Provider Relations Representative Green Card Jobs
Provider Relations Representative roles at U.S. health plans and managed care organizations qualify for EB-2 or EB-3 green card sponsorship through the PERM labor certification process. Employers document recruitment efforts, file an I-140 petition, and sponsor you for permanent residency. Understanding how your credentials map to the right preference category strengthens your sponsorship case.
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Get Access To All JobsOverview:
Supervise daily operations and provide leadership, support, and direction to assigned Provider Relations Representative staff. Ensure the highest level of customer service is a priority of PR staff. Monitor department goals and meet deadlines. Recruit and retain Provider network.
Responsibilities:
- Supervise daily operations of assigned PR Representatives.
- Provide leadership, direction, support, and daily supervision to staff.
- Promote professionalism, positive attitudes, teamwork, and fun in the workplace.
- Conduct weekly staff meetings.
- Provide weekly and/or monthly performance feedback to PR Representative staff.
- Conduct annual performance evaluations.
- Provide staff development, monitor staff performance, and provide counseling.
- Monitor REP visit logs, score cards, department goals, and ensure compliance.
- Interview and participate in selection of PR Representative staff.
- Resolve provider inquiries and problems.
- Assist with resolution of provider expressions of dissatisfaction, appeals, and grievances.
- Develop provider training materials in collaboration with SR Manager of Network Education and Credentialing.
- Supervise provider survey activities for DHCS, NCQA, and other Regulatory agencies. Ensure timelines are met, develop corrective action plans.
- Attend early morning and late evening provider/PHC meetings.
- Coordinate new provider recruitment and contracting activities with Contracts staff as needed.
- Participate in special projects and assignments, ensure deadlines are met.
- Coordinate and monitor provider network trainings.
- Ensure PR Representatives meet provider visits goals, monitor issues identified during visits, and develop action plans with PR Representatives to address problems.
- Participate in DHCS annual audits as assigned.
- Assist with documentation to meet NCQA requirements.
- Active member of the PHC CERT team.
- Participate in PHC Team and Dept. goals.
- Ensure daily operations and servicing goals are met if REP staffing issues occur.
- Facilitate the scheduling of NR/SR combined REP meetings.
- If applicable, retain the day-to-day servicing of the assigned county provider network.
SECONDARY DUTIES AND RESPONSIBILITIES:
Back up to Director or Senior Provider Relations Representative Manager as directed.
QUALIFICATIONS:
Education and Experience
Bachelor’s degree in Healthcare, Marketing, Public Relations, or related field; minimum three (3) years in healthcare, marketing, or public relations experience in a managed care environment preferred; or equivalent combination of education and experience. Two (2) years of experience as a Provider Relations Representative.
Special Skills, Licenses and Certifications
Working knowledge of business software applications. Knowledge of managed care concepts, policies, and procedures. Ability to disseminate MediCal policies and procedures. Valid California driver’s license and proof of current automobile insurance compliant with PHC policy are required to operate a vehicle and travel for company business.
Performance Based Competencies
Excellent oral and written communication skills. Excellent organization skills with the ability to prioritize assignments, maintain accurate records, and meet deadlines. Ability to use good judgment in making decisions within scope of authority and handle sensitive issues with tact and diplomacy.
Work Environment And Physical Demands
Ability to use a computer keyboard. More than 30% of work time is spent in front of a computer monitor. When required, ability to move, carry, or lift objects of varying size, weighing up to 35 lbs.
All HealthPlan employees are expected to:
- Provide the highest possible level of service to clients;
- Promote teamwork and cooperative effort among employees;
- Maintain safe practices; and
- Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.
HIRING RANGE:
$93,690.86 - $117,113.58
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
Overview:
Supervise daily operations and provide leadership, support, and direction to assigned Provider Relations Representative staff. Ensure the highest level of customer service is a priority of PR staff. Monitor department goals and meet deadlines. Recruit and retain Provider network.
Responsibilities:
- Supervise daily operations of assigned PR Representatives.
- Provide leadership, direction, support, and daily supervision to staff.
- Promote professionalism, positive attitudes, teamwork, and fun in the workplace.
- Conduct weekly staff meetings.
- Provide weekly and/or monthly performance feedback to PR Representative staff.
- Conduct annual performance evaluations.
- Provide staff development, monitor staff performance, and provide counseling.
- Monitor REP visit logs, score cards, department goals, and ensure compliance.
- Interview and participate in selection of PR Representative staff.
- Resolve provider inquiries and problems.
- Assist with resolution of provider expressions of dissatisfaction, appeals, and grievances.
- Develop provider training materials in collaboration with SR Manager of Network Education and Credentialing.
- Supervise provider survey activities for DHCS, NCQA, and other Regulatory agencies. Ensure timelines are met, develop corrective action plans.
- Attend early morning and late evening provider/PHC meetings.
- Coordinate new provider recruitment and contracting activities with Contracts staff as needed.
- Participate in special projects and assignments, ensure deadlines are met.
- Coordinate and monitor provider network trainings.
- Ensure PR Representatives meet provider visits goals, monitor issues identified during visits, and develop action plans with PR Representatives to address problems.
- Participate in DHCS annual audits as assigned.
- Assist with documentation to meet NCQA requirements.
- Active member of the PHC CERT team.
- Participate in PHC Team and Dept. goals.
- Ensure daily operations and servicing goals are met if REP staffing issues occur.
- Facilitate the scheduling of NR/SR combined REP meetings.
- If applicable, retain the day-to-day servicing of the assigned county provider network.
SECONDARY DUTIES AND RESPONSIBILITIES:
Back up to Director or Senior Provider Relations Representative Manager as directed.
QUALIFICATIONS:
Education and Experience
Bachelor’s degree in Healthcare, Marketing, Public Relations, or related field; minimum three (3) years in healthcare, marketing, or public relations experience in a managed care environment preferred; or equivalent combination of education and experience. Two (2) years of experience as a Provider Relations Representative.
Special Skills, Licenses and Certifications
Working knowledge of business software applications. Knowledge of managed care concepts, policies, and procedures. Ability to disseminate MediCal policies and procedures. Valid California driver’s license and proof of current automobile insurance compliant with PHC policy are required to operate a vehicle and travel for company business.
Performance Based Competencies
Excellent oral and written communication skills. Excellent organization skills with the ability to prioritize assignments, maintain accurate records, and meet deadlines. Ability to use good judgment in making decisions within scope of authority and handle sensitive issues with tact and diplomacy.
Work Environment And Physical Demands
Ability to use a computer keyboard. More than 30% of work time is spent in front of a computer monitor. When required, ability to move, carry, or lift objects of varying size, weighing up to 35 lbs.
All HealthPlan employees are expected to:
- Provide the highest possible level of service to clients;
- Promote teamwork and cooperative effort among employees;
- Maintain safe practices; and
- Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.
HIRING RANGE:
$93,690.86 - $117,113.58
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
See all 14+ Provider Relations Representative jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Provider Relations Representative roles.
Get Access To All JobsTips for Finding Green Card Sponsorship in Provider Relations Representative
Translate your credentials into PERM documentation
Gather official transcripts, degree equivalency evaluations, and employment verification letters before applying. PERM requires your employer to confirm your qualifications meet the job's minimum requirements, so gaps in documentation stall the process before it begins.
Target health plans with established PERM histories
Regional and national managed care organizations regularly sponsor Provider Relations Representatives through PERM. Search DOL's OFLC public disclosure data to identify employers who have filed labor certifications for this exact job title rather than guessing from job postings alone.
Use Migrate Mate to filter by sponsorship history
Filtering job searches by verified green card sponsorship saves weeks of manual research. Migrate Mate surfaces Provider Relations Representative openings at employers with documented EB-2 and EB-3 filing history, so you're applying where sponsorship is already established practice.
Check the prevailing wage before negotiating your offer
Your employer must pay at least the DOL prevailing wage for your location and job level. Use the OFLC Wage Search to look up the wage tier for your metro area before salary discussions so your offer clears the PERM threshold without renegotiation later.
Clarify EB-2 vs. EB-3 eligibility during the offer stage
Provider Relations roles typically require a bachelor's degree, placing most candidates in EB-3. Candidates with a master's degree or specialized experience in managed care contracting may qualify under EB-2, which can mean a shorter wait for certain nationalities. Confirm category placement with your employer before PERM is filed.
Understand that PERM locks in your priority date
USCIS assigns your green card priority date when your PERM labor certification is approved, not when your I-140 is filed. For EB-3 applicants from high-demand countries, that date determines your place in the queue, so earlier PERM approval directly affects how long you wait for permanent residency.
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Find Provider Relations Representative JobsProvider Relations Representative Green Card Sponsorship: Frequently Asked Questions
Do Provider Relations Representative roles qualify for EB-2 or EB-3 green card sponsorship?
Most Provider Relations Representative positions qualify under EB-3 because they typically require a bachelor's degree in healthcare administration, business, or a related field. Candidates holding a master's degree or demonstrating specialized expertise in managed care contracting, provider network development, or claims adjudication may qualify under EB-2. Your employer documents the minimum requirements during the PERM labor certification filing, so the job description language matters for determining which category applies.
How does green card sponsorship differ from H-1B sponsorship for this role?
Unlike H-1B, EB-2 and EB-3 green card sponsorship leads to permanent residency rather than a temporary work period, and there's no annual lottery at the EB-3 level. The PERM process requires your employer to conduct a formal recruitment test and file a labor certification with DOL before petitioning USCIS. Timelines are longer overall, but you're building toward permanent status rather than renewing every few years with no guarantee of continuation.
How can I find Provider Relations Representative jobs where the employer already sponsors green cards?
Migrate Mate lets you search specifically for Provider Relations Representative openings at employers with verified EB-2 or EB-3 sponsorship history, so you're not wasting applications on roles where sponsorship is uncertain. Filtering by sponsorship type upfront is especially useful in healthcare administration, where PERM activity varies significantly between regional health plans, national managed care organizations, and third-party administrator firms.
What does the PERM labor certification process look like for a Provider Relations role?
Your employer files a PERM application with DOL after completing a formal recruitment period, which typically includes job postings, newspaper ads, and internal notices. DOL reviews whether qualified U.S. workers were available. Once certified, your employer files an I-140 immigrant petition with USCIS. The entire PERM and I-140 stage can take one to two years before you reach adjustment of status or consular processing.
Can my employer start the PERM process while I'm working on an H-1B or other nonimmigrant status?
Yes. Employers routinely file PERM labor certifications for employees already working on H-1B, L-1, or other nonimmigrant statuses. The PERM filing doesn't affect your current work authorization, and getting an early start locks in your priority date. If your H-1B reaches its six-year limit before your green card is approved, an approved I-140 or a pending PERM filed more than 365 days earlier can qualify you for H-1B extensions under AC21 rules.
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