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Provider Network Liaison Jobs (NOW HIRING)

NationsBenefits, LLC

$60 - $80/hr

... into the network. * Ongoing Provider Relations * Serve as a point of contact for recruited ... Communication and Liaison * Maintain steady communication and act as a liaison between recruited ...

NationsBenefits, LLC

NY · On-site

$60 - $80/hr

... into the network. * Ongoing Provider Relations * Serve as a point of contact for recruited ... Communication and Liaison * Maintain steady communication and act as a liaison between recruited ...

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How much do provider network liaison jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for provider network liaison in the United States is $25.30, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $29.57 per hour, depending on experience, location, and employer.

What is a provider network liaison?

A Provider Network Liaison is a professional who acts as the main point of contact between healthcare providers, such as doctors and clinics, and health insurance companies or managed care organizations. Their primary role is to build and maintain positive relationships with providers, ensure compliance with network policies, and resolve any issues related to contracts, credentialing, or claims. They also help onboard new providers, communicate changes in policies, and work to improve network performance and provider satisfaction.

What are some common challenges faced by a provider network liaison when building and maintaining relationships with healthcare providers?

Provider Network Liaisons often encounter challenges such as managing diverse provider expectations, addressing concerns about reimbursement rates, and ensuring clear communication of network policies. Balancing the needs of healthcare providers with organizational goals requires strong interpersonal and negotiation skills. Additionally, staying informed about regulatory changes and responding promptly to provider inquiries are crucial for maintaining positive, productive relationships and supporting network stability.

What are the key skills and qualifications needed to thrive as a provider network liaison, and why are they important?

To thrive as a Provider Network Liaison, you need a solid understanding of healthcare administration, provider relations, and network management, often supported by a bachelor’s degree in healthcare or a related field. Familiarity with healthcare databases, claims processing systems, and proficiency in Microsoft Office are typically required, along with knowledge of regulations like HIPAA. Strong communication, negotiation, and problem-solving skills help build effective relationships between providers and payers. These abilities are crucial for managing networks efficiently, ensuring provider satisfaction, and supporting organizational growth in a competitive healthcare environment.

What cities are hiring for Provider Network Liaison jobs?

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What states have the most Provider Network Liaison jobs?

States with the most job openings for Provider Network Liaison jobs include:

What are popular job titles related to Provider Network Liaison jobs?

For Provider Network Liaison jobs, the most frequently searched job titles are:

Infographic showing various Provider Network Liaison job openings in the United States as of September 2026, with employment types broken down into 1% Internship, 1% As Needed, 81% Full Time, 11% Part Time, and 6% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $52,614 per year, or $25.3 per hour.

PROVIDER NETWORK LIAISON

Burlingame, CA • On-site

North East Medical Services
Health Care and Social Assistance • 51 - 200 employees
Learn more about North East Medical Servicesexternal

$95K - $109K/yr

Other

Medical, Dental, Vision, Retirement

Re-posted 14 days ago

Job description

The Provider Network (PN) Liaison, in conjunction with the whole MSO Provider Network team, is responsible for activities and actions related to promoting the services and expertise of NEMS' network and MSO services to the medical community, as well as providing the community with ongoing education regarding the NEMS managed care services.
The PN Liaison is responsible for a wide range of communication activities to support, develop and maintain service relationships with all community participants (physicians, hospitals and health systems, providers and administrators) of the NEMS MSO network, including network adequacy according to DHCS & CMS standard, with primary focus on conducting in-person orientation/education/communication events to external provider organizations, establishing and maintaining positive relationships with providers and referral sources, responding to provider and client requests and concerns, and negotiating service contracts with community providers and organizations.
The position exercises discretion and independent judgment to respond to complex inquire about MSO provider network policies, contracts, reimbursement rates, managed care policies changes, referrals, credentialing, provider appeals and member grievances, etc. provides managed care training, educations, and guidance and to manage provider communication efforts. The PN Liaison, works with the PN Liaison Lead, as the face of the pro contact of NEMS to the community for the overall medical management communications and plans.
The PN Liaison is required to have the ability to communicate efficiently, with a variety of professionals, to build effective working relationship, including physicians and other healthcare providers, business administrators and contracting managers, billing, and revenue cycle agencies; works on projects and matters with levels of complexity in a support role.
The position requires critical thinking skills, able to independently trouble-shoot and resolve complex provider network related issues. This position also requires relevant knowledge to HMO, Medicare and/or Medi-Cal Risk Plan, benefits, managed care programs and sufficient level of understanding to CMS/DHCS health policy.
This is primarily a field-based position that requires 60% local travel in Northern California.
Previous field-based experience is a plus. A self-starter with excellent time management, critical thinking, and great interpersonal skills. Must have a California driver's license as travel is required. Must be able to multi-task and be familiar with MS Word, PowerPoint, Excel, various video conference systems.
ESSENTIAL JOB FUNCTIONS:
  • Develop new and maintain existing business relationships with community organizations, physicians, and healthcare administrators via in-person outreach activities according to pre-determined targeted market or geographic area.
  • Plan and conduct independent in-service meetings that will highlight the features and benefits of NEMS network and to promote NEMS MSO services while responding to complex provider inquires and addressing concerns.
  • Represent NEMS MSO at networking and community events throughout an assigned territory.
  • Exercise discretion and independent judgment to address complex authorizations, claims, provider appeals, benefit coverage issues raised by physician practices during outreach event, and to coordinate follow up activities via virtual or in-person meetings for resolution.
  • Responsible to conduct orientation, training, and education sessions to contracted provider entities and business associates, to provide general guidelines of the Medicare and Medi-Cal manage care program requirements via virtual and in-person meeting.
  • Assist in interpreting MMCD policy and DHCS APL (All Plan Letter) and make practical efforts to communicate policy changes to community providers and organizations for implementation within required timeframe.
  • Assists with workflow training to new team members to ensure complete understanding of and adoption to the NEMS MSO network and programs.
  • Participate in the design and development of marketing materials including brochures, flyers, newsletters, and other managed care related information.
  • Complete provider outreach/visits log submit them on a timely basis to Provider Network Operations Manager
  • Collaborate with internal and external parties for implementation of audit findings.
  • Performs other job duties as required by manager/supervisor.

QUALIFICATIONS:
  • BA/BS degree; Associate Degree may be considered with relevant, equivalent work experience.
  • 4 years work experience in healthcare setting in the areas of provider network, claims, or utilization management is preferred.
  • Valid CA Driver's license required. No violation per company vehicle usage policy.
  • Prior experience in a managed healthcare setting, provider organization with knowledge of CMS and/or DHCS health policy is preferred.
  • Knowledge of Medicare and/or Medi-Cal managed care program and/or other state-sponsored program is a plus.
  • Superior ability to communicate (spoken and written) effectively with a variety of professionals, including physicians and other healthcare providers.
  • Must be PC literate - Strong Excel, Word, Power point, and Outlook skills;
  • Knowledge of community resources and cultural is a plus.
  • Detail-oriented and organized with the ability to interpret DHCS policy letters and make decisions.
  • Good organization and problem-solving skills.
  • Ability to self-manage and work with multiple departments within the organization and external clients.

LANGUAGE:
  • Must be able to fluently speak, read and write English.
  • Fluent in Chinese (Cantonese and/or Mandarin) preferred
  • Fluency in other languages are an asset.

STATUS:
  • This is an FLSA exempt position.
  • This is not an OSHA high-risk position.
  • This is a Full Time position.

NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).

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