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Provider Relations Jobs in Georgia (NOW HIRING)

HealthONE

Credentialing Representative

Dalton, GA · On-site

Educates providers and the Provider Relations regarding criteria and credentialing policies and procedures when necessary * Works with Network Management to ensure providers' initial information and ...

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All JobsProvider Relations JobsProvider Relations Jobs in Georgia

Provider Relations information

See Georgia salary details

$11

$23

$35

How much do provider relations jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for provider relations in Georgia is $23.55, according to ZipRecruiter salary data. Most workers in this role earn between $18.89 and $26.59 per hour, depending on experience, location, and employer.

What is provider relations?

Provider relations refer to the department or professionals within a healthcare organization or insurance company who manage the relationship between the organization and its network of healthcare providers, such as doctors, hospitals, and clinics. Their responsibilities typically include onboarding new providers, negotiating contracts, resolving disputes, ensuring compliance with policies, and communicating updates or changes. Effective provider relations are vital for ensuring quality patient care, maintaining provider satisfaction, and streamlining administrative processes.

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 solid understanding of healthcare administration, provider network management, and a bachelor’s degree in a related field. Familiarity with claims processing systems, customer relationship management (CRM) software, and knowledge of healthcare regulations are commonly required. Strong interpersonal, negotiation, and problem-solving skills help facilitate effective communication and resolve issues between providers and payers. These skills ensure smooth collaboration, regulatory compliance, and high-quality service delivery within healthcare networks.

What is the difference between Provider Relations vs Provider Network Specialist?

AspectProvider RelationsProvider Network Specialist
CredentialsTypically requires healthcare administration or related certificationsOften requires similar healthcare or insurance certifications
Work EnvironmentOffice-based, interacting with providers and internal teamsOffice or remote, focusing on network management and provider onboarding
Employer & Industry UsageHealth insurance companies, healthcare organizationsHealth plans, insurance providers, healthcare networks
Search & Comparison IntentUnderstanding roles in provider relations and network managementDifferences between provider relations and network specialist roles

Provider Relations professionals focus on building and maintaining relationships with healthcare providers, ensuring communication and compliance. Provider Network Specialists primarily manage provider networks, onboarding, and network adequacy. While both roles work closely within healthcare and insurance settings, Provider Relations emphasizes relationship management, whereas Provider Network Specialists concentrate on network operations and provider data management.

How does a provider relations professional typically collaborate with healthcare providers to resolve issues or concerns?

Provider Relations professionals often serve as the main point of contact between healthcare organizations and network providers. They work closely with physicians, clinics, and hospitals to address any questions or concerns related to contracts, claims processing, or service delivery. Regular communication, both in-person and via digital channels, allows them to identify issues early and provide solutions that align with organizational policies. This collaborative approach helps maintain strong relationships, ensures provider satisfaction, and supports network efficiency.
What are the most commonly searched types of Provider Relations jobs in Georgia? The most popular types of Provider Relations jobs in Georgia are:
What are popular job titles related to Provider Relations jobs in Georgia? For Provider Relations jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Provider Relations jobs in Georgia look for? The top searched job categories for Provider Relations jobs in Georgia are:
What cities in Georgia are hiring for Provider Relations jobs? Cities in Georgia with the most Provider Relations job openings:
Provider Relations jobs near you
Infographic showing various Provider Relations job openings in Georgia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $48,984 per year, or $23.6 per hour.

Manager, Provider Contract Negotiation (Georgia)

CVS Health

Decatur, GA

$54K - $119K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,331 frontline employees who took The Breakroom Quiz

89th of 112 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

  • Entry levelcontracting rolefor a candidate with minimal contracting experience and background.
  • Project managementskills to prioritize competing priorities, effectively communicate provider contracting scenarios with attention to detail based on a thorough evaluation of provider data using internal tools, and support and manage assigned projects for the market.
  • Manages contract performance and drives the development and implementation of value-based contract relationships in support of business strategies.
  • Recruitsproviders as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within defined providers.
  • Collaboratescross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities.
  • Responsible for identifying andmanaging cost issuesand collaborating cross functionally to execute significant cost saving initiatives.
  • Represents companywith high visibility constituents, including customers and community groups. Promotes collaboration with internal partners.
  • Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage medical costs through effectiveprovider contractingto meet state contract and product requirements. Collaborates with internal partners to assess effectiveness of tactical plan in managing costs.
  • May optimizeinteraction with assigned providersand internal business partners to facilitate relationships and ensureprovider needs are met. Ensuresresolution of escalated issuesrelated, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.

Required Qualifications

  • 5+ years experience in a provider relations, contracting or managed care environment
  • Knowledge of the managed care industry and practices, as well as a strong understanding of strategies, practices, and financial/contracting arrangements.
  • Must possess critical thinking, problem resolution, organizational and interpersonal skills.
  • Highly organized and self-driven
  • Must reside in Georgia and able to drive into the Atlanta office location 1x per month


Preferred Qualifications

  • Ability to forge meaningful, long-lasting relationships with providers.
  • Physician, Ancillary and/or Commercial experience
  • Knowledge of Medicare programs and related subject matter


Education

  • Bachelor's degree and relevant training or work experience

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $119,340.00

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: 08/31/2026

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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