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Healthcare Provider Relations Jobs (NOW HIRING)

Aptive

Provider Relations Liaison

Washington, DC · On-site

$66K - $87K/yr

IHSC serves as the medical experts for ICE for detainee health care. Primary Responsibilities The Provider Relations Liaison (PRL) is the incumbent responsible for being a liaison between IHSC ...

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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 2, 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.

Provider Relations Liaison

Aptive

Washington, DC • On-site

$66K - $87K/yr

Full-time

Re-posted 9 days ago

Aptive Environmental rating

5.6

Company rating: 5.6 out of 10

Based on 39 frontline employees who took The Breakroom Quiz

30th of 35 rated pest control companies

Job description

Job Summary
The ICE Health Services Corps (IHSC) exists within the organizational structure of the United States Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO) under the supervision of the Department of Homeland Security (DHS). The United States Public Health Service (USPHS) Commissioned Corps Officers, civil service staff and contractors comprise the healthcare professionals working together to provide quality healthcare services. IHSC serves as the medical experts for ICE for detainee health care.
Primary Responsibilities
The Provider Relations Liaison (PRL) is the incumbent responsible for being a liaison between IHSC, offsite providers and the Veterans Affairs Financial Services Center (VAFSC). Liaison with community-based providers that provide or are interested in providing medical and mental health services for ICE detainees regarding Medicare reimbursement rates, Letters of Understanding, credentialing requirements, medical claims processing, payment and denials.
  • Serve as one of the primary points of contact and liaison for Veterans Administration (VA) Financial Services Center (FSC) issues relating to medical claims processing, resolution, and provider reimbursement.
  • Evaluate, assess, and recommend reimbursement methodologies and procedures to community providers.
  • Responsible to identify potential fraud, waste and abuse when working with community providers.
  • Reconcile and resolve denied community provider claims and/or appeals.
  • Contacts community providers for recruitment and enrollment into the IHSC provider network by executing a Letter of Understanding.
  • Liaises with IHSC stakeholders (Field Medical Coordinators and Referral Coordinators) when necessary to explain IHSC and VA FSC policy regarding claims processing.
  • Assist VA FSC when necessary, in coordinating and obtaining information pertaining to Medical Provider Authorization Requests (MedPARs) or information pertaining to eligibility in the alien tracking system.
  • Coordinate the purchase or rental of durable medical equipment (DME) for detainees in ICE custody.
  • Performs record keeping functions in accordance with program policies and position.
  • Maintains functional proficiency and ease of use utilizing electronic health records as required by, and appropriate to, position.
  • Completes all initial, annual and ad hoc training as required/assigned.
  • Serves as a team member for analyzing established protocol practices and identifying areas for improvement.
  • Maintains patient confidentiality, and confidentiality of all records, in compliance with the Privacy Act and HIPAA regulations in all work activities.

Minimum Qualifications
  • Bachelor's degree in healthcare administration, business, or financial management.
  • A minimum three years of experience in claims management, benefit, or third-party administration.
  • Knowledge of the basic principles and standards of eHR procedures and methods.
  • Knowledge of the documentation requirements, timeliness of referral management, and knowledge of eHR workflow to process electronic medical referrals and records, to review referrals and records for accuracy and completeness
  • Recognize documentation inconsistencies in referrals within the eHR ensuring compliance and resolution.
  • Should possess some knowledge of lnternational Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10), current procedural terminology (CPT), diagnosis-related group (DRG), and other Centers for Medicare and Medicaid Services (CMS) coding/billing requirements.
  • Ability to work approximately 90% of time using a computer, telephone, scanner, and printers.
  • Ability to work in a multi-cultural and multi-lingual environment.
  • Ability to adapt to sudden changes in schedules and flexibility in work requirements.
  • Ability to communicate proficiently in English (verbal and written) in order to develop positive rapport with co-workers and other stakeholders.
  • Ability to establish and maintain positive working relationships in a multidisciplinary environment
  • Ability to navigate in an electronic work environment including electronic health records, web-based training and communications.
  • Knowledge of, and moderate proficiency in, common Microsoft Office programs, specifically Microsoft Word, Excel, Outlook and SharePoint.
  • Knowledge of regulations (HIPAA/Privacy Act) regarding the confidentiality of patient medical records and information as well as Personally Identifiable Information (PII).
  • Onsite requirement is 2 days a month

Desired Qualifications
  • Strong oral and written communication skills.
  • Excellent interpersonal skills.
  • Critical thinking skills.
  • Cultural competency.
  • Integrity and honesty.
  • Strong attention to detail.

About Aptive
Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Based in Alexandria, Virginia, we support more than a dozen agencies including Veterans Affairs, Transportation, Defense, Homeland Security and the National Science Foundation.
We specialize in applying technology, creativity and human-centered services to optimize mission delivery and improve experiences for millions of people who count on government services every day.
Founded: 2012
Employees: 300+ nationwide
EEO Statement
Aptive is an equal opportunity employer. We consider all qualified applicants for employment without regard to race, color, national origin, religion, creed, sex, sexual orientation, gender identity, marital status, parental status, veteran status, age, disability, or any other protected class.
Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply.

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