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Provider Relations Jobs in Rhode Island (NOW HIRING)

Conflux Systems

*Coordinator III

Cumberland, RI · On-site

$24.99/hr

Provides administrative and operational support to network management and provider relations functions. Assists with contract management, data analysis, provider directory maintenance, coordination ...

Amgen

Staff Relations Manager

West Greenwich, RI · On-site

Staff Relations Manager What you will do Let'sdo this.Let'schange the world. In this vital role you ... Provide practical and legallyappropriateemployeerelations guidance on performance management ...

Ocean House Collection

Guest Relations Agent

Westerly, RI · On-site

$18.50 - $20.50/hr

The ideal candidate will pro-actively greet guests warmly and provide a pleasant and comfortable ... The Guest Relations Agent reports to the Front of the House Manager. Key Responsibilities ...

Suburban Propane

Customer Relations Specialist

Coventry, RI · On-site

$18.50 - $23.10/hr

As a Customer Relations Specialist, you will serve as a main point of contact for our customers by ... Propane discounts For eligibility, the number of days provided under our PTO plan, and other ...

Suburban Propane

Customer Relations Specialist

Coventry, RI · On-site

$18.50 - $23.10/hr

As a Customer Relations Specialist, you will serve as a main point of contact for our customers by ... Propane discounts For eligibility, the number of days provided under our PTO plan, and other ...

Suburban Propane

Customer Relations Specialist

Coventry, RI · On-site

$18.50 - $23.10/hr

As a Customer Relations Specialist, you will serve as a main point of contact for our customers by ... Propane discounts For eligibility, the number of days provided under our PTO plan, and other ...

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All JobsProvider Relations JobsProvider Relations Jobs in Rhode Island

Provider Relations information

See Rhode Island salary details

$13

$27

$40

How much do provider relations jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for provider relations in Rhode Island is $27.31, according to ZipRecruiter salary data. Most workers in this role earn between $21.88 and $30.82 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 Rhode Island? The most popular types of Provider Relations jobs in Rhode Island are:
What are popular job titles related to Provider Relations jobs in Rhode Island? For Provider Relations jobs in Rhode Island, the most frequently searched job titles are:
What job categories do people searching Provider Relations jobs in Rhode Island look for? The top searched job categories for Provider Relations jobs in Rhode Island are:
Provider Relations jobs near you
Infographic showing various Provider Relations job openings in Rhode Island as of August 2026, with employment types broken down into 2% As Needed, 75% Full Time, 18% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $56,811 per year, or $27.3 per hour.

*Coordinator III

Conflux Systems

Cumberland, RI • On-site

$24.99/hr

Contractor

Re-posted 11 days ago

Job description

Here are the job details for your review:
Job Title: Enrollment Coordinator
Duration: 10+ Months Contract (Potential for extension)
Location: 200 Highland Corporate Drive Cumberland RI USA 02864
Pay Rate: $24.99/ HR on W2
shift times: Mon - Fri 7:30am - 4:00pm
PRESCREEN THAT NEEDS TO BE AT TOP OF EACH RESUME:
  • Location at tope of resume
  • Medicare experience? If yes, how many years of exp and a brief summary of exp
  • Medicaid experience? If yes, how many years of exp and a brief summary of exp
  • Brief summary of candidates excel experience

Notes from Spotlight Call:
  • Position Title: Enrollment Coordinator
  • Department: Payer Enrollment - Government Payers (Medicare/Medicaid)
  • Location: On-site required due to physical mail handling

JOB DESCRIPTION:
  • This position is responsible, under the supervision of the Manager of the Payer Enrollment Dept. to:
  • Ensuring timely and accurate processing of Payer Enrollment applications (Initial and Revalidations) for Clinics and Providers.
  • Provide quality control for timely and accurate individual enrollment applications submitted for Medicare and Medicaid programs.
  • Resolve claims issues for individual payers in corporate billing system.
  • Researching, completing and maintaining compliance with individual Government payers through credentialing, re-credentialing and audit processes and procedures.
  • Contact Providers when Revalidation notices are received in order to obtain signature pages and validate current general information. Interact with the field (SPM and CPM's) in regards to escalation notices.
  • The Payer Enrollment Coordinator will be responsible for identifying and quantifying trends/issues and then effectively communicating them to the appropriate members of the management team along with what the potential impact could be.
  • Minimize denials and deactivation of government applications where applicable to reduce key metrics including DSO, cost to collect, percent of aged claims, and Bad Debt.
  • Update Credentialing and Billing systems with Provider information upon inquiry or receipt from Government /Commercial payers.
  • The Payer Enrollment Coordinator will be responsible for ensuring corporate compliance with statutory requirements for Medicare, Medicaid, and Commercial enrollment for Clinics and Providers.
  • This Individual will have the ability to work well with others; collaboratively with internal and external vendors and create partnerships through effective relationship building skills.
  • This role will interact and work directly with new and existing Government /Commercial payers across the country.
  • Analysis will include developing of provider and clinic level reporting insuring we are meeting all criteria for enrollment within our compliance policy for Government /Commercial.
  • Payer Enrollment Coordinator will interface and work directly with the Providers, and also with Payer Relations and Revenue Cycle Operations Teams (Credentialing, Accounts Receivable, Billing, and Call Center) Clinical Ops Teams, and MinuteClinic Field and Operations Management, in order to ensure integration of all processes.
  • Provides administrative and operational support to network management and provider relations functions. Assists with contract management, data analysis, provider directory maintenance, coordination of provider communication and education, and support of the resolution of operational issues.
  • Maintains accurate provider information, facilitating effective communication and ensuring smooth operations within the network management and provider relations department.

Key Responsibilities:
  • Submit initial and revalidation applications for providers entering MinuteClinics
  • Handle government payer enrollment (Medicare/Medicaid)
    Manage mail-based documentation and workflows

Ideal Candidate Profile:
Experience:
  • 1-3 years work experience with Government payers
  • Adept at problem solving and decision making skills
  • Ability to work independently
  • Proficient in Excel
  • Proficient in Outlook
  • Willingness to learn

Soft Skills:
  • Reliable and consistent attendance
  • Willingness to work on-site
  • Strong communication and organizational skills

Interview & Logistics:
  • Interview Format: Microsoft Teams (virtual)
  • Interview Timeline: 1-2 business days after resume review
  • Rounds: Single interview round
  • Pre-Screening: Required; candidates should note any relevant experience or lack thereof clearly

Education:
  • Verifiable High School diploma or GED required; Bachelors Degree in Marketing preferred

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