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Provider Relations Analyst Jobs (NOW HIRING)

Initio Capital

Investor Relations Analyst

New York, NY · On-site

$145K - $185K/yr

Job Summary Investor Relations Analyst Initio Capital Part-time, Full-time, Contract, Temporary ... It is provided to help job seekers understand the responsibilities and qualifications typically ...

Initio Capital

Investor Relations Analyst

New York, NY · On-site

$145K - $185K/yr

Job Summary Investor Relations Analyst Initio Capital Full-time, Part-time, Contract, Temporary ... It is provided to help job seekers understand the responsibilities and qualifications typically ...

Eclaro

Employee Relations Analyst

Jersey City, NJ

ECLARO's client is a market-leading insurance company, providing property, casualty, and specialty ... The Employee Relations Analyst is responsible for managing and resolving complex employee relations ...

CVS Health

Patient Relations Analyst

Mesa, AZ

$21.10 - $40.90/hr

The purpose of the Patient Relations Analyst at Oak Street Health is to educate patients about ... Provide exceptional customer service * Foster patient engagement through the design and execution ...

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How much do provider relations analyst jobs pay per year?

As of May 28, 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 May 2026, with employment types broken down into 76% Full Time, 20% Part Time, 2% Temporary, 1% Contract, and 1% Nights. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $82,388 per year, or $39.6 per hour.
Provider Relations Analyst Sr (Pharmacy Contracting) - Remote

Provider Relations Analyst Sr (Pharmacy Contracting) - Remote

Prime Therapeutics LLC

Albuquerque, NM • On-site, Remote

$66K - $106K/yr

Full-time

Posted 23 days ago

Prime Therapeutics rating

8.0

Company rating: 8.0 out of 10

Based on 43 frontline employees who took The Breakroom Quiz

14th of 97 rated pharmacies

Job description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting Title
Provider Relations Analyst Sr (Pharmacy Contracting) - RemoteJob Description
The Provider Relations Analyst Sr is responsible for contracting efforts and managing Prime's independent pharmacy networks. This position is responsible for the management of Prime's independent pharmacy network contracting activities, ensuring contracting initiatives are effective and completed in accordance with network management strategies. In addition, this position manages and maintains the Prime Provider Manual, issues resolution for escalated pharmacies inquiries through the Provider Relations email box.
Responsibilities
  • Research and resolve pharmacy contract related inquires; evaluate network participation and distribute pharmacy contract documents; coordinate timely, accurate and complete submission of contract deliverables, and the electronic and physical tracking, storage and distribution of contract documents
  • Ensure all contractual obligations adhere with company policies, regulatory compliance and legal requirements; engage with Legal and Network Management leadership as needed to ensure the language provided is accurate and concise
  • Establish, develop, and maintain relationships with independent pharmacy providers
  • Manage legal-to-legal correspondences between Prime and independent Pharmacy Providers escalating to Prime Legal Counsel as required
  • Conduct root cause analysis, including but not limited to, investigating, monitoring, resolving and reporting for pharmacy contract and pricing analysis complaints issues
  • Evaluate pharmacy inquiries to include but not limited to complaints, issues and/or grievances and collaborate with internal stakeholders, such as Network Management, Client Engagement, and Benefit Operation
  • Manage and edit Prime's Provider Manual to ensure compliance and timely distribution, while contributing to process improvements that support cross-functional projects, regulatory changes, and client implementations
  • Other duties as assigned

Minimum Qualifications
  • Bachelor's degree in Business or related area of study, or equivalent combination of education and/or relevant work experience; High school diploma or GED required
  • 5 years of work experience in a call center, customer service, operations, retail pharmacy, pharmacy technician, Pharmacy Benefit Management (PBM)

Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
  • Strong interpersonal communication skills including conflict resolution and listening
  • Advanced ability to problem solve and interpret complex data
  • Proficiency within Microsoft applications such as Outlook, Word and Excel
  • Enhanced ability to coordinate multiple tasks and projects simultaneously under strict timelines
  • Ability to work in fast-paced, collaborative team environment
  • Enhanced ability to establish rapport and effectively influence at all levels within an organization

Preferred Qualifications
  • Experience analyzing state and federal regulations
  • Experience working with RxClaim system or other claims processing experience
  • Pharmacy Technician certification (CPhT) or equivalent pharmacy experience
  • Experience with negotiating contracts
  • Salesforce experience
  • Experience reviewing and responding to questions related to contracts
  • Familiarity with reviewing and managing contract redlines
  • Experience supporting or coordinating the execution of contracts

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $66,000.00 - $106,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.

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About Prime Therapeutics

Sourced by ZipRecruiter

Prime Therapeutics, located in Eagan, MN, is a pharmacy benefits management company that has been serving the healthcare industry since its foundation. They are an integral participant in the medical sector, specifically in the realm of health insurance. They focus on providing innovative pharmacy benefits and services to more than 30 million members nationwide. Besides their main pharmacy benefit management, they offer mail service pharmacy, specialty pharmacy, benefits management, and consultative engagement services to ensure individuals have continuous access to affordable prescription drugs. Prime Therapeutics, founded around three decades ago, has grown to stand out as a leader in its industry, thanks to its commitment to improving the health of its clients.

Industry

Insurance services

Company size

1,001 - 5,000 Employees

Headquarters location

Eagan, MN, US

Year founded

1987

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