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Provider Relations Specialist Jobs (NOW HIRING)

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 Aug 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 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 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 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:
Infographic showing various Provider Relations Specialist job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 77% Full Time, 14% Part Time, and 6% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $69,738 per year, or $33.5 per hour.

Provider Relations Specialist- IL

Accanto Health

Roseville, MN โ€ข On-site

$95K - $125K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago


Job description

Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That's why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care.
Provider Relations Specialist Position Overview
As a Provider Relations Specialist, you will cultivate and manage referring provider relationships within a designated territory. You will collaborate with the client's treatment team, internally and externally to provide comprehensive care coordination. You will also act as an internal liaison to foster and enhance the experience and outcomes for their clients and families. As a talented specialist you will identify market strategies, build and deepen professional relationships, and optimize potential opportunities to expand The Emily Program's community impact and patient engagement.
Schedule
  • Monday-Friday (8:00 am-5:00 pm)
  • Some evenings and weekends as needed for travel, events, or conferences

Location
  • Remote based
  • 70-90% Travel within the assigned territory
    • Chicago Metro, IL, WI and surrounding areas as assigned
  • Requires permanent residence in the state of IL

Compensation Disclosure
  • Provider Relations Specialist, starting salary range between $95,000-125,000
  • Uncapped incentive compensation plan

Final Compensation offered will be within pay range based on qualifications/experience met for the position
How Provider Relations Specialist Empower Recovery
  • Concierge Customer Service: Ensures the coordination of communication as an integral part of the treatment team, joining internal and external care providers to provide an ideal level of communication and a concierge level of client experience. Locally manages the entire communication process from the initial call and proactively anticipates obstacles and participates in solutions from inception of a referral through the admission process to enhance patient and referent experience.
  • Business Aptitude: Is the "CEO" of their own territory; builds, manages and executes a diversified, strategic business plan that includes tactical, measurable activities and branding opportunities that produce business results. Ability to make keen judgments and decisions by analyzing business opportunities and anticipating changes in the marketplace. Functions as "eyes and ears" back to the company providing a reciprocating connection between the program and the eating disorder community.
  • Professional Relationship Development: Has the ability to continuously initiate professional relationships, connect interpersonally, leverage differentiators and maintain a mutually beneficial relationship. Provides unique knowledge, adapts to situations and navigates obstacles to create a genuine, trusting partnership.
  • Results Driven: Drives territory initiatives with a self-motivated, self-governed approach; holding oneself accountable to tangible business and relational results through diverse, persistent outreach efforts. Motivated to achieve measurable outcomes. Continuously driven to pursue clinical and market knowledge that positions themselves and TEP as a valued resource in the treatment community.
  • Client and Colleague Focused: Ensures our client's and colleague's perspectives are the driving force behind business decisions and activities, while ensuring that there is alignment with The Emily Program's Core Values. Establishes professional credibility by immersing themselves in their respective communities, becoming a trusted resource for colleagues and clients.

Role Responsibilities
  • Demonstrate professionalism in interpersonal, verbal, and written communication skills with colleagues, clinicians, and all referral sources.
  • Ability to analyze territory, develop a comprehensive outreach plan, and implement strategies to win back business, retain established and grow existing professional referral database.
  • Demonstrate professionalism in interpersonal, verbal, and written communication skills with colleagues, clinicians, and all referral sources.
  • Ability to analyze territory, develop a comprehensive outreach plan, and implement strategies to win back business, retain established and grow existing professional referral database.
  • Develop and execute a written quarterly and annual business development plan within the designated territory to meet or exceed targets
  • Conduct face to face meetings with key decision makers to uncover needs, address barriers to treatment and create community partnerships
  • Develop new and emerging referral channels by creating opportunities to increase awareness of our services among providers, to increase program reach
  • Plan/attend conferences/networking events on behalf of The Emily Program
  • Plan and execute presentations and tours, customize them to the target audience
  • Respond immediately to service and referral inquiries and provide support the referring professional and the family, from the first call through admission, ensuring communication and care coordination
  • Participate in Quarterly field rides with VP, Clinical Outreach
  • Manage expenses and company credit card tasks as designated by supervisor/administrator
  • Perform other duties as assigned.

Professional Qualifications
  • 2+ years' experience working in sales, business development, or account management
  • Experience working in behavioral health or eating disorder outreach is preferred but not
  • Experience working with Salesforce or similar CRM tools
  • Must possess a current, valid S. Driver's License.
  • Must have reliable trasnporation

Education Qualifications
  • Bachelor's degree Preference for a degree in marketing, communications, psychology, or social work, but not required.
  • In the absence of a bachelor's degree, high school diploma in addition to 4+ years of relevant experience
  • Clinical background preferred but not required

What we offer:
Employee Benefits: We understand the importance of a well-rounded benefits package. That's why we're dedicated to providing a range of plans to meet your needs.
For full-time employees, we offer:
  • HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield)
  • Dental insurance (Delta Dental)
  • Vision insurance (EyeMed)
  • Short-term and long-term disability insurance
  • Company-paid life insurance
  • 401(k) plan available two months after start date
  • Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation

Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.