ZipRecruiter

Log In

1

Director Provider Relations Jobs (NOW HIRING)

Genex

Provider Relations Manager, MRS

Schaumburg, IL · On-site

This position is responsible for direct oversight of provider relations representatives working in a call-center environment. Handles hiring, coaching, and overall management of a team of 10-12 ...

RXinsider LTD.

$60 - $90/hr

As a Provider Relations Representative at Optum, you will act as a direct interface between Optum and the affiliated physicians in Optum's Independent Physician Association (IPA) network and support ...

previous page

Showing results 41-60

All JobsBusiness JobsMarketing JobsStrategic Partnership Manager JobsDirector Provider Relations Jobs

Director Provider Relations information

See salary details

$39K

$100.9K

$173.5K

How much do director provider relations jobs pay per year?

As of Sep 7, 2026, the average yearly pay for director provider relations in the United States is $100,880.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,000.00 and $131,500.00 per year, depending on experience, location, and employer.

What are some common challenges faced by a director of provider relations and how can they be addressed?

Directors of Provider Relations often encounter challenges such as managing complex contract negotiations, maintaining strong relationships with healthcare providers, and ensuring compliance with regulatory requirements. To address these, it's important to have strong communication and negotiation skills, stay updated on industry regulations, and foster a collaborative environment with providers. Building trust and transparency with both internal teams and external partners is key to effectively navigating these challenges and ensuring successful partnerships.

What are the key skills and qualifications needed to thrive as a director of provider relations, and why are they important?

To thrive as a Director of Provider Relations, you need expertise in healthcare management, contract negotiation, and provider network development, typically supported by a bachelor's or master's degree in healthcare administration or a related field. Familiarity with healthcare information systems, claims processing platforms, and regulatory compliance tools is essential. Outstanding interpersonal skills, strategic thinking, and the ability to resolve conflicts make professionals excel in this role. These skills are vital to building strong provider partnerships, ensuring regulatory compliance, and achieving organizational goals in a complex healthcare environment.

What is the difference between Director Provider Relations vs Provider Relations Manager?

AspectDirector Provider RelationsProvider Relations Manager
CredentialsBachelor's degree, often with healthcare or business certificationsBachelor's degree, relevant certifications preferred
Work EnvironmentStrategic leadership, overseeing teams and policiesOperational focus, managing provider accounts and relationships
Employer & Industry UsageHealth insurance companies, healthcare organizationsHealth plans, insurance providers, healthcare networks
Search & Comparison IntentUnderstanding leadership roles, strategic responsibilitiesOperational duties, day-to-day provider interactions

The main difference between a Director Provider Relations and a Provider Relations Manager lies in their scope and responsibilities. The Director focuses on strategic leadership and policy development, while the Manager handles daily provider interactions and operational tasks. Both roles require relevant healthcare or business credentials and are common in health insurance and healthcare organizations.

What is a director of provider relations?

A director of provider relations oversees relationships between a healthcare organization and its network of healthcare providers. They manage provider contracts, ensure compliance, and facilitate communication to improve service quality and operational efficiency, often requiring strong negotiation skills and industry knowledge.
More about Director Provider Relations jobs

What cities are hiring for Director Provider Relations jobs?

Cities with the most Director Provider Relations job openings:

What are the most commonly searched types of Provider Relations jobs?

The most popular types of Provider Relations jobs are:

What states have the most Director Provider Relations jobs?

States with the most job openings for Director Provider Relations jobs include:

What job categories do people searching Director Provider Relations jobs look for?

The top searched job categories for Director Provider Relations jobs are:

Director Provider Relations jobs near you
Infographic showing various Director Provider Relations job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 76% Full Time, 16% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $100,880 per year, or $48.5 per hour.

Provider Relations Representative HYBRID

Health Care Service Corporation

Springfield, IL • On-site

Full-time

Medical, Life, Retirement, PTO

Re-posted yesterday

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
BASIC FUNCTION
This position is responsible for the contracting, credentialing, and maintenance of professional provider data to support marketing, membership and network contracting across all lines of business; building relations with the provider community is an important part of this role. Responsibilities include promoting high quality initiatives to support data integrity; accepting ownership and leading highly specialized operational and customer support duties that require independent initiative. This role includes participating in internal provider meetings and work groups, researching problems related to provider credentialing, data and network participation. Incumbent also provides training and education to all Blue Cross contracted providers including, but not limited to: hospitals, physicians, free-standing surgery centers, free standing substance abuse facilities, free standing psych facilities, VA hospitals, and all other allied professional providers.
NOTE: This role is HYBRID/FLEX and requires in-office visibility three days per week, working from home the other two days. Relocation is not available, sponsorship will not be extended either now or in the future.
REQUIRED JOB QUALIFICATIONS
  • Bachelor's Degree and three (3) years of work experience in managed care OR a minimum of five (5) years work experience in a managed care environment.
  • Two (2) years of healthcare administration experience in clinical and financial settings, with direct provider communication experience.
  • Effective interpersonal, analytical, presentation and communication skills.
  • Knowledge of the healthcare industry, healthcare systems and payer/provider dynamics.
  • Ability and willingness to travel within assigned areas for responsibility, including overnight stays.
  • Strong comprehension of contracts, applications, and products.
  • Understanding of provider reimbursement methodologies and claims.
  • Working knowledge of claims processing systems.
  • Effective organizational and planning skills with the ability to take initiative and work independently.
  • Demonstrated ability to meet deadlines and work well under pressure.
  • Clear and concise interpersonal, verbal and written communication skills.
  • Collaboration skills resulting in business/process improvements/changes.
  • PC proficiency and skills to include Word, Excel, PowerPoint, etc.
  • Excellent facilitation, presentation and research skills.

PREFERRED JOB QUALIFICATIONS
  • Advanced level of Excel fluency (i.e. pivot tables, data validation, handling large data sets)
  • Strong familiarity with claims, billing, and coding basics (CPT, ICD-10 helpful)
  • CRM or provider management systems knowledge
  • Affiliation with IAMHP (Illinois Association of Medicaid Health Plans)
  • Experience working with government agencies, legislative and advocacy groups

~ KEY FUNCTIONS ~
  • Establishes and maintains relationships between Blue Cross and contracted providers to promote and ensure that BCBS networks are performing per the contracted agreement (e.g. Compliance, PEAQ, etc.).
  • Act as point of escalation for providers regarding aspects of their relationship with HCSC. Possible topics include operations, claims, financial reimbursement, policies, procedures, and contractual issues.
  • Maintains a thorough level of knowledge for all lines of business to ensure provider contract compliance.
  • Performs investigative research upon the request of providers regarding the intricate and detailed information for all lines of business.
  • Assists in conducting internal and external seminars and presentations as needed for the improvement of HCSC / provider relationship.
  • Prepare for and lead internal and external meetings to assure and enhance provider success (e.g.: PowerPoint decks, Excel, analytics, presentation skills).
  • Maintains a thorough level of knowledge regarding all Provider Relations systems (e.g.: GUI, PPW, Salesforce, etc.)
  • Provides training and education to all Blue Cross contracted providers including, but not limited to, hospitals, physicians, free-standing surgery centers, free standing substance abuse facilities, free standing psych facilities, VA hospitals, and all other allied professional providers.
  • Represent Provider Relations in cross-department workflows and projects.
  • Ensure appropriate provider services including working across departments to resolve issues.
  • Ensure assigned providers are informed when changes occur.
  • Respond to provider inquiries in an effective and timely manner and coordinate claims resolution to payment problems.
  • Establish and maintain relationships with assigned providers through personal visits, correspondence and telephone calls.
  • Communicate and interact effectively and professionally with co-workers, management, customers, etc.
  • Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
  • Maintain complete confidentiality of company business.
  • Ensure all expenditures comply with corporate and divisional expense guidelines.
  • Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.
  • Responsible for maintaining an up-to-date tracker of provider concerns and pain points. Participate in discussions around resolutions.
  • Maintain accurate and timely documentation within Salesforce, ensuring all provider interactions, outreach activities, issue resolution, and key relationship management details are consistently recorded and updated to support business operations, reporting, and performance tracking.
  • Provide project support as needed, including tracking milestones, managing timelines, coordinating cross-functional activities, and contributing to project documentation and status updates.
  • Other duties as assigned by leadership

NOTE: This role is HYBRID/FLEX and requires in-office visibility three days per week, working from home the other two days. Relocation is not available, sponsorship will not be extended either now or in the future.
#LI-TP1
#LI-hybrid
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range
$55,900.00 - $123,500.00
Exact compensation may vary based on skills, experience, and location.

Apply