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Healthcare Provider Relations Jobs (NOW HIRING)

TEKsystems

Provider Relations Representative

Lincoln, NE · Remote

$21.47/hr

Previous experience in provider relations, healthcare administration, credentialing, insurance operations, customer service, or a related field preferred. * Strong verbal and written communication ...

Driscoll

Provider Relations Rep I

Corpus Christi, TX · On-site

The Provider Relations Representative serves as the liaison between health care providers and Driscoll Health Plan: responsible for provider facility initial orientation, ongoing education and ...

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Healthcare Provider Relations information

See salary details

$34.5K

$78.1K

$134K

How much do healthcare provider relations jobs pay per year?

As of Sep 1, 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 is 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 key skills and qualifications needed to thrive as a healthcare provider relations professional?

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.

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.

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:

Healthcare Provider Relations jobs near you
Infographic showing various Healthcare Provider Relations job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 66% Full Time, 16% Part Time, and 15% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $78,084 per year, or $37.5 per hour.

Healthcare Adminstration Provider Relations Representative

FLORIDA DOCTORS GROUP CORP

Coral Gables, FL • On-site

$19 - $25/hr

Full-time

Dental, Vision, PTO

Posted 7 days ago

Job description

Benefits:
  • Competitive salary
  • Dental insurance
  • Free uniforms
  • Opportunity for advancement
  • Paid time off
  • Training & development
  • Vision insurance

Florida Doctors Group is seeking a motivated and professional Provider Relations Representative to join our growing team. This is a highly hands-on, provider-facing role focused on supporting and maintaining relationships with providers and medical groups once they become active with Florida Doctors Group.
The Provider Relations Representative serves as a primary point of contact between Florida Doctors Group and assigned providers, helping ensure providers understand our processes, have access to the information and resources they need, and receive ongoing support throughout their relationship with the organization.
The ideal candidate is energetic, personable, detail-oriented, highly organized, and comfortable developing strong professional relationships with provider offices in a fast-paced managed care environment.
RESPONSIBILITIES
  • Serve as a primary point of contact for assigned providers and medical groups following activation with Florida Doctors Group.
  • Build and maintain strong, ongoing relationships with providers, office managers, and key practice staff.
  • Conduct provider onboarding and orientation, including an overview of Florida Doctors Group, available resources, workflows, reporting, communication processes, and health plan requirements.
  • Conduct regular provider meetings and check-ins virtually, by phone, and in person to provide education, address questions, review outstanding items, and maintain provider engagement.
  • Provide ongoing education and training to providers and their staff as needed, including training related to health plan processes, reporting, portals, eligibility, rosters, and other operational requirements.
  • Assist providers with questions or concerns regarding membership rosters, member eligibility, reporting, health plan requirements, and other day-to-day operational matters.
  • Review and discuss applicable operational, quality, utilization, membership, and performance reports with providers and help ensure they understand any required actions or follow-up.
  • Monitor assigned provider accounts and proactively identify outstanding items, changes, concerns, or areas requiring follow-up.
  • Coordinate and maintain provider demographic information, including practice locations, contact information, office hours, provider additions or changes, and other applicable updates.
  • Work with internal departments to ensure provider demographic changes and other maintenance requests are properly communicated and processed.
  • Communicate health plan requests, notices, documentation requirements, or other action items to assigned providers and follow up to ensure requested information is received within required timeframes.
  • Serve as a liaison between providers and Florida Doctors Group's internal departments to assist with questions, concerns, and issue resolution.
  • Coordinate with departments such as Credentialing, Network Data, Quality/HEDIS, Finance, Utilization Management, Membership, and other operational teams when provider assistance is required.
  • Assist providers in navigating applicable systems, portals, reports, and resources and coordinate additional training when necessary.
  • Track provider concerns, requests, pending items, and resolutions and maintain clear and accurate documentation of all provider interactions.
  • Maintain detailed records of provider calls, emails, meetings, office visits, training sessions, requests, and follow-up activities.
  • Conduct in-person provider office visits as needed for relationship management, education, training, operational support, and follow-up.
  • Identify provider concerns or recurring operational issues and appropriately escalate matters to management or the applicable department when necessary.
  • Ensure assigned providers receive timely communication regarding relevant operational changes, health plan updates, deadlines, requirements, and other important information.
  • Maintain consistent follow-up with providers to ensure outstanding matters are addressed and closed appropriately.
REQUIREMENTS
  • Prior experience in provider relations, healthcare operations, managed care, medical office administration, or a related healthcare role preferred.
  • Experience working directly with physicians, medical groups, office managers, or healthcare professionals.
  • Strong communication and interpersonal skills with the ability to establish and maintain professional provider relationships.
  • Professional, confident, personable, and service-oriented demeanor.
  • Strong organizational and follow-up skills with the ability to manage multiple provider accounts and outstanding items simultaneously.
  • High attention to detail and commitment to accurate documentation.
  • Ability to communicate healthcare and operational information clearly and professionally.
  • Ability to work independently while collaborating effectively with multiple internal departments.
  • Ability to prioritize responsibilities and meet deadlines in a fast-paced environment.
  • Comfortable conducting provider meetings, training sessions, and presentations both virtually and in person.
  • Proficiency in Microsoft Excel, Word, PowerPoint, and other standard business applications.
  • Comfortable learning and navigating healthcare systems, portals, reporting platforms, and internal databases.
  • Ability and willingness to travel locally to provider offices as required.
PREFERRED QUALIFICATIONS
  • Experience working with an MSO, IPA, health plan, physician network, or provider relations department.
  • Familiarity with Medicare Advantage, Medicaid, and managed care operations.
  • Experience with provider rosters, eligibility, demographic maintenance, provider portals, and health plan reporting.
  • Experience conducting provider education, onboarding, training, or in-service meetings.
  • General understanding of HEDIS, quality measures, utilization management, membership, and other managed care reporting is preferred.
ROLE FOCUS
This position is focused on ongoing provider relationship management and operational support after a provider has become active with Florida Doctors Group. The Provider Relations Representative is responsible for maintaining consistent communication with assigned providers, supporting their day-to-day needs, coordinating with internal departments, facilitating education and training, and ensuring provider accounts remain accurate and up to date.
This position does not negotiate provider contracts, capitation rates, risk arrangements, or other contractual terms.
The role provides significant exposure to managed care operations, provider engagement, health plan requirements, quality initiatives, and healthcare network management, with opportunities for continued professional development and growth within Florida Doctors Group.