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Provider Relations Manager Jobs (NOW HIRING)

WellSpan Health

Provider Relations Specialist

York, PA · On-site

... employee relations for employed physicians and advanced practice providers (APPs) within the ... Manages complex provider workplace issues, conducts and supports investigations, advises leaders on ...

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Provider Relations Manager information

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$34.5K

$78.1K

$134K

How much do provider relations manager jobs pay per year?

As of Jul 7, 2026, the average yearly pay for provider relations manager in the United States is $78,084.00, according to ZipRecruiter salary data. Most workers in this role earn between $46,000.00 and $100,000.00 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.
More about Provider Relations Manager jobs
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What states have the most Provider Relations Manager jobs? States with the most job openings for Provider Relations Manager jobs include:
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Provider Relations Manager jobs near you
Infographic showing various Provider Relations Manager job openings in the United States as of July 2026, with employment types broken down into 85% Full Time, 13% Part Time, 1% Temporary, and 1% Contract. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution, with an average salary of $78,084 per year, or $37.5 per hour.
Provider Relations Specialist

Provider Relations Specialist

SIHO Insurance Services

Columbus, IN

Full-time

Re-posted 10 days ago

Job description

Job Title: Provider Relations Specialist – Contracting, Credential and Load
Reports To: Provider Relations Supervisor
 
Job Summary:
This is a non-exempt position. The Provider Relations Specialist has responsibility for network contracting with Professional and Ancillary providers and serving as the relationship coordinator for our PPO rental networks. The position also has responsibilities for researching and confirming credentialing information (work history, malpractice history, hospital privileges, etc.) on contracted providers. The Specialist loads both new provider information and all updates to current providers into the SIHO system and prepares files for SIHO Credentialing Committee review. Assisting our Sales, Account Management, Reinsurance, and Finance teams in understanding and quantifying our network strengths and weaknesses.
 
Brief Description of Duties:
- Prepare, execute, and maintain provider contracts with Professional and Ancillary providers, including renegotiation with current SIHO Network providers.
- Function as the point-of-contact for all on-going contractual issues as needed by providers.
 - Negotiate Single Case Agreements (SCA) with non-participating providers as requested by Medical Management and Account Management.
 - Work closely with and provide support to Health Systems Development, Sales, and Account Management to provide network support for new business development initiatives.
 - Work with and provide support to Provider Services Specialists on contractual issues and to assure smooth and efficient operations.
 - Establish and maintain good relationships between SIHO and its network providers
 - Provide education to physicians, facilities, and ancillary providers
 - Training of newly contracted health care providers on SIHO’s policies and procedures
 - Recognize and handle potential issues appropriately
 - Handle issues within the Provider Services department internally and externally
 - Complete special projects as assigned by the Provider Relations Supervisor
 - Inform the Provider Relations Supervisor of important updates
 - Assist in creating new projects to streamline the functions of the department
 - Work with Provider Relations staff and internal/external customers to assure smooth and efficient operations
 - Credential and re-credential providers by utilizing verification sources
 - Enter and maintain provider load information in the SIHO system
 - Coordinate with PPO Networks, Data Management, Reinsurance, and Finance to ensure our networks competitiveness is appropriately reflected in our pricing.
 
Minimum Skills Requirement:
- Experience in a managed care organization preferred
- Strong communication (oral and written) skills
- Demonstrated problem solving and analytical skills
- Knowledge of health insurance, billing, and/or claims processing
- Ability to work at a self-directed pace in a changing, multi-task environment
- Professional appearance and presence
- Ability to project and maintain a positive attitude internally and externally
- Intermediate understanding of Word, Excel, database, and web-based technology
- Ability to maintain strict confidentiality
- Must be good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools
 
*All positions are subject to change based on the needs of the business
 

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.