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Provider Relations Jobs (NOW HIRING)

Independent Health Association

$20/hr

Overview The Provider Relations Representative will be responsible for assisting our provider constituents and providing exceptional customer service. The Provider Relations Representative will ...

Nexus HR

Provider Relations Specialist

El Monte, CA · On-site

$30 - $40/hr

Provider Relations Specialist - El Monte, CA Employment Type: 1099/Independent Contractor Compensation: $30 - $40 hourly Nexus HR is looking for a Provider Relations Specialist to support provider ...

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How much do provider relations jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for provider relations in the United States is $27.89, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $31.49 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.

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Provider Relations jobs near you
Infographic showing various Provider Relations job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 77% Full Time, 14% Part Time, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $58,011 per year, or $27.9 per hour.

Provider Relations Representative

Key Family of Companies

Columbus, OH • Remote

Full-time

Re-posted 20 days ago

Job description

Key Benefit Administrators is currently seeking a Provider Relations Representative to join the team. We are excited to speak to qualified candidates about opportunity. This position includes a comprehensive benefit package and competitive salary!About Key Benefit AdministratorsWe are on a mission to improve health and stabilize insurance costs for local communities. KBA was founded in 1979 as a privately owned full-service group benefit administration firm specializing in self-funded medical plans and is now one of the country's largest independently owned third party administrators. We pride ourselves on having supportive leadership, a family atmosphere, and a high performing culture - ask our employees - they have agreed that we are a Top Workplace since 2013.Check us out here:Website | Glassdoor | Top WorkplacePosition Summary:The Provider Relations Representative will be responsible for the strategic direction, while maintaining successful oversight of all network relationships, network development, coordination, compliance, and contract functions of network management for the Key Family. Essential Duties and Responsibilities:Relationship oversight of all current and potential networks.Serves as a liaison between network relationships and network partners, Sales, Direct to Employer team and other operational teams within Key Family. Provide superior, professional, ongoing, consistent communication and service with designated networks and clients, to maintain a positive, long-term relationship. Maintain market intelligence on competitive landscape.Detailed review, negotiation, editing and sign-off, in coordination with legal and VP, of all new and renewing network contracts.Establishment and coordination of directly contracted hospital and/or provider systems within designated communities, creating formal direct to employer opportunities and/or informal partnerships. Oversee elevated network issues to resolution escalating to VP as necessary. Be available for occasional network/client related travel as needed.Perform additional related duties as assigned. Does this sound like you?3+ years of network related experience in a healthcare or Third-Party Administrator (TPA) setting preferred.Proven abilities in written and verbal communication, as well as presentation skills.Highly proficient in Microsoft Office products, such as Microsoft Excel and Microsoft Word.Ability to multi-task and work under deadlines.Strong organizational, problem solving and analytical skills.Highly experienced in relationship management with networks, clients and/or brokers.Ability to work proficiently, independently, and timely in a fast-paced environment and be adaptable in a dynamic work environment.People and team oriented.Knowledge of conducting remote meetings using Zoom is a plus.Detailed understanding of operational areas of health insurance is a plus. If you are unable to complete an application for the Provider Relations Representative position due to a disability, contact Human Resources by calling 800-560-3539 to ask for an accommodation or an alternative application process.All qualified applicants for the Provider Relations Representative position will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender.DDNP002
Job Posted by ApplicantPro