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Provider Relations Specialist Jobs (NOW HIRING)

Provider Relations Specialist Hours: Monday-Friday, 8:00 AM-5:00 PM (Hybrid after probationary period) Location: Phoenix area (Arizona residency required) Do you enjoy meeting new people, building ...

The Provider Relations Specialist supports Paradigm's provider network strategy by assisting in relationship management, contracting activities, and vendor coordination. This role is responsible for ...

General Summary Serves as a senior Human Resources (HR) consultant and subject matter expert supporting employee relations for employed physicians and advanced practice providers (APPs) within the ...

General Summary Serves as a senior Human Resources (HR) consultant and subject matter expert supporting employee relations for employed physicians and advanced practice providers (APPs) within the ...

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Provider Relations Specialist information

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$31.5K

$69.7K

$133K

How much do provider relations specialist jobs pay per year?

As of Sep 6, 2026, the average yearly pay for provider relations specialist in the United States is $69,738.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,500.00 and $84,500.00 per year, depending on experience, location, and employer.

What is a provider relations specialist?

Provider Relations Specialists are professionals who act as liaisons between healthcare providers (such as doctors, hospitals, and clinics) and insurance companies or managed care organizations. They work to build and maintain positive relationships, resolve issues, and ensure effective communication. Their responsibilities often include addressing provider concerns, assisting with credentialing, explaining policies, and supporting contract negotiations. By fostering collaboration, they help ensure smooth operations and quality patient care within the healthcare network.

What does a provider relations specialist do?

Provider relations specialists work for insurance companies and are the primary contact for health care providers, such as physician's offices and hospitals. In this role, you answer questions from health care providers about service contracts, available in-network services, and billing procedures. You may also handle patient documentation to ensure the proper paperwork has been filed for coverage and develop informational communications to keep providers updated on any policy changes. Some provider relations specialists may travel to different health care organizations to train staff on insurance policies and procedures. This position typically does not interact directly with patients.

How does a provider relations specialist typically collaborate with healthcare providers to resolve issues and improve services?

A Provider Relations Specialist frequently serves as the main point of contact between healthcare organizations and their network providers. They work closely with providers to address concerns related to claims, contract terms, or credentialing, ensuring that issues are resolved promptly and efficiently. Collaboration often involves regular meetings, training sessions, and ongoing communication to clarify policies and improve processes. This role requires strong interpersonal and problem-solving skills, as Specialists must balance organizational goals with provider satisfaction to maintain positive relationships.

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

To thrive as a Provider Relations Specialist, you need a strong understanding of healthcare operations, contract management, and relationship-building, often supported by a bachelor's degree in healthcare administration or a related field. Familiarity with claims processing systems, provider databases, and customer relationship management (CRM) software is typically required. Excellent communication, negotiation, and problem-solving skills help you effectively address provider concerns and foster positive partnerships. These skills are crucial for ensuring smooth provider network operations, regulatory compliance, and high satisfaction among both providers and patients.

What cities are hiring for Provider Relations Specialist jobs?

Cities with the most Provider Relations Specialist job openings:

Who are the top companies hiring for Provider Relations Specialist jobs?

The top employers for Provider Relations Specialist jobs are:

What states have the most Provider Relations Specialist jobs?

States with the most job openings for Provider Relations Specialist jobs include:

What job categories do people searching Provider Relations Specialist jobs look for?

The top searched job categories for Provider Relations Specialist jobs are:

Infographic showing various Provider Relations Specialist job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 76% Full Time, 16% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $69,738 per year, or $33.5 per hour.

Provider Relations Specialist

Augusta Health

Fishersville, VA • On-site

$58 - $88/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 15 days ago


Augusta Health rating

6.6

Company rating: 6.6 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

683rd of 1,065 rated hospitals


Job description

  • Pay or shift range: $57,761.60 USD to $88,379.20 USD
    The pay range reflects the current compensation range for this position at the time of posting. Individual offers are determined based on directly related experience, skills, education, internal equity, and other job-related factors. Not all candidates will qualify for the upper end of the posted range.
Description

The Provider Relations Specialist is responsible for building and strengthening relationships with referring providers and healthcare organizations across the service area. This role promotes Augusta Health's specialists, programs, and ancillary services while proactively identifying and addressing barriers to referral access, care coordination, and continuity of care.


Working in close partnership with internal clinical leaders and departmental stakeholders, the Provider Relations Specialist supports organizational growth, market expansion, and strategic business development initiatives. Serving as a key liaison between Augusta Health Medical Group (AMG), non-AMG providers, hospitals, and community partners, this position acts as an extension of Augusta Health within the community.


Approximately 70-80% of the role is field-based, engaging directly with providers and healthcare organizations to strengthen referral pathways, enhance provider engagement, and improve access to services. Through these efforts, the position directly contributes to increased market share, patient access, and service utilization.


The Provider Relations Specialist leverages non-HIPAA market intelligence, internal referral data, and industry trends to prioritize relationship development and identify opportunities for service growth. This role represents Augusta Health, its hospital, and its clinics by fostering collaborative, trust-based relationships throughout the healthcare community.

Education, Experience, Skills and Abilities:

  • Bachelor's degree in healthcare administration, business, marketing, sales, or a related healthcare field required
  • 3-5 years of experience in provider relations, healthcare, business development, physician liaison, or a related role required
  • Strong knowledge of healthcare delivery systems, referral processes, and provider practice operations
  • Excellent interpersonal, communication, and relationship-building skills
  • Proficiency in various computer applications including Microsoft Office
  • Ability to analyze problems and develop alternate solutions
  • Ability to work independently, manage multiple priorities, and travel within the service area
  • Build and maintain strong, trusted relationships with referring providers, service line leaders and community stakeholders in assigned markets
  • Collaborate closely with providers, service line leaders, marketing, and operations teams to align outreach activities with organizational priorities and referral workflows and access strategies
  • Conduct regular outreach, practice visits, and relationship-building activities to support referral growth and retention
  • Serve as a primary point of contact for provider inquiries related to referrals, access, services, and clinical programs
  • Identify, troubleshoot, and help resolve challenges related to referrals, scheduling, access, and care coordination in partnership with internal teams
  • Support strategic growth initiatives by identifying referral opportunities, service gaps, competitive insights and market trends
  • Track provider interactions, referral patterns, and outreach activities
  • Analyze referral data, provider feedback and market intelligence to identify opportunities for improvement and growth
  • Prepare reports and insights to inform leadership and guide strategy
  • Represent the organization professionally in all interactions

Some benefits of working at Augusta Health include:

  • Generous paid time off to promote work life balance
  • Competitive Pay
  • Retirement Plan
  • Medical, Dental, and Vision Benefits
  • Free onsite parking

Company Information:

Augusta Health is a mission-driven, independent, nonprofit, community health system located in Fishersville Virginia in Virginia's scenic Shenandoah Valley. Augusta Health offers a full continuum of inpatient and outpatient services which includes Augusta Medical Center a 255 bed inpatient facility and Augusta Medical Group which is comprised of 40 practice locations and four urgent care locations.

Augusta Health recruits, hires and promotes qualified candidates for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran or military discharge status, and family medical or genetic information.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.

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