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Provider Engagement Specialist Jobs (NOW HIRING)

Alignment Healthcare

$34.70K - $39.80K/yr

The field remote Provider Engagement Specialist is responsible for developing and maintaining strong relationships with provider offices to improve network performance, enhance provider satisfaction ...

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 ...

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$29.5K

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How much do provider engagement specialist jobs pay per year?

As of May 28, 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 are the key skills and qualifications needed to thrive as a Provider Engagement Specialist, and why are they important?

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 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 does an engagement specialist do?

A Provider Engagement Specialist is responsible for building and maintaining relationships with healthcare providers, ensuring their participation and compliance with organizational programs. They often communicate through calls, emails, and meetings, and may use customer relationship management (CRM) tools to track interactions and outcomes.

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 May 2026, with employment types broken down into 1% Locum Tenens, 77% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $44,466 per year, or $21.4 per hour.

Provider Engagement Specialist (Field-Based)

tenavistaffing

Greensboro, NC

$36.30K - $41.70K/yr

Full-time

Posted 9 days ago

Job description

Provider Engagement Specialist

Location: Triad Region, North Carolina (Winston-Salem, Greensboro, Burlington)
Work Environment: Field-Based | Up to 80% Travel (Local Market)

Overview

The Provider Engagement Specialist supports the performance and growth of the assigned market by building strong relationships with primary care and specialist providers. This is a field-based role focused on provider outreach, education, and performance improvement.

You will work directly with provider offices to drive quality outcomes, improve performance metrics, and support network operations across a growing healthcare organization.

Key Responsibilities

  • Build and maintain strong relationships with providers, office staff, and key stakeholders
  • Conduct provider onboarding, orientations, and ongoing education
  • Perform regular in-person provider visits to review performance and identify improvement opportunities
  • Analyze provider performance data and deliver actionable insights
  • Educate providers on HEDIS, Stars, Risk Adjustment, and documentation/coding requirements
  • Develop and execute provider engagement strategies to improve quality scores and member outcomes
  • Resolve provider issues related to claims, access, eligibility, and utilization management
  • Create and deliver training materials, presentations, and Model of Care sessions
  • Track provider activity and performance in Salesforce and internal systems
  • Support provider recruitment, contracting, and credentialing processes
  • Negotiate and implement provider agreements within the assigned market
  • Serve as a primary point of contact for provider inquiries
  • Participate in team initiatives and special projects

Experience

Required

  • 1+ year of experience in:
    • Provider Relations
    • Provider Contracting
    • Network Management
    • Healthcare Organization (HMO, IPA, Medical Group)
  • Strong understanding of:
    • HEDIS
    • Stars
    • Risk Adjustment
    • MLR
  • Proven ability to build and manage provider relationships independently
  • Strong communication and presentation skills
  • Valid driver's license and reliable transportation

Preferred

  • 2+ years of provider-facing experience
  • Medicare Advantage experience
  • Experience working with provider performance metrics and analytics
  • Bachelor's degree (MBA a plus)

Work Environment & Travel

  • Up to 80% travel within the assigned market (local driving required)
  • Occasional air travel as needed
  • Remote work flexibility when not in the field
  • Ability to work extended hours when necessary

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Why This Role

This is an opportunity to take ownership of a territory, build meaningful relationships, and directly impact healthcare quality and outcomes. You'll be in the field, making decisions, and driving real change

Interested in Learning More?

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