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Provider Consultant Jobs (NOW HIRING)

PBACO Holding LLC

Provider Consultant

Cincinnati, OH · On-site

$60K - $78K/yr

Represent the Provider Consultant Department in workgroups and committees that address both internal and external customer concerns regarding the operations of The Healthcare Network as it pertains ...

PBACO Holding LLC

Provider Consultant

Hackettstown, NJ · On-site

$60K - $78K/yr

Represent the Provider Consultant Department in workgroups and committees that address both internal and external customer concerns regarding the operations of The Healthcare Network as it pertains ...

PBACO Holding LLC

Provider Consultant

Passaic, NJ · On-site

$60K - $78K/yr

Represent the Provider Consultant Department in workgroups and committees that address both internal and external customer concerns regarding the operations of The Healthcare Network as it pertains ...

PBACO Holding LLC

Provider Consultant

Dayton, OH · On-site

$60K - $78K/yr

Represent the Provider Consultant Department in workgroups and committees that address both internal and external customer concerns regarding the operations of The Healthcare Network as it pertains ...

PBACO Holding LLC

Provider Consultant

Houston, TX · On-site

$60K - $78K/yr

Represent the Provider Consultant Department in workgroups and committees that address both internal and external customer concerns regarding the operations of The Healthcare Network as it pertains ...

PBACO Holding LLC

Provider Consultant

Dallas, TX · On-site

$65K - $78K/yr

Represent the Provider Consultant Department in workgroups and committees that address both internal and external customer concerns regarding the operations of The Healthcare Network as it pertains ...

PBACO Holding LLC

Provider Consultant

Plainsboro, NJ · On-site

$60K - $78K/yr

Represent the Provider Consultant Department in workgroups and committees that address both internal and external customer concerns regarding the operations of The Healthcare Network as it pertains ...

PBACO Holding LLC

Provider Consultant

Manahawkin, NJ · On-site

$60K - $78K/yr

Represent the Provider Consultant Department in workgroups and committees that address both internal and external customer concerns regarding the operations of The Healthcare Network as it pertains ...

Barrow Wise Consulting

Consultant

Washington, DC

Provide consultative sessions with various stakeholders; identify key areas of need * Perform research against best practices and identify gaps * Design future state solutions * Develop change and ...

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Provider Consultant information

What job makes $1,000,000 a year?

In the context of a Provider Consultant or similar high-level roles, earning $1,000,000 annually typically requires executive-level positions such as chief executive officers, medical directors, or specialized consultants with extensive experience, high-value client portfolios, or ownership stakes. These roles often involve advanced skills, certifications, and significant responsibility, and income can come from salary, bonuses, and profit sharing.

How does a Provider Consultant typically collaborate with healthcare providers and internal teams to address network or service issues?

Provider Consultants regularly serve as the main point of contact between healthcare providers and insurance organizations, working to resolve network participation, contract, or service concerns. They facilitate communication between providers and internal departments such as claims, credentialing, and medical management. This requires strong relationship-building skills and the ability to coordinate solutions efficiently, ensuring both provider satisfaction and compliance with company policies. Effective collaboration often involves organizing meetings, providing training, and proactively addressing potential issues before they escalate.

What is the minimum salary of a provider consultant?

The minimum salary for a provider consultant varies depending on experience, location, and employer, but entry-level positions typically start around $50,000 to $60,000 annually. More experienced consultants or those in high-demand areas can earn upwards of $80,000 or more. Certifications and specialized skills can also influence starting salaries in this role.

What are provider consultants?

Provider consultants are professionals who act as liaisons between healthcare providers, such as doctors and hospitals, and insurance companies or healthcare networks. They help providers understand and navigate insurance policies, contracts, and reimbursement processes. Provider consultants may also assist with credentialing, compliance issues, and resolving disputes. Their goal is to ensure that providers receive proper support and that processes run smoothly for both parties.

Is 30 too old to get into consulting?

Provider Consultants, like many consulting roles, do not have strict age limits, and individuals can enter the field at any age with relevant skills and experience. Success often depends on industry knowledge, problem-solving abilities, and certifications rather than age, making 30 a common and suitable age to start or transition into consulting careers.

What does a provider consultant do?

A provider consultant advises healthcare providers or organizations on billing, compliance, and operational processes to improve efficiency and meet regulatory standards. They analyze workflows, offer training, and ensure adherence to industry guidelines, often using data analysis tools. Strong communication skills and knowledge of healthcare regulations are essential for this role.

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

To thrive as a Provider Consultant, you need a solid understanding of healthcare regulations, provider network management, and contract negotiation, often supported by a degree in healthcare administration or a related field. Familiarity with claims processing systems, provider databases, and Microsoft Office Suite is typically required, along with knowledge of relevant compliance standards. Exceptional interpersonal, problem-solving, and organizational skills help build strong provider relationships and efficiently address issues. These skills ensure effective provider network development, regulatory compliance, and high-quality service delivery within healthcare organizations.
More about Provider Consultant jobs
What states have the most Provider Consultant jobs? States with the most job openings for Provider Consultant jobs include:
What job categories do people searching Provider Consultant jobs look for? The top searched job categories for Provider Consultant jobs are:
Provider Consultant jobs near you
Infographic showing various Provider Consultant job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Provider Consultant

PBACO Holding LLC

Cincinnati, OH • On-site

$60K - $78K/yr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description


Summary:

This position is responsible for the following:

  • Serve as the primary liaison between The Healthcare Network and the participating provider community who service our members in multiple product lines throughout the network.
  • Build and maintain strong relationships with providers by offering excellent customer service to assigned primary care, and specialty care physicians with routine and targeted education visits for the purpose of continued education regarding policies/initiatives. Service also includes supply deliveries and prompt follow up regarding claims, benefits and procedural guidelines for authorization of services.
  • Conduct on-site visits, telephonic conversations and written communications with individuals including Hospital executives, Patient Account Managers, Physicians, Office and Billing Managers.
  • Perform on-site provider orientations and group county orientations for new primary care, and specialty care physicians regarding policies, procedures, billing and company-wide initiatives.
  • Represent the Provider Consultant Department in workgroups and committees that address both internal and external customer concerns regarding the operations of The Healthcare Network as it pertains to the provider community.
  • Other duties as assigned.
  • Applicant must be highly proficient and creative at identifying and solving problems.

Incumbent must be able to work independently as a telecommuter and attend off-site meetings, including overnight stays.

Essential Job Functions:

  • Communicate effectively as a liaison between the provider community and PBACO in order to provide education on policies and procedures as well as, to assist in the resolution of issues or concerns a provider may have.
  • Provider Orientations: Perform on-site provider orientations for primary care, specialty care physicians regarding policies, procedures, billing and company-wide initiatives within 30 days of becoming credentialed and approved.
  • Oversee group county provider orientations by determining location, arranging for mailing of invitations and make available at the presentation PBACO provider forms, QI Manuals, directories and the PBACO Provider Office Policy and Procedure Manual, as needed.
  • Goal/Target Visits: Service primary care, and specialty care physicians within a specific geographic territory by conducting annual Goal / Target visits for the purpose of continued education regarding policies/initiatives. Each Provider Consultant will schedule minimally one goal visit per year with participating practices in the following specialties: Primary Care / Specialists

Minimum Qualifications:

2 years’ experience required in Provider Relations and/or Managed Care Product Administration

Valid unrestricted driver’s license

Preferred Qualifications:

Bachelor’s degree in Business Administration, Marketing, Health Care Administration or Other Related Degree

2 years’ Provider Relations experience or medical office or hospital experience

2 years’ exposure to medical claims processing procedures

Knowledge and understanding of the dynamics of Managed Care environment, including capitation and reimbursement structure.

Physical Demands/Requirements:

The position requires driving for extended periods of time, as well as walking to and from provider offices potentially up and down stairs.