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Provider Relations Coordinator

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 Jun 29, 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:
Healthcare Provider Relations jobs near you
Infographic showing various Healthcare Provider Relations job openings in the United States as of June 2026, with employment types broken down into 76% Full Time, 2% Part Time, and 22% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $78,084 per year, or $37.5 per hour.
Associate Representative, Health Plan Provider Relations - Remote must reside in UT

Associate Representative, Health Plan Provider Relations - Remote must reside in UT

Molina Healthcare

Long Beach, CA • Remote

$18.04 - $35.17/hr

Full-time

Posted 4 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

144th of 263 rated insurance

Job description

JOB DESCRIPTION Job Summary

Provides entry level support 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.

Essential Job Duties

Provides support for provider-related inquiries; successfully engages with providers and maintains provider satisfaction primarily for non-complex providers including but not limited to fee-for-service (FFS) and pay-for-performance (P4P) providers.
Receives, researches, and resolves provider inquiries such as claims, eligibility, and other inquiries, and represents as a liaison between the providers, medical groups and the health plan. 
Duties may include: price-specific services based on the plan's fee schedule, communicating and educating providers on important changes to regulations, procedures and access to information, assisting providers in dismissing or moving members incorrectly assigned to them, and educating providers to ensure appropriate dismissal letters are sent to Molina members.
Provides support to other members of the provider relations team in the field.
Documents provider requests in alignment with established provider relations departmental procedures. 
Facilitates provider relations mailbox response support.
Attends off-site meetings with medical groups and other providers as necessary.
Travels regularly throughout designated regions to meet targeted needs.
 

Required Qualifications

At least 1 year of customer service, provider services, or claims experience in a managed care or medical office setting, or equivalent combination of relevant education and experience.  
General understanding of the health care delivery system, including government-sponsored health plans.
Organizational skills and attention to detail.
Ability to manage multiple tasks and deadlines effectively.
Interpersonal skills, including ability to interface with providers and medical office staff.
Ability to work in a cross-functional highly matrixed organization.
Effective verbal and written communication skills.  
Microsoft Office suite and applicable software programs proficiency.
 

Preferred Qualifications

Familiarity 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.
 

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

Pay Range: $18.04 - $35.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

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About Molina Healthcare

Sourced by ZipRecruiter

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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