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Provider Relations Analyst Jobs (NOW HIRING)

HHC

Provider Relations Analyst

Indianapolis, IN · On-site

FLSA Status Exempt Job Role Summary The Provider Relations Analyst is responsible for maintaining a high degree of understanding of the provider enrollment structure, billing requirements and ...

The AF Group

Provider Relations Specialist

Lansing, MI · On-site

Provider Relations Specialist II Responsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software and reference library to ...

P3 Health Partners

Provider Relations Manager

Henderson, NV · On-site

$105K - $119K/yr

Analyze provider performance reports and operational metrics to identify improvement opportunities ... Knowledge of provider relations, managed care operations, delegated healthcare models, and value ...

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Provider Relations Analyst information

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$45K

$82.4K

$128K

How much do provider relations analyst jobs pay per year?

As of Aug 6, 2026, the average yearly pay for provider relations analyst in the United States is $82,388.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,500.00 and $95,000.00 per year, depending on experience, location, and employer.

What is the difference between Provider Relations Analyst vs Claims Analyst?

AspectProvider Relations AnalystClaims Analyst
Required CredentialsBachelor's degree in healthcare, business, or related field; certifications like CPC or CHC beneficialBachelor's degree in healthcare, finance, or related field; certifications like CPC or CPC-H advantageous
Work EnvironmentHealthcare organizations, insurance companies, provider networksInsurance companies, healthcare payers, claims processing departments
Employer & Industry UsageUsed in healthcare and insurance sectors focusing on provider relationshipsCommon in insurance and healthcare sectors focusing on claims processing
Comparison Search IntentOften compared for roles involving provider communication and network managementCompared for roles related to claims processing and reimbursement

Provider Relations Analysts focus on managing relationships with healthcare providers, ensuring network compliance and communication. Claims Analysts handle processing and analyzing insurance claims for reimbursement. While both roles require healthcare knowledge and similar certifications, their primary responsibilities differ—one emphasizes provider communication, the other claims processing.

More about Provider Relations Analyst jobs
What job categories do people searching Provider Relations Analyst jobs look for? The top searched job categories for Provider Relations Analyst jobs are:
Provider Relations Analyst jobs near you
Infographic showing various Provider Relations Analyst job openings in the United States as of July 2026, with employment types broken down into 3% Locum Tenens, 86% Full Time, 6% Part Time, 1% Temporary, and 4% Contract. Highlights an 83% Physical, 7% Hybrid, and 10% Remote job distribution, with an average salary of $82,388 per year, or $39.6 per hour.

Provider Relations Analyst

Cook Children's

Fort Worth, TX

Full-time

Medical

Posted 2 days ago

New

Cook Children's Health Care System rating

7.7

Company rating: 7.7 out of 10

Based on 75 frontline employees who took The Breakroom Quiz

160th of 887 rated healthcare providers

Job description

Location:

Calmont Operations Building

Department:

Network Mgmt

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

Position will report directly to the Manager of Provider Relations. This position will be the focal point for providers and provider offices by acting as the liaison between the physician community and the Provider Relations staff. This includes maintaining effective relationships with the physician community, including but not limited to physician education, facilitation and resolution of complex, urgent problems. Must be familiar with Texas Medicaid, claims resolution as well as coordinating and facilitating Provider and committee meetings, create and publish Newsletters, notifications, monitor MCO notices, resolve Provider complaints, update and audit Provider website, update codes on prior authorization look up tool and special projects as assigned by Provider Relations and Network Management Director. Must maintain emails/CRMs for Provider Relations inbox.

Additional Information:

Position will report directly to the Manager of Provider Relations. This position will be the focal point for providers and provider offices by acting as the liaison between the physician community and the Provider Relations staff. This includes maintaining effective relationships with the physician community, including but not limited to physician education, facilitation and resolution of complex, urgent problems.

Must be familiar with Texas Medicaid, claims resolution as well as coordinating and facilitating Provider and committee meetings, create and publish Newsletters, notifications, monitor MCO notices, resolve Provider complaints, update and audit Provider website, update codes on prior authorization look up tool and special projects as assigned by Provider Relations and Network Management Director. Must maintain emails/CRMs for Provider Relations inbox.
Education:

  • Bachelors Degree preferred but will consider 10 years healthcare/provider and/or member services experience in lieu of degree.

  • 1-2 years experience in a provider or member services role working with state regulatory agencies preferred.

  • Familiarity with the provider community, presenting in a public setting and public speaking is desired.

  • Medical billing and Healthcare industry knowledge a plus.

  • Basic understanding of CHIP & STAR benefits, and NPI/TPI relationships for billing.

  • Working knowledge of HMO business operations specifically member services, claims, credentialing and plan operations.

  • Experience with Microsoft Office Suite (Outlook, Excel, Word, PowerPoint).


About Us:

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

What Cook Children's Health Care System employees say

Pay

Benefits

Hours and flexibility

Workplace

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About Cook Children's Health Care System

Sourced by ZipRecruiter

Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1918

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