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Senior Provider Relations Representative Jobs in Spring, TX

PBACO Holding LLC

Provider Consultant

Houston, TX · On-site

$65K - $75K/yr

Represent the Provider Consultant Department in workgroups and committees that address both ... in Provider Relations and/or Managed Care Product Administration Valid unrestricted driver ...

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All JobsProvider Relations Representative JobsSenior Provider Relations Representative JobsSenior Provider Relations Representative Jobs in Spring, TX

Senior Provider Relations Representative information

See Spring, TX salary details

$40K

$91.5K

$108.1K

How much do senior provider relations representative jobs pay per year?

As of Jun 13, 2026, the average yearly pay for senior provider relations representative in Spring, TX is $91,510.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,900.00 and $103,700.00 per year, depending on experience, location, and employer.

What is a Senior Provider Relations Representative job?

A Senior Provider Relations Representative serves as a liaison between healthcare providers and an insurance company or healthcare organization. They manage provider networks, address concerns, ensure contract compliance, and support providers with policy updates and operational processes. This role often involves analyzing provider performance, resolving escalated issues, and improving relationships to enhance service delivery. Strong communication, negotiation, and problem-solving skills are essential for success in this role.

What are the primary responsibilities of a Senior Provider Relations Representative on a day-to-day basis?

Senior Provider Relations Representatives focus on maintaining and expanding relationships with healthcare providers, addressing inquiries regarding contracts, claims, and credentialing. On a typical day, they may negotiate new provider agreements, resolve escalated issues, conduct site visits, and provide education on network policies and processes. They also collaborate frequently with internal teams such as network development, claims processing, and quality assurance to ensure the provider experience is seamless. This role often requires proactive outreach to providers and responding to fast-paced, complex challenges unique to the healthcare industry.

What are the key skills and qualifications needed to thrive in the Senior Provider Relations Representative position, and why are they important?

A Senior Provider Relations Representative typically requires a background in healthcare administration or related fields, with experience in provider network management and contract negotiations. Familiarity with healthcare claims platforms, customer relationship management (CRM) systems, and knowledge of regulations such as HIPAA are important. Strong interpersonal, problem-solving, and organizational skills enable effective communication and issue resolution with healthcare providers. These competencies ensure successful relationship building, compliance, and a smooth provider experience within the healthcare network.

What are popular job titles related to Senior Provider Relations Representative jobs in Spring, TX? For Senior Provider Relations Representative jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Senior Provider Relations Representative jobs in Spring, TX look for? The top searched job categories for Senior Provider Relations Representative jobs in Spring, TX are:
What cities near Spring, TX are hiring for Senior Provider Relations Representative jobs? Cities near Spring, TX with the most Senior Provider Relations Representative job openings:
Senior Provider Relations Representative jobs near you
Infographic showing various Senior Provider Relations Representative job openings in Spring, TX as of June 2026, with employment types broken down into 82% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $91,510 per year, or $44 per hour.
Provider Relations Representative

Provider Relations Representative

Health Care Service Corporation

Houston, TX • On-site

Full-time

Medical, Life, Retirement, PTO

Posted 28 days ago

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
BASIC FUNCTION
HCSC is looking for a dynamic individual to join its Provider Relations team in HOUSTON TX! This position is responsible for providing support, as well as developing and maintaining cooperative working relationships with contracted providers. Will also be responsible for facilitating and enhancing provider ease of doing business with HCSC which includes issue tracking and resolution, educating, training, identifying trends and evaluating providers to ensure that all contractual and financial requirements are adhered to and performed. Incumbent also provides training and education to all Blue Cross contracted providers including, but not limited to: hospitals, physicians, free-standing surgery centers, free standing substance abuse facilities, free standing psych facilities, VA hospitals, and all other allied professional providers. This role is HYBRID/FLEX and requires in-office visibility three days per week, working from home the other two days.
NOTE: relocation is not available, sponsorship will not be extended either now or in the future.
JOB REQUIREMENTS/QUALIFICATIONS
  • Bachelor's Degree and three (3) years of work experience in managed care OR a minimum of five (5) years work experience in a managed care environment.
  • Two (2) years of healthcare administration experience in clinical and financial settings, with direct provider communication experience.
  • Effective interpersonal, analytical, presentation and communication skills.
  • Knowledge of the healthcare industry, healthcare systems and payer/provider dynamics.
  • Ability and willingness to travel within assigned areas for responsibility, including overnight stays.
  • Strong comprehension of contracts, applications, and products.
  • Understanding of provider reimbursement methodologies and claims.
  • Working knowledge of claims processing systems.
  • Effective organizational and planning skills with the ability to take initiative and work independently.
  • Demonstrated ability to meet deadlines and work well under pressure.
  • Clear and concise interpersonal, verbal and written communication skills.
  • Collaboration skills resulting in business/process improvements/changes.
  • PC proficiency and skills to include Word, Excel, PowerPoint, etc.
  • Strong facilitation, presentation and analytical skills.

PREFERRED REQUIREMENTS/QUALIFICATIONS
  • Advanced level of Excel fluency (i.e. pivot tables, data validation, handling large data sets)
  • Strong familiarity with claims, billing, and coding basics (CPT, ICD-10 helpful).
  • CRM or provider management systems knowledge.

~ KEY FUNCTIONALITY ~
  • Establishes and maintains relationships between Blue Cross and contracted providers to promote and ensure that BCBS networks are performing per the contracted agreement (e.g. compliance, PEAQ, etc.).
  • Act as point of escalation for providers regarding aspects of their relationship with HCSC with possible topics to include operations, claims, financial reimbursement, policies, procedures, and contractual issues.
  • Maintains a thorough level of knowledge for all lines of business to ensure provider contract compliance and performs investigative research upon the request of providers regarding the intricate and detailed information for all lines of business.
  • Maintains a thorough level of knowledge regarding all Provider Relations systems (e.g.: GUI, PPW, Salesforce, etc.)
  • Assists in conducting internal and external seminars and presentations as needed for the improvement of HCSC / provider relationships.
  • Lead internal and external meetings to assure and enhance provider success (e.g.: PowerPoint decks, Excel, analytics, presentation skills).
  • Provides training and education to all Blue Cross contracted providers including, but not limited to: hospitals, physicians, free-standing surgery centers, free standing substance abuse facilities, free standing psych facilities, VA hospitals, and all other allied professional providers.
  • Represent Provider Relations in cross-department workflows and projects and ensure appropriate provider services, including working across departments to resolve issues.
  • Ensure assigned providers are informed when changes occur and respond to provider inquiries in an effective and timely manner and coordinate claims resolution to payment problems.
  • Communicate and interact effectively and professionally with co-workers, management, customers, etc.
  • Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
  • Maintain complete confidentiality of company business.
  • Ensure all expenditures comply with corporate and divisional expense guidelines.
  • Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.
  • Maintain accurate and timely documentation within Salesforce, ensuring all provider interactions, outreach activities, issue resolution, and key relationship management details are consistently recorded and updated to support business operations, reporting, and performance tracking.
  • Provide project support as needed, including tracking milestones, managing timelines, coordinating cross-functional activities, and contributing to project documentation and status updates.
  • Responsible for maintaining an up-to-date tracker of provider concerns and pain points and participate in discussions around resolutions.
  • Other duties as assigned by leadership.

#LI-TP1
#LI-HYBRID
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range
$55,900.00 - $123,500.00
Exact compensation may vary based on skills, experience, and location.

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