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Provider Relations Associate Jobs in Michigan (NOW HIRING)

Agilon Health

Program Coordinator

Grand Rapids, MI · Hybrid

$18 - $22.10/hr

Associate's Degree, Bachelor's Degree; or equivalent work experience required Skills and Abilities ... provider relations field-desired 3. Excellent interpersonal and telephone communication skills are ...

Agilon Health

Program Coordinator

Grand Rapids, MI · Hybrid

$18 - $22.10/hr

Associate's Degree, Bachelor's Degree; or equivalent work experience required Skills and Abilities ... provider relations field-desired 3. Excellent interpersonal and telephone communication skills are ...

Integra Partners

Medical Coding Specialist

Troy, MI · On-site +1

$65K - $65K/yr

... provider relations, credentialing, compliance, and business development teams on coding related ... required. • Associate's or Bachelor's degree in Health Information Management, Healthcare ...

Integra Partners

Medical Coding Specialist

Troy, MI · On-site

$65K/yr

... provider relations, credentialing, compliance, and business development teams on coding related ... required. • Associate's or Bachelor's degree in Health Information Management, Healthcare ...

Insight

Business Associate

Flint, MI · On-site

$45K - $52K/yr

Review operational reports and provide recommendations for process improvements. * Support tracking ... Vendor Relations * Serve as a professional liaison between physicians, staff, vendors, and ...

Insight

Business Associate

Flint, MI · On-site

$45K - $52K/yr

... relations, quality initiatives, staffing coordination, and operational performance improvement ... Review operational reports and provide recommendations for process improvements. * Support tracking ...

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Provider Relations Associate information

What is a provider relations associate?

Provider Relations Associates are professionals who serve as the primary point of contact between healthcare providers (such as doctors and hospitals) and insurance companies or healthcare organizations. Their main responsibilities include maintaining positive relationships with providers, addressing concerns or issues, educating providers about policies and procedures, and ensuring compliance with contracts. They play a key role in facilitating communication and resolving any disputes to ensure efficient healthcare delivery and satisfaction on both sides.

What are the main challenges provider relations associates face when working with healthcare providers?

Provider Relations Associates often navigate complex communication channels between healthcare providers and insurance companies. One common challenge is addressing concerns or resolving issues related to provider contracts, reimbursement, and compliance with policies. Balancing the needs of providers with organizational guidelines requires strong negotiation and problem-solving skills. Additionally, maintaining positive relationships while handling high volumes of inquiries and ensuring accurate documentation can make the role fast-paced and demanding, but also rewarding for those who enjoy dynamic, collaborative environments.

What are the key skills and qualifications needed to thrive as a provider relations associate?

To thrive as a Provider Relations Associate, you need a solid understanding of healthcare administration, contract management, and provider network operations, usually supported by a bachelor's degree in a related field. Familiarity with healthcare management systems, claims processing platforms, and proficiency in Microsoft Office Suite are commonly required. Strong interpersonal communication, negotiation, and problem-solving abilities are vital soft skills for building and maintaining positive relationships with healthcare providers. These competencies ensure effective collaboration, resolve issues efficiently, and support the overall performance of the provider network.

What is the difference between Provider Relations Associate vs Provider Relations Coordinator?

AspectProvider Relations AssociateProvider Relations Coordinator
Required CredentialsHigh school diploma or equivalent; some roles prefer healthcare or customer service experienceHigh school diploma; healthcare or administrative experience often preferred
Work EnvironmentOffice setting, healthcare organizations, insurance companiesOffice environment, healthcare facilities, insurance providers
Employer & Industry UsageHealthcare insurers, provider networks, managed care organizationsHealthcare insurers, provider networks, healthcare administration
Common Search & Comparison IntentYesYes

The Provider Relations Associate and Provider Relations Coordinator roles share similarities in work environment and industry usage, often involving communication with healthcare providers and supporting network relations. The main differences lie in responsibilities: associates typically handle basic provider inquiries and data entry, while coordinators may oversee provider onboarding and relationship management. Both roles require similar credentials and are vital in healthcare administration, making them common points of comparison for job seekers in this field.

What are the most commonly searched types of Provider Relations jobs in Michigan? The most popular types of Provider Relations jobs in Michigan are:
What are popular job titles related to Provider Relations Associate jobs in Michigan? For Provider Relations Associate jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Provider Relations Associate jobs in Michigan look for? The top searched job categories for Provider Relations Associate jobs in Michigan are:
What cities in Michigan are hiring for Provider Relations Associate jobs? Cities in Michigan with the most Provider Relations Associate job openings:
Provider Relations Associate jobs near you
Infographic showing various Provider Relations Associate job openings in Michigan as of July 2026, with employment types broken down into 100% Full Time. Highlights an 86% In-person, and 14% Remote job distribution.

Quality & Accreditation Specialist, Michigan

McLaren Health Care Corporation

Flint, MI • On-site

Full-time

Posted 12 days ago

McLaren Health Care rating

6.7

Company rating: 6.7 out of 10

Based on 221 frontline employees who took The Breakroom Quiz

532nd of 887 rated healthcare providers

Job description

McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a National Committee for Quality Assurance Specialist to join in leading the organization forward.
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).
MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org
Position Summary:
The NCQA Specialist coordinates quality improvement activities and supports various functions within the scope of the Plan quality improvement program, working both independently and as a team member. The functions may include but are not limited to committee support; regulatory and accreditation standard adherence; delegation oversight; performance monitoring and assessment; data collection and analysis; and the continual advancement of the quality improvement process to achieve the Health Plan's goals of excellence.
Essential Functions and Responsibilities:
  1. Accountable for assigned standards from National Committee for Quality Assurance (NCQA), which may involve oversight of delegated activities.
  2. Works with Plan departments, such as Quality, Contracting, Provider Relations, Member Services, Appeals and Grievances, Pharmacy Services, Utilization and Medical Management, Credentialing, and other departments and delegates to ensure that NCQA standards are met, and appropriate documentation is maintained.
  3. Counsels, guides and instructs Health Plan employees on adherence to accreditation standards, NCQA-focused activities and other quality improvement initiatives.
  4. Supports the Plan committee functions and activities as assigned. Ensures that meetings are organized, well documented and that they meet the Plan goals and objectives and the individual Committee's roles and responsibilities.
  5. Leads quality projects as directed, including appropriate audits and state projects and requirements.
  6. Assumes project management as directed.

#LI-KH1
Qualifications:
Required:
  • Associate degree in a health care field or equivalent work.
  • Four (4) years' experience with a government regulated health organization or a managed care setting with at least two (2) years' experience performing complex quality management activities including HEDIS, NCQA etc.

Preferred:
  • Bachelor's in healthcare or related field.
  • Experience writing quantitative and qualitative analysis.
  • Knowledge of the National Committee on Quality Assurance (NCQA) Standards for the accreditation of managed care organizations and HEDIS specifications; the managed care environment and the basic tenets of continuous quality improvement.

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