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Manager Of Provider Relations Jobs (NOW HIRING)

GDIT

Provider Relations Manager (Medicaid)

Montgomery, AL · Hybrid

$83K - $113K/yr

Type of Requisition: Pipeline Clearance Level Must Currently Possess: None Clearance Level Must Be ... Customer Service Management, Medicaid Policy, Provider Relations, Service Level Agreement (SLA ...

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Manager Of Provider Relations information

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$34.5K

$78.1K

$134K

How much do manager of provider relations jobs pay per year?

As of Jun 9, 2026, the average yearly pay for manager of 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 the difference between Manager Of Provider Relations vs Provider Relations Coordinator?

AspectManager Of Provider RelationsProvider Relations Coordinator
CredentialsBachelor's degree, experience in healthcare or provider managementAssociate's or Bachelor's degree, entry-level experience
Work EnvironmentOversees teams, strategic planning, client interactionsSupports provider relations, administrative tasks, communication
Employer & Industry UsageHealth insurance companies, healthcare providersHealthcare organizations, insurance companies

The Manager Of Provider Relations typically holds more experience and handles strategic management and team oversight, while the Provider Relations Coordinator focuses on supporting provider communication and administrative duties. Both roles are essential in healthcare and insurance settings, but differ mainly in scope and responsibility.

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

To thrive as a Manager of Provider Relations, you need a solid background in healthcare administration, contract negotiation, and relationship management, often supported by a bachelor's degree in healthcare or business. Familiarity with provider network management systems, claims processing software, and regulatory compliance tools is essential. Outstanding interpersonal skills, problem-solving abilities, and strong communication help you build trust and effectively resolve provider issues. These skills are crucial for maintaining productive provider partnerships, ensuring regulatory compliance, and supporting organizational goals in a competitive healthcare landscape.

What does a Manager of Provider Relations do?

A Manager of Provider Relations is responsible for building and maintaining positive relationships between a healthcare organization, such as an insurance company or hospital, and its network of providers, including doctors, clinics, and hospitals. Their duties often include negotiating contracts, resolving issues between providers and the organization, ensuring that providers meet quality and compliance standards, and helping to streamline communication. They play a crucial role in ensuring that patients have access to high-quality care through a reliable network of providers.

How does a Manager of Provider Relations typically collaborate with healthcare providers and internal teams to resolve issues?

A Manager of Provider Relations serves as a key liaison between healthcare providers and the organization, working closely with providers to address concerns related to contracts, billing, and service quality. They frequently coordinate with internal departments such as claims, credentialing, and customer service to ensure providers receive timely support and consistent communication. This role often involves facilitating meetings, addressing escalated issues, and implementing solutions to enhance provider satisfaction and network performance. Strong relationship-building and problem-solving skills are essential, as managers must balance organizational goals with the needs of providers.
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Manager Of Provider Relations jobs near you
Provider Relations Representative

Provider Relations Representative

University Health

San Antonio, TX • On-site

$20.30 - $33/hr

Full-time

Posted 22 days ago

University Of Nevada (Reno) rating

8.4

Company rating: 8.4 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

75th of 535 rated colleges and universities

Job description

POSITION SUMMARY/RESPONSIBILITIES
Provider Relations Representative works as the primary liaison between Community First Health Plans and network participants (physicians, providers, and administrators) of the health plan provider network. This position will build and nurture positive relationships with health plan network participants by providing the on boarding orientation, and delivering guidance and high-quality service through regular engagement by phone and through scheduled in-person visits to targeted provider offices. This position will also coordinate with: Compliance & Quality staff on the re-credentialing process; with Provider Contracting staff for contracting issues or concerns; and will periodically assist the Claims staff with auditing and troubleshooting of provider data to ensure proper claims adjudication. The Provider Relations Representative knows and abides by all organizational and departmental policies, sets personal standards, and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner.
EDUCATION/EXPERIENCE
A minimum of five years of related experience in the health care or managed care field of customer service-related work is required. Bachelor's degree in business, health care, communications, or other related area is preferred. Recent experience as a provider relations representative, member service representative, or relevant claim experience is highly preferred.
LICENSURE
Valid Texas driver's license as well as a reliable vehicle is required.

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