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Provider Relations Representative Jobs in Ohio (NOW HIRING)

CVS Health

Payor Relations & Contracting Manager

Dayton, OH · On-site

$60K - $132K/yr

Design and implement systems to recruit providers, supporting network expansion and adequacy goals ... represents the base hourly rate or base annual full-time salary for all positions in the job grade ...

CVS Health

Payor Relations & Contracting Manager

Parma, OH · On-site

$60K - $132K/yr

Design and implement systems to recruit providers, supporting network expansion and adequacy goals ... represents the base hourly rate or base annual full-time salary for all positions in the job grade ...

CVS Health

Payor Relations & Contracting Manager

Toledo, OH · On-site

$60K - $132K/yr

Design and implement systems to recruit providers, supporting network expansion and adequacy goals ... represents the base hourly rate or base annual full-time salary for all positions in the job grade ...

Goodyear

Consumer Relations Representative 1

Akron, OH · On-site +1

As a Consumer Relations Specialist at Goodyear, you will resolve customer issues while delivering a ... Provides critical customer insights and feedback to the business, helping improve products ...

Goodyear

Consumer Relations Representative 1

Akron, OH · On-site

As a Consumer Relations Specialist at Goodyear, you will resolve customer issues while delivering a ... Provides critical customer insights and feedback to the business, helping improve products ...

The Whittingham Agencies

Be Seen First

Client Relations Representative

Cincinnati, OH · On-site

$60K - $80K/yr (+ commission)

No insurance experience required -- we provide the training and mentorship. What We Offer * $60,000-$80,000 first-year earning potential * Uncapped commission opportunities * Monday-Friday schedule

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All JobsProvider Relations Representative JobsProvider Relations Representative Jobs in Ohio

Provider Relations Representative information

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$13

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$39

How much do provider relations representative jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for provider relations representative in Ohio is $26.51, according to ZipRecruiter salary data. Most workers in this role earn between $21.25 and $29.95 per hour, depending on experience, location, and employer.

What is a provider relations representative?

Provider Relations Representatives are professionals who serve as the main point of contact between healthcare providers, such as doctors or clinics, and health insurance companies or managed care organizations. They handle inquiries, resolve issues, and ensure that providers understand and comply with policies, procedures, and contractual obligations. Their role is crucial in maintaining positive relationships, addressing concerns, and facilitating smooth communication to improve patient care and provider satisfaction.

What does a provider relations representative do?

A provider relations representative works for a health care agency and is the primary liaison between their company and health care providers, such as medical doctors and dentists. As a provider relations representative, your specific job duties vary, depending on your employer. But your responsibilities may include answering questions from doctor’s offices about benefit verification, entering claims data for processing, and maintaining a good relationship with providers. To become a provider relations representative, you need a high school diploma or equivalent, though many employers prefer candidates with an associate or bachelor’s degree in a health care related field and industry experience.

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

To thrive as a Provider Relations Representative, you need a solid understanding of healthcare policies, contract negotiation, and customer service, often supported by a bachelor’s degree in healthcare administration or a related field. Familiarity with claims processing systems, CRM software, and provider databases is typically required. Strong interpersonal, problem-solving, and conflict resolution skills help you build effective relationships with healthcare providers. These skills and qualities are essential for ensuring provider satisfaction, resolving issues efficiently, and maintaining strong network partnerships.

What are some common challenges provider relations representatives face when working with healthcare providers, and how can they be addressed?

Provider Relations Representatives often encounter challenges such as resolving complex contract issues, addressing provider concerns about claims processing, and navigating changing healthcare regulations. Building strong communication skills and maintaining up-to-date knowledge of company policies can help address these challenges effectively. Proactively engaging with providers, listening to their feedback, and collaborating with internal departments are key strategies for fostering positive relationships and ensuring provider satisfaction.

What is the difference between Provider Relations Representative vs Customer Service Representative?

AspectProvider Relations RepresentativeCustomer Service Representative
CredentialsHigh school diploma or equivalent; healthcare knowledgeHigh school diploma or equivalent; customer service skills
Work EnvironmentHealthcare offices, insurance companiesCall centers, retail, service industries
Employer & IndustryHealth insurance, healthcare providersVarious industries including retail, telecom
Search & Comparison IntentUnderstanding roles in healthcare insuranceCustomer support roles across industries

The Provider Relations Representative focuses on managing relationships with healthcare providers and ensuring compliance with insurance policies, often working within healthcare or insurance companies. In contrast, a Customer Service Representative handles general customer inquiries, support, and issue resolution across various industries. While both roles require strong communication skills, the Provider Relations Representative specializes in healthcare provider interactions, making it a more industry-specific position.

More about Provider Relations Representative jobs

What are the most commonly searched types of Provider Relations Representative jobs in Ohio?

The most popular types of Provider Relations Representative jobs in Ohio are:

What are popular job titles related to Provider Relations Representative jobs in Ohio?

For Provider Relations Representative jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Provider Relations Representative jobs in Ohio look for?

The top searched job categories for Provider Relations Representative jobs in Ohio are:

What are popular job titles related to Provider Relations Representative jobs in OH?

For Provider Relations Representative jobs in OH, the most frequently searched job titles are:

Provider Relations Representative jobs near you
Infographic showing various Provider Relations Representative job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 65% Physical, 1% Hybrid, and 34% Remote job distribution, with an average salary of $55,151 per year, or $26.5 per hour.

Payor Relations & Contracting Manager

CVS Health

Dayton, OH • On-site

$60K - $132K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 20 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,359 frontline employees who took The Breakroom Quiz

92nd of 113 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

This is an individual contributor role.

The Manager of Contract Negotiation develops and maintains strategic relationships with physician partners across the Northern Ohio market, leading contract management and provider relations initiatives that support Commercial and Medicare lines of business.

In addition to managing these relationships, the Manager develops, reviews, analyzes, and executes provider contracts. They ensure proper implementation of negotiated agreements and monitor contract performance to align with accessibility, compliance, quality, financial, and cost objectives.

Key Responsibilities:

  • Lead the development and execution of innovative programs to advance contract negotiation initiatives across the organization.
  • Anticipate industry changes, evaluate their impact, and formulate strategic responses.
  • Design and implement systems to recruit providers, supporting network expansion and adequacy goals.
  • Conduct competitive analyses to inform reimbursement strategies.
  • Foster cross-functional collaboration to enhance provider compensation methodologies and analyze financial impacts of reimbursement models.
  • Recommend strategies to address cost challenges and drive cost-saving initiatives and settlement activities.
  • Support network development, maintenance, and optimization to achieve company and market objectives.
  • Mentor colleagues on best practices, processes, and responsibilities to strengthen team capabilities.

Required Qualifications

  • 5 years of experience leading or supporting operational functions within healthcare administration or health insurance environments.
  • 3+ years managing provider relationships and overseeing contract management functions.
  • Demonstrated ability to partner with internal and external stakeholders to identify root causes, develop solutions, and drive issue resolution within established timelines.
  • Proficiency in Microsoft Word, Excel, and PowerPoint.

Preferred Qualifications

  • 3+ years experience with provider contract negotiation or provider relations experience
  • Experience with EPDB (Enterprise Provider Database, SCM (Strategic Contract Manager), and Provider Data Management.
  • Experience with Commercial and Medicare lines of business.
  • Exceptional written and verbal communication skills, particularly with external stakeholders.
  • Strong critical thinking, problem-solving, and interpersonal skills.
  • Candidates residing in Ohio are strongly preferred.

Education

  • Bachelor's degree or equivalent combination of education and professional work experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,300.00 - $132,600.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/13/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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