Provider Network Coordinator

Company Overview:

Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It’s no wonder 98% of patients report being fully satisfied with Upward Health!

Role Overview:

The Provider Network Coordinator (PNC) plays a critical role in embedding Upward Health within the local care ecosystem, with a primary focus on developing, activating, and sustaining partnerships with primary care practices. This role is responsible for introducing Upward Health to new PCPs and ensuring practices clearly understand when, how, and why to refer patients to Upward Health.

The PNC serves as the day-to-day liaison between external providers and internal care teams, supporting smooth care transitions, timely information exchange, and shared accountability for quality and outcomes. The PNC partners closely with PCPs, specialists, hospitals, and community-based organizations to support care gap closure, reduce avoidable utilization, and improve patient experience.

This role requires a proactive, relationship-driven self-starter who is comfortable with field-based outreach, practice-level problem solving, and building repeatable engagement processes that can scale as markets grow.

Key Responsibilities:

PCP Engagement & Referral Enablement

• Proactively identify, prioritize, and engage high-impact primary care practices, including independent PCPs and group practices
• Lead introductory meetings and follow-up touchpoints with PCPs to establish referral pathways and clarify Upward Health’s value proposition
• Educate practices on referral criteria, shared mutual patients, and communication expectations, ensuring providers know when and how to engage Upward Health
• Distribute and reinforce use of PNC materials (one-pagers, referral guides, contact pathways) to support consistent practice adoption

 

Care Coordination and Quality Alignment

• Coordinate with internal care teams and external providers to support aligned care plans, timely handoffs, and closed-loop communication
• Partner with providers to identify and close priority care gaps (e.g., preventive screenings, chronic disease management, post-discharge follow-up)
• Use provider and patient insights to support quality performance, enrollment growth, and reduction in avoidable hospitalizations

 

Data, Systems, & Process Ownership

• Maintain accurate provider, practice, and engagement data, including outreach activity, referral readiness, and relationship status
• Track provider engagement trends and surface barriers to referrals or collaboration, partnering with leadership to address them
• Contribute to the development and standardization of provider engagement workflows, ensuring consistency across markets

 

Skills Required:

• Demonstrated ability to engage primary care practices and influence adoption of new workflows
• Comfort translating clinical or operational concepts into clear, practice-friendly messaging
• Experience supporting or understanding referral-based programs, value-based care, or care management models (preferred)

 

 Key Behaviors:

• Establishes credibility with PCPs by being responsive, reliable, and solutions-oriented
• Proactively identifies where provider engagement is stalling and adjusts outreach strategies accordingly
• Balances autonomy with collaboration, keeping care teams informed while independently driving provider relationships
• Represents Upward Health consistently and professionally in practice meetings, site visits, and community forums

 

Measures of Success:

• Growth in active PCP partnerships and referral-ready practices
• Timeliness and effectiveness of care coordination with external providers
• Contribution to care gap closure and quality outcomes
• Consistent documentation of provider engagement activity in Salesforce

 

Competencies:

Interpersonal Communication: Able to connect and communicate effectively with both clinical and community partners.

Collaboration: Works closely with care teams and external organizations to align on goals and ensure smooth patient transitions.

Problem Solving: Uses data and partner feedback to troubleshoot gaps in care and improve resource navigation. Ability to think critically and adapt strategies to meet the evolving needs of patients and external partners.

Technology Proficiency: Comfortable using tools like Salesforce and EMRs to manage partner directories and track outcomes.

Community Engagement: Acts as a liaison between Upward Health and the local ecosystem, representing the organization at events and meetings.

Attention to Detail: Ensures accurate and up-to-date documentation of resources and partner relationships.

 

Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.