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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 ...

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 ...

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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 Aug 10, 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 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 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 August 2026, with employment types broken down into 97% Full Time, and 3% Contract. Highlights an 87% In-person, 4% Hybrid, and 9% Remote job distribution, with an average salary of $54,046 per year, or $26 per hour.

Provider Relations Analyst

Cook Children's

Fort Worth, TX • On-site

Full-time

Medical

Posted 7 days ago


Cook Children's Health Care System rating

7.8

Company rating: 7.8 out of 10

Based on 76 frontline employees who took The Breakroom Quiz

131st of 887 rated healthcare providers


Job description

Location:

Calmont Operations Building

Department:

Network Mgmt

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

Position will report directly to the Manager of Provider Relations. This position will be the focal point for providers and provider offices by acting as the liaison between the physician community and the Provider Relations staff. This includes maintaining effective relationships with the physician community, including but not limited to physician education, facilitation and resolution of complex, urgent problems. Must be familiar with Texas Medicaid, claims resolution as well as coordinating and facilitating Provider and committee meetings, create and publish Newsletters, notifications, monitor MCO notices, resolve Provider complaints, update and audit Provider website, update codes on prior authorization look up tool and special projects as assigned by Provider Relations and Network Management Director. Must maintain emails/CRMs for Provider Relations inbox.

Additional Information:

Position will report directly to the Manager of Provider Relations. This position will be the focal point for providers and provider offices by acting as the liaison between the physician community and the Provider Relations staff. This includes maintaining effective relationships with the physician community, including but not limited to physician education, facilitation and resolution of complex, urgent problems.

Must be familiar with Texas Medicaid, claims resolution as well as coordinating and facilitating Provider and committee meetings, create and publish Newsletters, notifications, monitor MCO notices, resolve Provider complaints, update and audit Provider website, update codes on prior authorization look up tool and special projects as assigned by Provider Relations and Network Management Director. Must maintain emails/CRMs for Provider Relations inbox.
Education:

  • Bachelors Degree preferred but will consider 10 years healthcare/provider and/or member services experience in lieu of degree.

  • 1-2 years experience in a provider or member services role working with state regulatory agencies preferred.

  • Familiarity with the provider community, presenting in a public setting and public speaking is desired.

  • Medical billing and Healthcare industry knowledge a plus.

  • Basic understanding of CHIP & STAR benefits, and NPI/TPI relationships for billing.

  • Working knowledge of HMO business operations specifically member services, claims, credentialing and plan operations.

  • Experience with Microsoft Office Suite (Outlook, Excel, Word, PowerPoint).


About Us:

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.


What Cook Children's Health Care System employees say

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About Cook Children's Health Care System

Sourced by ZipRecruiter

Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1918

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