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Provider Engagement Specialist Jobs (NOW HIRING)

fphny

Provider Engagement Project Specialist

Astoria, NY · Hybrid

$30/hr

Provider Engagement Project Specialist (Part Time Temporary) Program/ Department: Research & Evaluation Division: Mental Hygiene Bureau: Bureau of Alcohol and Drug Us Location: 42-09 28th St, Long ...

XP Synergy Companies

Engagement Specialist

Gonzales, LA · On-site

$25 - $27/hr

Engagement Specialist Role Scope Engagement Specialist Opportunity Now is a program of the XP ... Specialists provide participants with dynamic, interactive support opportunities in group ...

XP Synergy Companies

Engagement Specialist

Thibodaux, LA · On-site

$25 - $27/hr

Engagement Specialist Role Scope Engagement Specialist Opportunity Now is a program of the XP ... Specialists provide participants with dynamic, interactive support opportunities in group ...

XP Synergy Companies

Engagement Specialist

La Place, LA · On-site

$25 - $27/hr

Engagement Specialist Role Scope Engagement Specialist Opportunity Now is a program of the XP ... Specialists provide participants with dynamic, interactive support opportunities in group ...

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Provider Engagement Specialist information

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$29.5K

$44.5K

$81K

How much do provider engagement specialist jobs pay per year?

As of Sep 6, 2026, the average yearly pay for provider engagement specialist in the United States is $44,466.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $43,000.00 per year, depending on experience, location, and employer.

What is a provider engagement specialist?

A Provider Engagement Specialist is a professional who works to build and maintain positive relationships between healthcare providers and healthcare organizations, such as insurance companies or healthcare networks. Their main role involves communicating with providers to ensure they understand organizational policies, programs, and processes, and to help resolve any issues or concerns. They may also be involved in training, onboarding, and collecting feedback from providers to improve services and collaboration. This role is essential for ensuring providers have the support they need to deliver quality care to patients, while also helping organizations achieve their strategic goals.

What are the key skills and qualifications needed to thrive as a provider engagement specialist?

To excel as a Provider Engagement Specialist, you need strong knowledge of healthcare systems, provider relations, and a bachelor's degree in healthcare administration or a related field. Familiarity with CRM software, healthcare data analytics tools, and regulatory compliance systems is typically required. Outstanding communication, relationship-building, and problem-solving skills set top performers apart in this role. These abilities are crucial for fostering effective partnerships with providers, ensuring smooth coordination, and driving improvements in healthcare delivery.

What are some typical challenges a provider engagement specialist faces when working with healthcare providers, and how can they be effectively managed?

Provider Engagement Specialists often encounter challenges such as varying levels of provider responsiveness, resistance to process changes, and navigating complex healthcare regulations. Building strong relationships through clear communication and regular follow-ups is essential for overcoming these obstacles. Staying informed on industry updates and maintaining a collaborative, solutions-oriented approach can also help specialists address provider concerns and foster long-term partnerships.

What is the difference between Provider Engagement Specialist vs Provider Relations Coordinator?

AspectProvider Engagement SpecialistProvider Relations Coordinator
CredentialsTypically requires healthcare or related certifications, relevant experienceSimilar credentials, often with healthcare or customer service background
Work EnvironmentHealthcare organizations, insurance companies, provider networksHealthcare providers, insurance firms, administrative offices
Employer & Industry UsageUsed in health plans, managed care, provider networksCommon in healthcare administration, provider management
Search & Comparison IntentFocuses on engaging providers, building relationshipsCenters on managing provider communications and relations

The Provider Engagement Specialist and Provider Relations Coordinator roles share similarities in credentials and work environments, both focusing on healthcare provider interactions. However, the Engagement Specialist emphasizes proactive engagement and relationship-building, while the Coordinator handles ongoing provider communications and administrative tasks.

More about Provider Engagement Specialist jobs

What cities are hiring for Provider Engagement Specialist jobs?

Cities with the most Provider Engagement Specialist job openings:

What job categories do people searching Provider Engagement Specialist jobs look for?

The top searched job categories for Provider Engagement Specialist jobs are:

Provider Engagement Specialist jobs near you
Infographic showing various Provider Engagement Specialist job openings in the United States as of August 2026, with employment types broken down into 74% Full Time, 24% Part Time, and 2% Contract. Highlights an 75% Physical, 3% Hybrid, and 22% Remote job distribution, with an average salary of $44,466 per year, or $21.4 per hour.

Provider Engagement Specialist (Field-Based)

tenavistaffing

Apex, NC

$36K - $41K/yr

Full-time

Re-posted 7 days ago

Job description

Provider Engagement Specialist (Field-Based)

Overview: The Provider Engagement Specialist supports the performance and growth objectives of the assigned market by building strong relationships with primary care and specialist providers. This role is responsible for provider outreach, education, contracting support, and ongoing network operations to drive quality outcomes and improve provider performance.

Key Responsibilities

  • Build and maintain collaborative relationships with providers, office staff, and key stakeholders to support network growth and performance.

  • Conduct provider onboarding, orientations, and ongoing education initiatives.

  • Perform regular in-person provider visits to review performance metrics and identify improvement opportunities.

  • Analyze provider performance data and deliver actionable insights to optimize outcomes.

  • Educate providers on HEDIS, Stars, Risk Adjustment, and documentation/coding requirements.

  • Develop and implement provider engagement strategies to improve quality scores and member experience.

  • Support resolution of provider issues related to access, claims, eligibility, and utilization management

  • Create and deliver training materials, in-service presentations, and Model of Care trainings.

  • Maintain accurate provider data and activity tracking in Salesforce and internal systems.

  • Support provider recruitment, contracting, and credentialing processes

  • Negotiate and implement provider agreements in assigned markets.

  • Track recruitment and contracting activity and provide regular reporting.

  • Serve as a primary point of contact for provider inquiries, ensuring timely resolution.

  • Participate in team meetings and contribute to special projects as needed.

  • Exercise independent judgment and decision-making on complex issues with minimal supervision.

Experience

  • Required: Minimum 1 year of experience in provider relations, contracting, or network management within an HMO, IPA, medical group, or healthcare organization

  • Preferred: 2+ years of provider-facing experience, including Medicare lines of business

  • Strong understanding of HEDIS, Stars, Risk Adjustment, and MLR

Education

  • Required: High School Diploma or GED (bachelor's degree or equivalent experience preferred)

  • Preferred: MBA

Skills & Competencies

  • Strong communication and relationship-building skills

  • Ability to present complex healthcare topics to providers

  • Proficiency in Microsoft Office (Word, Excel, PowerPoint)

  • Strong analytical, problem-solving, and organizational skills

  • Ability to manage multiple priorities in a fast-paced environment

  • Experience analyzing and interpreting performance data and reports

Licensure & Requirements

  • Valid driver's license required

  • Reliable transportation and current automobile insurance required

Work Environment & Travel

  • Up to 80% travel by car within the assigned market

  • Occasional air travel as needed

  • Ability to work extended hours when necessary

  • Remote work available with approval

Physical Requirements

  • Regularly required to sit, stand, walk, and use hands for tasks.

  • Ability to lift to 10 pounds occasionally

  • Close vision and focus adjustment required

Why This Role

This is an opportunity to take ownership of a territory, build meaningful provider relationships, and directly impact healthcare quality and outcomes. You'll be in the field, making decisions, and driving real change — not sitting behind a desk pushing paperwork.

Interested in Learning More?

Apply directly or reach out to discuss the opportunity in more detail.