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Provider Relations Jobs in Texas (NOW HIRING)

Provider Relations Advocate

Mcallen, TX · On-site

$60K - $107K/yr

High School Diploma/GED * 4+ years of health care/managed care experience * 2+ years of provider relations and/or provider network experience * 1+ years of experience in claims processing and issue ...

ACO Provider Relations Representative is responsible for assisting in the full range of provider relations and service interactions for all lines of business within Prominence Health Plan. Will ...

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Provider Relations information

See Texas salary details

$12

$25

$38

How much do provider relations jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for provider relations in Texas is $25.98, according to ZipRecruiter salary data. Most workers in this role earn between $20.82 and $29.33 per hour, depending on experience, location, and employer.

What are 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.

Is being a MOA a good entry level job?

A Medical Office Assistant (MOA) role is often considered an entry-level position in healthcare, requiring basic administrative and clinical skills. It provides experience in patient communication, scheduling, and medical record management, making it suitable for those starting a healthcare career. However, advancement may require additional certifications or training.

What jobs make $3,000 a day?

High-paying jobs that can earn $3,000 a day include specialized medical professionals such as surgeons and anesthesiologists, top-tier corporate executives, and certain legal or financial consultants. These roles typically require advanced education, extensive experience, and often involve high-stakes decision-making or specialized skills.

What jobs pay 4000 a week without a degree?

Provider Relations roles typically do not pay $4,000 a week without a degree, as they often require healthcare or administrative experience. High-paying jobs that can reach this level without a degree include sales positions, certain real estate roles, or specialized trades like commercial driving or skilled labor, which may require certifications or licenses. These jobs often involve commission, bonuses, or overtime to achieve higher weekly earnings.

What is the role of provider relations?

Provider relations professionals serve as the link between healthcare providers and insurance companies or healthcare organizations. They manage communication, resolve issues, ensure compliance, and facilitate contracts to support smooth healthcare delivery and maintain strong provider partnerships.
What are the most commonly searched types of Provider Relations jobs in Texas? The most popular types of Provider Relations jobs in Texas are:
What cities in Texas are hiring for Provider Relations jobs? Cities in Texas with the most Provider Relations job openings:
Infographic showing various Provider Relations job openings in Texas as of July 2026, with employment types broken down into 92% Full Time, 5% Part Time, and 3% Contract. Highlights an 83% In-person, 5% Hybrid, and 12% Remote job distribution, with an average salary of $54,046 per year, or $26 per hour.
Provider Relations Representative

Provider Relations Representative

University Health

San Antonio, TX • On-site

Full-time

Posted 12 days ago


University Of Nevada (Reno) rating

8.3

Company rating: 8.3 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

123rd of 612 rated colleges and universities


Job description

POSITION SUMMARY/RESPONSIBILITIES
Provider Relations Representative works as the primary liaison between Community First Health Plans and network participants (physicians, providers, and administrators) of the health plan provider network. This position will build and nurture positive relationships with health plan network participants by providing the on boarding orientation, and delivering guidance and high-quality service through regular engagement by phone and through scheduled in-person visits to targeted provider offices. This position will also coordinate with: Compliance & Quality staff on the re-credentialing process; with Provider Contracting staff for contracting issues or concerns; and will periodically assist the Claims staff with auditing and troubleshooting of provider data to ensure proper claims adjudication. The Provider Relations Representative knows and abides by all organizational and departmental policies, sets personal standards, and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner.

EDUCATION/EXPERIENCE
A minimum of five years of related experience in the health care or managed care field of customer service-related work is required. Bachelor’s degree in business, health care, communications, or other related area is preferred. Recent experience as a provider relations representative, member service representative, or relevant claim experience is highly preferred.

LICENSURE
Valid Texas driver’s license as well as a reliable vehicle is required.


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