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Healthcare Provider Relations Jobs (NOW HIRING)

... Relations, the Provider Relations Coordinator plays a key field-based sales role focused on ... Represent Care Dimensions' services effectively to healthcare providers and partners * Coordinate ...

The Provider Relations Specialist will support clients by providing claims status, payment ... NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We ...

The Provider Relations Specialist will be working with contracted providers on managed care operations and ensure compliance with IPA and Health Plan standards. Our Values * Put Patients First

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Healthcare Provider Relations information

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$34.5K

$78.1K

$134K

How much do healthcare provider relations jobs pay per year?

As of Jun 9, 2026, the average yearly pay for healthcare provider relations in the United States is $78,084.00, according to ZipRecruiter salary data. Most workers in this role earn between $46,000.00 and $100,000.00 per year, depending on experience, location, and employer.

What are healthcare provider relations?

Healthcare provider relations refer to the management and coordination of relationships between healthcare organizations, such as hospitals or insurance companies, and the medical providers who deliver care to patients. Professionals in this field work to ensure effective communication, resolve issues, negotiate contracts, and foster collaboration between providers and payers. Their goal is to improve the quality of care, streamline administrative processes, and maintain positive working relationships within the healthcare network.

What are the primary challenges faced by professionals in Healthcare Provider Relations, and how can they be effectively managed?

Professionals in Healthcare Provider Relations often navigate challenges such as balancing the needs and expectations of healthcare providers with organizational policies, addressing contract negotiations, and resolving disputes efficiently. Building and maintaining strong, trust-based relationships with providers while ensuring compliance with regulatory standards can be demanding. Effective communication, strong problem-solving skills, and staying updated on industry changes are key to managing these challenges successfully. Regular collaboration with internal teams such as compliance, legal, and network management also helps streamline processes and foster positive provider experiences.

What is the difference between Healthcare Provider Relations vs Healthcare Account Manager?

AspectHealthcare Provider RelationsHealthcare Account Manager
Primary FocusBuilding and maintaining relationships with healthcare providersManaging client accounts and ensuring service satisfaction
Work EnvironmentHealthcare organizations, insurance companiesHealthcare organizations, insurance companies
Required CredentialsHealthcare or business background, communication skillsHealthcare or business background, communication skills

Healthcare Provider Relations focuses on establishing and nurturing relationships with healthcare providers to facilitate collaboration and communication. Healthcare Account Managers primarily manage client accounts, ensuring service delivery and satisfaction. While both roles require strong communication skills and industry knowledge, Provider Relations emphasizes relationship-building with providers, whereas Account Managers focus on client management and retention.

What are the key skills and qualifications needed to thrive as a Healthcare Provider Relations professional, and why are they important?

To thrive as a Healthcare Provider Relations professional, you need a strong understanding of healthcare systems, contract negotiation, and provider network management, often supported by a degree in healthcare administration or a related field. Familiarity with CRM software, healthcare databases, and regulatory compliance tools is important for managing provider information and ensuring adherence to industry standards. Excellent interpersonal skills, problem-solving abilities, and effective communication help build and maintain successful partnerships with providers. These skills ensure robust provider networks, smooth operations, and high-quality care delivery within healthcare organizations.
More about Healthcare Provider Relations jobs
What states have the most Healthcare Provider Relations jobs? States with the most job openings for Healthcare Provider Relations jobs include:
What job categories do people searching Healthcare Provider Relations jobs look for? The top searched job categories for Healthcare Provider Relations jobs are:
Provider Relations Account Executive

Provider Relations Account Executive

Independent Living Systems

Panama City, FL • On-site

Full-time

Posted 6 days ago


Independent Living Systems rating

6.5

Company rating: 6.5 out of 10

Based on 8 frontline employees who took The Breakroom Quiz


Job description

We are seeking a Provider Relations Account Executive to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Provider Relations Account Executive plays an essential role in fostering and maintaining strong partnerships between our healthcare organization and a diverse network of providers. The Provider Relations Account Executive position is responsible for ensuring seamless communication, addressing provider concerns, and facilitating contract negotiations to optimize service delivery and network growth. The Provider Relations Account Executive will work collaboratively with internal teams to align provider capabilities with organizational goals, enhancing member access and satisfaction. By proactively managing provider relationships, the Provider Relations Account Executive contributes to the overall efficiency and quality of healthcare services offered. Ultimately, the Provider Relations Account Executive drives the expansion and retention of a high-performing provider network that supports the organization's mission and strategic objectives.

Minimum Qualifications:

  • Bachelor’s degree in Healthcare Administration, Business, or a related field.
  • 3 years of experience in provider relations, account management, or a similar role within the healthcare industry.
  • Strong knowledge of healthcare provider networks, contract negotiation, and regulatory compliance.
  • Proficiency in Microsoft Office Suite and experience with healthcare management software.
  • Relevant experience may substitute for educational requirement on a year-for-year basis.

Preferred Qualifications:

  • Master’s degree in Healthcare Administration, Business, or a related discipline.
  • Experience working with managed care organizations or health insurance providers.
  • Familiarity with healthcare data analytics and performance measurement tools.
  • Demonstrated success in managing complex provider networks and multi-stakeholder projects.
  • Certification in healthcare management or provider relations (e.g., Certified Provider Relations Specialist).

Responsibilities:

  • Develop and maintain strong collaborative relationships with providers through high-touch communication to ensure network adequacy and quality and other provider performance goals are met.
  • Facilitate the development, negotiation, and execution of provider contracts, ensuring terms meet regulatory standards and organizational policies.
  • Monitor provider performance metrics and work with providers to implement corrective action plans when necessary.
  • Serve as the primary point of contact for all assigned providers, and as a link to various départements to address inquiries, resolve disputes, and maintain positive partnerships..
  • Maintain accurate records of provider interactions and follow up on outstanding issues to ensure timely resolution.

Collaborate with cross-functional teams including care management, compliance, and finance to support provider network initiatives and improve service delivery. opportunities for growth and expansion within existing provider accounts.

  • Ensure high levels of provider satisfaction by providing exceptional service and support.

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