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Provider Relations Manager Jobs in Springfield, VA

UHS

DIR - PROVIDER RELATIONS

Washington, DC

... Provider Relations Strategically plans, implements, and leads outreach efforts designed to foster ... Manages the satisfaction of department customers to include patients, employees and physicians ...

New

Aptive

Provider Relations Liaison

Washington, DC · On-site

$66K - $87K/yr

Primary Responsibilities The Provider Relations Liaison (PRL) is the incumbent responsible for ... A minimum three years of experience in claims management, benefit, or third-party administration.

Aptive

Provider Relations Liaison

Washington, DC · On-site

$66K - $87K/yr

Primary Responsibilities The Provider Relations Liaison (PRL) is the incumbent responsible for ... A minimum three years of experience in claims management, benefit, or third-party administration.

Aptive

Provider Relations Liaison

Washington, DC

$66K - $87K/yr

The Provider Relations Liaison (PRL) is the incumbent responsible for being a liaison between IHSC ... A minimum three years of experience in claims management, benefit, or third-party administration.

MHI

Government Relations Manager

Washington, DC · On-site

Provides General Manager and top management with regular reports on potential opportunities and ... If necessary, the Government Relations Manager should register and maintain compliance of required ...

The Park at 14th

Guest Relations Manager

Washington, DC · On-site

Guest Relations Manager (Onsite - Washington, DC) The Park at 14th is a vibrant, upscale casual ... We are committed to providing our guests with an unforgettable dining experience through impeccable ...

The Park at 14th

Guest Relations Manager

Washington, DC · On-site

Guest Relations Manager (Onsite Washington, DC) The Park at 14th is a vibrant, upscale casual ... We are committed to providing our guests with an unforgettable dining experience through impeccable ...

The Park at 14th

Guest Relations Manager

Washington, DC · On-site

Guest Relations Manager (Onsite - Washington, DC) The Park at 14th is a vibrant, upscale casual ... We are committed to providing our guests with an unforgettable dining experience through impeccable ...

Peraton

Government Relations Manager

Washington, DC · On-site

$112K - $179K/yr

Reporting to the Vice President, Government Relations, the Government Relations Manager will ... provider and national security mission capability integrator. * Collaborate with Peraton ...

Amentum

Government Relations Manager

Washington, DC · On-site

This role provides exposure to senior leadership and policymakers and offers opportunities to grow ... Manage government relations memberships, sponsorships, and vendor coordination. * Coordinate ...

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All JobsProvider Relations Manager JobsProvider Relations Manager Jobs in Springfield, VA

Provider Relations Manager information

See Springfield, VA salary details

$36K

$81.6K

$140K

How much do provider relations manager jobs pay per year?

As of Jun 17, 2026, the average yearly pay for provider relations manager in Springfield, VA is $81,561.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,000.00 and $104,500.00 per year, depending on experience, location, and employer.

What is the difference between Provider Relations Manager vs Provider Relations Specialist?

AspectProvider Relations ManagerProvider Relations Specialist
CredentialsBachelor's degree, experience in healthcare or insuranceSimilar credentials, often entry to mid-level experience
Work EnvironmentSupervisory roles, strategic planning, team managementOperational support, provider communication, data entry
Employer & Industry UsageHealth insurance companies, healthcare providersHealth plans, insurance firms, healthcare organizations
Search & Comparison IntentHigher-level responsibilities, management rolesOperational tasks, provider communication roles

The Provider Relations Manager typically oversees provider relations teams, focusing on strategy and relationship management. The Provider Relations Specialist handles day-to-day provider communication and support. Both roles require healthcare knowledge, but the manager position involves more leadership and strategic planning.

How does a Provider Relations Manager typically collaborate with healthcare providers to resolve issues or concerns?

Provider Relations Managers frequently serve as the main point of contact between healthcare organizations and their provider networks. They collaborate closely with providers to address operational concerns, such as claims processing, contract questions, or compliance matters. This often involves organizing regular meetings, conducting site visits, and facilitating communications between internal teams and providers to ensure high service levels and mutual understanding. Strong relationship-building and problem-solving skills are essential for success in this role.

What are the key skills and qualifications needed to thrive as a Provider Relations Manager, and why are they important?

To thrive as a Provider Relations Manager, you need a strong background in healthcare administration, contract negotiation, and provider network management, often supported by a bachelor’s degree in health administration or a related field. Familiarity with healthcare claims systems, provider databases, and regulatory compliance tools is typically required. Exceptional interpersonal skills, problem-solving abilities, and effective communication help build and maintain strong provider partnerships. These competencies ensure successful collaboration, network expansion, and the delivery of high-quality healthcare services.

What does a Provider Relations Manager do?

A Provider Relations Manager serves as the main point of contact between healthcare providers, such as doctors or hospitals, and insurance companies or healthcare organizations. They work to build and maintain strong relationships, address concerns, and ensure effective communication. Their responsibilities include negotiating contracts, resolving issues related to claims or services, and supporting providers with onboarding and training. Ultimately, they help ensure providers and organizations work together efficiently to deliver quality care to patients.
What are the most commonly searched types of Provider Relations jobs in Springfield, VA? The most popular types of Provider Relations jobs in Springfield, VA are:
What are popular job titles related to Provider Relations Manager jobs in Springfield, VA? For Provider Relations Manager jobs in Springfield, VA, the most frequently searched job titles are:
What job categories do people searching Provider Relations Manager jobs in Springfield, VA look for? The top searched job categories for Provider Relations Manager jobs in Springfield, VA are:
What cities near Springfield, VA are hiring for Provider Relations Manager jobs? Cities near Springfield, VA with the most Provider Relations Manager job openings:
Provider Relations Manager jobs near you
Infographic showing various Provider Relations Manager job openings in Springfield, VA as of June 2026, with employment types broken down into 92% Full Time, 4% Part Time, 3% Contract, and 1% Nights. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $81,561 per year, or $39.2 per hour.
HSCSN Sr Mgr Provider Relation

HSCSN Sr Mgr Provider Relation

Health Services for Children with Special Needs (HSCSN)

Washington, DC • On-site

Other

This job post has expired today. Applications are no longer accepted.

Job description

The Sr. Manager, Provider Relations develops and leads HSCSN's Provider Relations program. This includes the development and implementation of provider education and training of HSCSN contract requirements, oversight of provider clinical and administrative performance, as well as overall network management activities that ensure optimal care delivery to enrollees. The Sr. Manager, Provider Relations manages the Provider Relations Team and engagement strategies that support effective Provider/Health Plan partnerships. The Sr. Manager ensures that the Provider Relations team operates as the liaison between HSCSN and the Provider Network and appropriately engages with external provider stakeholders and internal stakeholders (i.e., Finance, Claims, Quality, Customer Care and Compliance) to mitigate or resolve provider issues or concerns. The Sr. Manager, Provider Relations serves as the key Provider Relations liaison with the District of Columbia Department of Health Care Finance (DHCF) and collaborates with providers, internal stakeholders, and regulatory partners to a achieve high level of compliance and enrollee/provider satisfaction. Minimum Education
Bachelor's Degree Business, Health Care Management, Health Care Administration (Preferred)
High School Diploma or GED General Studies (Required)
Minimum Work Experience
5 years related experience in managed care and/or care management. (Required)
5 years progressive supervisory experience. (Required)
5 years Prior experience in a health plan, managed care organization, medical group physician office or IPA setting (Required)
Required Skills/Knowledge
Understanding of Medicaid benefits.
Excellent verbal and written communication skills.
Familiarity with computer systems and applications. Computer literate in Microsoft suite
Strong organizational skills.
Ability to interpret and apply departmental requirements.
Ability to make sound decisions and use good judgment.
Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service.
Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practice.
Job Functions
Essential job duties:
  • Manage and improve network management operations to achieve or exceed performance standards/budgets.
  • Lead the development and execution of provider network business plans, strategies and goals.
  • Provide leadership and guidance to the Provider Relations, including hiring, developing, training, and retaining high-quality, productive employees.
  • Serve as a resource for Health Plan expansion strategies beyond the Washington, DC market.
  • Serve as a Provider Advocate within HSCSN.
  • Manage the provider portal.
  • Serves as single-point-of-contact to the physician network and is an accountable owner, responsive to physician needs. Knowledgeable about incentive programs, contract. reimbursement, practice and network profitability, ACOs and other HCP initiatives, as applicable.
  • Responds timely (within one business day) to provider issues, works with other groups/central departments to resolve issues and updates providers and office staff regularly through to resolution.
  • Is proactive in identifying issues and determining root cause so that they can be resolved timely and completely. Escalates certain issues as appropriate to leadership.
  • Build collaborative relationships with physicians and their office staff.
  • Represent HSCSN at community and other provider meetings.
  • Serve as point of contact for all Department of Healthcare Finance communications and initiatives.
Other job duties:
  • May perform other duties in addition to those outlined in this job description.

Organizational Accountabilities
Organizational Accountabilities (Managers)
Leadership Excellence
  • Demonstrates understanding of quality of service and collaborates with co-workers to ensure excellence is achieved
  • Innovates through improvement of care and/or efficiency of operational processes.
  • Dedicated to a standard of performance excellence and high quality

Collaboration
  • Creates a safe environment that encourages brainstorming, creativity and "out-of-the-box" thinking
  • Encourages a diverse group of people to communicate effectively and embrace creative thinking
  • Drives the collaborative efforts of the team to achieve goals in the most effective and efficient way
  • Demonstrates listening and feedback skills

Leadership Skills
  • Proactively assumes responsibility and accountability for results to include management of organizational change
  • Empowers staff in ensuring a culture of transparency, fairness, respect and excellence
  • Strategically aligns operational and tactical objectives to drive business results.
  • Encourages collaboration with team members based on trust, mutual respect, consistent visible support, and open and honest communication.
Supervisory Responsibilities
  • The incumbent will be responsible for the general direction of staff member(s).

Blood Borne Pathogen Exposure
  • Category II: Job may expose incumbent occasionally or in emergency situations to blood, body fluids, non-intact skin or tissue specimens.

Protected Health Information Access Level
  • Level IV - Full Access Incumbents in this job may access any protected health information associated to a customer's needs, the service(s) rendered and the position's functions.

Working Environment
  • This job operates in an office environment.

Physical Requirements
  • Sedentary Work: Lifting 10 lbs. maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools. Although a sedentary job is defined as one that involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Travel Requirements
  • Travel to Provider sites may be warranted. The incumbent should have a valid driver's license or access to a motor vehicle.

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