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Provider Relations Representative Ii Jobs (NOW HIRING)

Newdawnaba

MO

$60K - $90K/yr

New Dawn ABA - Provider Relations & Community Outreach Representative Location: Missouri (Kansas City, St. Louis & Columbia) Job Type: Full-time, field-based role with local travel Pay: $60,000.00 ...

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Provider Relations Representative II information

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$13

$27

$41

How much do provider relations representative ii jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for provider relations representative ii in the United States is $27.89, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $31.49 per hour, depending on experience, location, and employer.

What is a provider relations representative II?

A Provider Relations Representative II is a healthcare professional who acts as a liaison between healthcare providers, such as doctors or clinics, and insurance companies or managed care organizations. They handle complex issues, ensure providers understand policies and procedures, and help resolve disputes or claims. This role typically involves a higher level of experience and responsibility than entry-level positions, including training new staff and handling escalated cases. Strong communication and problem-solving skills are essential for success in this position.

What are the key skills and qualifications needed to thrive as a provider relations representative II, and why are they important?

To excel as a Provider Relations Representative II, you need strong knowledge of healthcare administration, provider contract management, and a bachelor’s degree in a related field. Familiarity with claims processing systems, CRM software, and healthcare regulations such as HIPAA is typically required. Outstanding interpersonal skills, problem-solving abilities, and effective communication are crucial for building trust with providers and resolving issues efficiently. These skills ensure smooth provider network operations, compliance, and high levels of provider satisfaction.

How does a provider relations representative II typically collaborate with healthcare providers to resolve issues and ensure smooth operations?

A Provider Relations Representative II works closely with healthcare providers to address concerns related to claims processing, contract terms, and network participation. They act as a liaison between providers and the insurance company, facilitating communication and problem-solving. This often involves organizing meetings, conducting training sessions, and following up on outstanding issues to ensure providers have the support they need. Strong relationship-building and conflict resolution skills are essential, as representatives frequently collaborate with internal departments and external partners to maintain positive, productive partnerships.

What is the difference between Provider Relations Representative Ii vs Provider Relations Representative I?

AspectProvider Relations Representative IiProvider Relations Representative I
Required CredentialsHigh school diploma or equivalent; some roles may prefer healthcare or insurance certificationsHigh school diploma or equivalent; entry-level position
Work EnvironmentOffice-based, interacting with healthcare providers and insurance staffOffice-based, supporting provider networks and customer service
Employer & Industry UsageHealthcare insurance companies, managed care organizationsHealthcare insurance companies, managed care organizations
Common Search & ComparisonProvider Relations Representative Ii vs Provider Relations Representative IProvider Relations Representative I

The Provider Relations Representative II typically requires more experience and may handle more complex provider issues compared to the Provider Relations Representative I. Both roles are essential in maintaining provider networks within healthcare insurance companies, but the 'II' level often involves greater responsibilities and expertise.

More about Provider Relations Representative II jobs
What job categories do people searching Provider Relations Representative Ii jobs look for? The top searched job categories for Provider Relations Representative Ii jobs are:
Provider Relations Representative II jobs near you
Infographic showing various Provider Relations Representative Ii job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $58,011 per year, or $27.9 per hour.

Provider Relations Representative

UnitedHealth Group

San Bernardino, CA • On-site

$60K - $90K/yr

Full-time

Retirement

Posted 17 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

186th of 887 rated healthcare providers

Job description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
As a Provider Relations Representative at Optum, you will act as a direct interface between Optum and the affiliated physicians in Optum's Independent Physician Association (IPA) network and support their operations and performance success. This position provides continuous education, support, training and troubleshooting to physicians and their staff.
This position will require regular travel across Riverside County.
Primary Responsibilities:
  • Serve as single-point-of-contact to the physician network and is an accountable owner, responsive to physician needs. Knowledgeable about incentive programs, contract reimbursement, Optum's internal processes and priorities, and other Optum initiatives, as applicable
  • Monitors performance of assigned PCPs, identifies low performing PCPs and works with IPA leadership to develop action plan for specific metrics needing improvement. Works with office to effectuate action plans and monitors progress
  • Intervenes and escalate issues as appropriate
  • Maintains awareness of providers interested in further engaging with Optum on new business opportunities (contracts and business combinations), and on shifting market/competitive dynamics that would impact the IPA
  • Works collaboratively with offices and Optum growth team to drive membership growth and retention
  • 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
  • Build collaborative relationships with IPA physicians and their office staff

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • 2+ years of health care/managed care experience
  • 2+ years of provider relations and/or provider network experience
  • Intermediate level of proficiency in claims processing and issue resolution
  • Proficiency with Microsoft Office Suite
  • Able and willing to travel 50% within assigned territory

Preferred Qualification:
  • Provider recruitment and contracting experience

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $90,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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