Provider Relations in National City, California at BRIDGE PRENATAL LLC

Bridge Prenatal supports Medicaid prenatal and postnatal moms and their families with caring, coordinated, patient-centered services, including Enhanced Care Management (ECM). We are looking for a friendly, organized person to be the main contact for the doctors, clinics, health plans, and community groups who send patients to us.

In this role, you build strong partner relationships and make sure every referral is received, tracked, and followed through. You will make a real difference for families in your community.

Build partner relationships

• Take over new partner relationships from our Network Development team and help them grow

• Introduce OB/GYN and family medicine offices, clinics, hospitals, health plans, and community groups to our programs

• Be their go-to contact for questions and feedback

• Represent Bridge Prenatal at provider meetings and community events

Keep referrals moving

• Receive and review referrals, and follow up on anything missing

• Pass referrals to our Outreach Specialists so patients get connected quickly

• Track each referral until the patient enrolls or the referral is closed

• Let referring providers know the status, following HIPAA

Keep things organized

• Record referrals and partner contacts in our EHR and CRM

• Keep an up-to-date list of partners and the health plans they accept

• Share a simple monthly report on referral numbers and results

You'll be a great fit if you have:

• 4+ years in provider relations, referral or care coordination, health plan work, or healthcare outreach

• A bachelor's degree in public health, health administration, social work, communications, or a related field (or equivalent experience)

• Warm, professional communication skills with clinicians, health plan staff, and families from all backgrounds

• Strong organization and comfort with data and digital tools

• Experience with Athena, or comfort learning other EHR and CRM systems

• A private, HIPAA-compliant workspace, reliable high-speed internet, a valid driver's license, and reliable transportation for local visits

Bonus points for:

• Experience in obstetrics, maternal-child health, ECM, or perinatal care

• Knowledge of Medi-Cal managed care plans and authorization processes

• Existing relationships with providers and community groups in our service area

• Bilingual English/Spanish

• Do meaningful work that helps moms and babies in your own community

• Work from home while building real relationships with partners in person

• Join a supportive, team-based group that includes our Network Development, Outreach, and Clinical teams

• Keep learning through ongoing training on ECM, health plan, and clinical topics

Apply with your current resume and contact information. We can't wait to meet you.

Bridge Prenatal is an equal opportunity employer. We welcome applicants of all backgrounds and provide reasonable accommodations for qualified individuals with disabilities. Employment is contingent on a background check, any required credential verification, and a valid driver's license with proof of auto insurance. Applicants must be authorized to work in the United States; we are unable to offer visa sponsorship.