliance and data integrity through diligent verification and documentation.

· Contributes to quality care outcomes by facilitating Provider participation in key health initiatives.

· Strengthens the organization’s reputation and performance through effective provider relations and collaboration.

What You Bring

Education & Experience

· Bachelor’s degree in Business, Healthcare Administration, Finance, or equivalent experience

· 1 year previous experience in a provider relations role within a health plan, IPA, or medical group strongly desired. Skills & Competencies

· Strong working knowledge of Medicare, Medicaid and HMO health plan required.

· Strong critical thinking and independent research skills for complex issues.· Practical problem-solving skills and a collaborative mindset

· Self-motivated with a positive attitude and customer service orientation

· Strong written and verbal communication skills

· Fluent in Vietnamese, Korean, Spanish, or Chinese. Preferred

Benefits That Support You

· 401(k) Retirement plan

· Health, Dental, and Vision Insurance

· Health savings account

· Life insurance

· Paid time off and Holidays

· Referral program

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