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Healthcare Provider Relations Jobs (NOW HIRING)

The Provider Relations Coordinator supports the provider network by serving as a liaison between healthcare providers and the organization. This role focuses on assisting with provider onboarding ...

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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 Jul 22, 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:
Infographic showing various Healthcare Provider Relations job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 67% Full Time, 13% Part Time, and 17% 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.
Director, Health Plan Provider Relations

Director, Health Plan Provider Relations

Molina Healthcare

Long Beach, CA โ€ข On-site, Remote

$87K - $189K/yr

Full-time

Posted 9 days ago


Job description


***Remote and must live in Mississippi***
JOB DESCRIPTION
Job Summary
Leads and directs team responsible for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina policies and procedures. Collaborates with network leadership and the corporate network team to develop and implement standardized provider relationship management and provider services for the health plan.
Essential Job Duties
โ€ข Oversees the plan's provider relations function and team members. Responsible for the daily operations of the department, including leading and supporting various provider relations activities including provider education, outreach and inquiry resolution.
โ€ข Develops health plan-specific provider relations strategies - identifying specialties and geographic locations to concentrate resources for the purposes of establishing a sufficient network of participating providers to serve the health care needs of the plan's members, and successfully develop and refine cost-effective and high quality strategic provider networks - ensuring establishment of both internal and external long-term partnerships.
โ€ข Collaborates with health plan network management and operations teams and functional business unit stakeholders to lead and/or support various provider services functions and strategic initiatives with an emphasis on developing and implementing standards, resources, tools and best practices sharing across the organization.
โ€ข Develops and deploys strategic network planning tools to drive provider services and contracting strategy across the organization. Facilitates planning and documentation of network management standards and processes for all line of business.
โ€ข Provides matrix team support including, but not limited to: new markets provider/contract support services, resolution support, and national contract management support services.
โ€ข Builds and/or facilitates provider communication, training and education programs for internal staff, external providers, and other stakeholders.
โ€ข Ensures compliance with applicable company/plan business requirements including state/federal statutes, government sponsored program requirements, and network access standards.
โ€ข Oversees and leads provider representatives activities, including developing and/or presenting policies and procedures, training materials, and reports to meet internal/external standards.
โ€ข Assists with ongoing provider network development and the education of contracted network providers regarding plan procedures and claims payment policies.
โ€ข Develops and implements tracking tools to ensure timely issue resolution and compliance with all applicable standards related to provider relations.
โ€ข Oversees appropriate and timely interventions/communications when providers have issues or complaints (e.g., problems with claims and encounter data, eligibility, reimbursement, and provider website).
โ€ข Serves as a resource to support the plan's initiatives and helps to ensure regulatory requirements and strategic goals are realized.
โ€ข Ensures appropriate cross-departmental communication of provider relations initiatives and contracted network provider issues.
โ€ข Designs and implements programs to build and nurture positive relationships between contracted providers, ancillary providers, hospital facilities and the plan.
โ€ข Develops and implements strategies to increase provider engagement in Healthcare Effectiveness Data Information Set (HEDIS) and quality initiatives.
โ€ข Engages contracted network providers regarding cost control initiatives, medical cost ratio (MCR), non-emergent utilization, and Consumer Assessment of Healthcare Providers and Systems (CAHPS) to positively influence future trends.
โ€ข Develops and implements strategies to reduce member access grievances with contracted providers.
โ€ข Oversees the integrated health home (IHH) program and ensures IHH program alignment with department requirements, provider education and oversight.
โ€ข Hires, trains, manages and evaluates team member performance - provides coaching, development, and recognition; ensures ongoing appropriate staff training, holds regular team meetings, and drives communication and collaboration.
Required Qualifications
โ€ข At least 8 years of provider services experience, including experience supporting individual/group providers, hospitals, integrated delivery systems, and ancillary providers with Medicaid, Medicare, and or Marketplace products, or equivalent combination of relevant education and experience.
โ€ข At least 3 years of management/leadership experience.
โ€ข Strong understanding of the health care delivery system, including government-sponsored health plans.
โ€ข Experience with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc.
โ€ข Previous experience with community agencies and providers.
โ€ข Strong organizational skills and attention to detail.
โ€ข Ability to manage multiple tasks and deadlines effectively.
โ€ข Experience with preparing and presenting formal presentations.
โ€ข Strong interpersonal skills, including ability to interface with providers and medical office staff.
โ€ข Ability to work in a cross-functional highly matrixed organization.
โ€ข Excellent verbal and written communication skills.
โ€ข Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
โ€ข Contract negotiation experience.
#PJHPO
#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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