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Provider Relations Jobs in Hawaii (NOW HIRING)

Provide clear and timely communication of claim resolutions to providers, members, and internal stakeholders. * Develop strong working relationships with provider relations, customer service ...

Client Relations Coordinator

Honolulu, HI · On-site

$21.19 - $25.42/hr

The Client Relation Coordinator is a key member of the Client Services team ... This position is responsible for providing exceptional tier one support to clients via phone and ...

Owner Relations Manager

Honolulu, HI · On-site

$63K - $70K/yr

The Owner Relations Manager develops and maintains relationships with existing owners and new ... Provide a high level of service to all Unit Owners and potential Owners within Ala Moana Hotel at ...

The Owner Relations Manager develops and maintains relationships with existing owners and new ... Provide a high level of service to all Unit Owners and potential Owners within Ala Moana Hotel at ...

Owner Relations Manager

Honolulu, HI · On-site

$63K - $70K/yr

The Owner Relations Manager develops and maintains relationships with existing owners and new ... Provide a high level of service to all Unit Owners and potential Owners within Ala Moana Hotel at ...

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Provider Relations information

See Hawaii salary details

$14

$28

$43

How much do provider relations jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for provider relations in Hawaii is $28.98, according to ZipRecruiter salary data. Most workers in this role earn between $23.22 and $32.74 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.

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 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.

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

The most popular types of Provider Relations jobs in Hawaii are:

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

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

What cities in Hawaii are hiring for Provider Relations jobs?

Cities in Hawaii with the most Provider Relations job openings:

Infographic showing various Provider Relations job openings in Hawaii as of August 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 74% Full Time, 19% Part Time, and 4% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $60,271 per year, or $29 per hour.

Claims Liaison Coordinator

HMSA

Honolulu, HI • On-site

Other

Re-posted 21 days ago


Job description

  1. Claims Resolution & Support
    • Serve as the primary liaison for complex escalated claim inquiries from providers, members, account management, and internal departments.
    • Research and resolve complex claim discrepancies, denials, adjustments, and payment issues within established service-level agreements (SLAs).
    • Coordinate with claims examiners, configuration, and payment integrity teams to ensure accurate claim adjudication.
    • Document and maintain claim processing instructions and workflows to ensure accurate and efficient processing.
    • Provide guidance and mentoring to Claims Liaison Specialists.
  2. Analysis & Reporting
    • Perform root-cause analysis of claim errors, payment delays, and provider/member complaints.
    • Compile and present findings to leadership with recommended solutions.
    • Track claim trends and prepare reports on recurring issues, financial impact, and compliance risks.
  3. Stakeholder Communication
    • Provide clear and timely communication of claim resolutions to providers, members, and internal stakeholders.
    • Develop strong working relationships with provider relations, customer service, utilization management, and network management teams.
    • Function as a subject-matter resource on claim workflows and policies.
  4. Process Improvement & Compliance
    • Identify opportunities to improve claims workflows, system configuration, and provider/member experience.
    • Participate in cross-functional workgroups to implement corrective actions and process enhancements.
    • Ensure adherence to state, federal, and accreditation guidelines (e.g., CMS, HIPAA, NCQA).
  5. Performs all other miscellaneous responsibilities and duties as assigned or directed.

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