ZipRecruiter

Log In

1

Senior Provider Relations Representative Jobs (NOW HIRING)

UHS

Provider Relations Rep - ACO

Amarillo, TX · On-site

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 ...

next page

Showing results 1-20

All JobsProvider Relations Representative JobsSenior Provider Relations Representative Jobs

Senior Provider Relations Representative information

See salary details

$45K

$102.8K

$121.5K

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

As of Jul 7, 2026, the average yearly pay for senior provider relations representative in the United States is $102,833.00, according to ZipRecruiter salary data. Most workers in this role earn between $83,000.00 and $116,500.00 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.

More about Senior Provider Relations Representative jobs
What cities are hiring for Senior Provider Relations Representative jobs? Cities with the most Senior Provider Relations Representative job openings:
What states have the most Senior Provider Relations Representative jobs? States with the most job openings for Senior Provider Relations Representative jobs include:
What job categories do people searching Senior Provider Relations Representative jobs look for? The top searched job categories for Senior Provider Relations Representative jobs are:
Senior Provider Relations Representative jobs near you
Infographic showing various Senior Provider Relations Representative job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 75% Full Time, 16% Part Time, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $102,833 per year, or $49.4 per hour.
Provider Relations Representative

Provider Relations Representative

American Health Partners

Denton, TX • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago

Job description

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. 

If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application! 

Benefits and Perks include:

  • Affordable Medical/Dental/Vision insurance options
  • Generous paid time-off program and paid holidays for full time staff
  • TeleDoc 24/7/365 access to doctors
  • Optional short- and long-term disability plans
  • Employee Assistance Plan (EAP)
  • 401K retirement accounts
  • Employee Referral Bonus Program

ESSENTIAL FUNCTIONS:  To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation 

• Contracting providers and essential vendors in current service areas to maintain CMS adequacy and providing necessary services in the care of the Plan members

• Insuring providers and essential vendors in current service areas meet the credentialing requirements for their appropriate service lines

• Educating providers on the Health Plan(s) functions and roles in caring for its membership

• Ongoing educational updates as prescribed by CMS and the Health Plan(s) policies

• To conduct the education presentations of the Health Plan(s) providers to insure their understanding and commitment with the Health Plan(s)

• Monitor, maintain and support provider relationships to insure network coverage in all areas

• To work with and be involved in implementation as needed

• Establish a positive work environment that encourages participation in process improvement and commitment to department/company success

• Complete corporate assignments as assigned

Required Skills:

• Must have knowledge and familiarity with all levels of medical services and ability to rapidly develop working relationships

• Must be able to accept instructions and work independently in the completions of goals and assignments

• Must have strong negotiation, organization, presentation and time management skills

• Must be able to effectively communicate with all levels of medical staff to explain Health Plan(s) program, benefits and goals

• Must be able to work effectively in a team environment 

• Excellent computer skills, including Microsoft Office Suite

• Must be self-motivated, dependable, team and goal-oriented

Required Work Experience:  

• Experience in the health care field required

• Prior experience in network development / network services is preferred

• Prior experience with acute and post-acute facilities is beneficial

• Prior experience with Medicare Advantage plans is helpful

Licensing/Certification/Education Requirements:  

• Bachelor’s degree 

Other Requirements:

• Must be available to work 8 a.m. until 5 p.m. local time

• Position requires travel to network provider locations.

• Teleworking is an option if criteria are met

EQUAL OPPORTUNITY EMPLOYER

Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made.

This employer participates in E-Verify.

American Health Partners logo

About American Health Partners

Sourced by ZipRecruiter

American Health Partners is a family of six divisions staffed by outstanding employees who care deeply about others. Since our inception more than 45 years ago, we have been committed to bringing the highest quality healthcare available to our communities. That commitment continues to serve us, our patients, our customers and our partners well. Today, our diverse healthcare offerings serve nearly 12,000 individuals annually across multiple states. We operate in both urban and rural communities where people need healthcare close to home. By working closely with hospitals and other providers, we offer cost-effective options that give individuals greater control over their healthcare.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Franklin, TN, US

Year founded

1976

Social media

Facebook

View All American Health Partners Jobs

Apply