Provider Consultant Jobs
Provider Consultant jobs are open from entry-level to senior across healthcare, managed care, and insurance, with common specializations in network development, credentialing, and provider relations. See the openings below and apply to the ones that match your experience.
Find Provider Consultant JobsLooking for remote work? View remote provider consultant jobs →Overview
Showing 5 of 38+ Provider Consultant jobs
Job Family:
Operational Effectiveness Consulting
Travel Required:
Clearance Required:
What You Will Do:
Guidehouse Clinical Operations works with clients to measurably improve their operational outcomes through a mix of workforce strategies, improvement in resource utilization, and reduction in variation in care. By leveraging a deep understanding of health system and ambulatory operational best practices supported by data, Guidehouse drives margin and operational improvement across business and purchased services, supply cost, and clinical supply utilization at client provider organizations. Our team of clinicians and former administrators, government leaders, and health plan executives help healthcare organizations undertake cross-continuum clinical transformation efforts to generate sustained improvements in care access, efficiency, quality, and reliability. Areas of expertise include care and utilization management, throughput, post-acute care and readmissions, pharmacy and infusion, care transformation, and enabling care at home. Our person-centered approach engages and integrates clinical and operational workstreams that touch all aspects of the care continuum.
Senior Consultants have responsibility for client management, solution implementation and generation of project results. You will own project workstreams and interact with the client daily to ensure engagement success. This includes supporting day-to-day operational meetings with client sponsors and consulting leaders. Senior Consultants are expected to prepare and communicate well-organized, effective reports and presentations to client and internal executives. You will lead, coach and mentor consultants and ensure quality deliverables.
We encourage career development and hiring for the long term. As a Senior Consultant, you will follow a clearly defined career path and continue to deepen your specialized industry knowledge and consulting skills. As you hone your project management skills, leadership abilities and the aptitude for managing multiple workstreams, you will have the opportunity to progress to the Managing Consultant level.
What You Will Need:
- Minimum Years of Experience: 3 years
- Minimum Degree Status: Graduate Degree (Must still be enrolled in an accredited graduate degree program through Fall 2026 and graduate by Summer 2027)
- Would not require sponsorship now or anytime in the future to work in the United States; Students possessing F-1 or J-1 visas are excluded from interview schedules or being hired for this position.
What Would Be Nice To Have:
- MBA, MHA, MA, MS or similar degree with degree concentrations in Health Administration, Health Informatics, Health Management, Medicine, Nursing, Occupational Therapy, Pharmacy, Physical Therapy, Physician Assistant Studies or similar is preferred
- Previous consulting experience is preferred
- Knowledge of Business Analytics software Access, SAS or R, and/or SQL
- Strong knowledge of and application of healthcare research resources
- Understanding of market/financial analysis in context of healthcare provider needs
- Strong quantitative and organizational skills
- Must be able to demonstrate written and oral communication and presentation skills
- Excellent quantitative analysis skills
- Facility with and knowledge of Microsoft Word, Excel, PowerPoint
- Ability to translate data into graphic or visual representations
- Heavy travel (east coast to west coast) may be required, depending on client assignment
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Student Loan PayDown
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Mobility Stipend
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Job Family:
Operational Effectiveness Consulting
Travel Required:
Clearance Required:
What You Will Do:
Guidehouse Clinical Operations works with clients to measurably improve their operational outcomes through a mix of workforce strategies, improvement in resource utilization, and reduction in variation in care. By leveraging a deep understanding of health system and ambulatory operational best practices supported by data, Guidehouse drives margin and operational improvement across business and purchased services, supply cost, and clinical supply utilization at client provider organizations. Our team of clinicians and former administrators, government leaders, and health plan executives help healthcare organizations undertake cross-continuum clinical transformation efforts to generate sustained improvements in care access, efficiency, quality, and reliability. Areas of expertise include care and utilization management, throughput, post-acute care and readmissions, pharmacy and infusion, care transformation, and enabling care at home. Our person-centered approach engages and integrates clinical and operational workstreams that touch all aspects of the care continuum.
Senior Consultants have responsibility for client management, solution implementation and generation of project results. You will own project workstreams and interact with the client daily to ensure engagement success. This includes supporting day-to-day operational meetings with client sponsors and consulting leaders. Senior Consultants are expected to prepare and communicate well-organized, effective reports and presentations to client and internal executives. You will lead, coach and mentor consultants and ensure quality deliverables.
We encourage career development and hiring for the long term. As a Senior Consultant, you will follow a clearly defined career path and continue to deepen your specialized industry knowledge and consulting skills. As you hone your project management skills, leadership abilities and the aptitude for managing multiple workstreams, you will have the opportunity to progress to the Managing Consultant level.
What You Will Need:
- Minimum Years of Experience: 3 years
- Minimum Degree Status: Graduate Degree (Must still be enrolled in an accredited graduate degree program through Fall 2026 and graduate by Summer 2027)
- Would not require sponsorship now or anytime in the future to work in the United States; Students possessing F-1 or J-1 visas are excluded from interview schedules or being hired for this position.
What Would Be Nice To Have:
- MBA, MHA, MA, MS or similar degree with degree concentrations in Health Administration, Health Informatics, Health Management, Medicine, Nursing, Occupational Therapy, Pharmacy, Physical Therapy, Physician Assistant Studies or similar is preferred
- Previous consulting experience is preferred
- Knowledge of Business Analytics software Access, SAS or R, and/or SQL
- Strong knowledge of and application of healthcare research resources
- Understanding of market/financial analysis in context of healthcare provider needs
- Strong quantitative and organizational skills
- Must be able to demonstrate written and oral communication and presentation skills
- Excellent quantitative analysis skills
- Facility with and knowledge of Microsoft Word, Excel, PowerPoint
- Ability to translate data into graphic or visual representations
- Heavy travel (east coast to west coast) may be required, depending on client assignment
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Student Loan PayDown
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Mobility Stipend
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Provider Consultant Jobs by Experience Level
See All 38 Provider Consultant Jobs
Find roles that match your experience and apply in just a few clicks.
Find Provider Consultant JobsProvider Consultant Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in provider consultant jobs.
- Experience in provider relations, network development, or managed care contracting
- Familiarity with credentialing processes and healthcare payer enrollment systems
- Bachelor's degree in healthcare administration, business, or a related field
- Proficiency with Microsoft Office and healthcare data management platforms
- Knowledge of NCQA, URAC, or state regulatory compliance standards
- Strong written and verbal communication skills for provider outreach and negotiation
Tips for Your Provider Consultant Job Search
Tailor your resume to network metrics
Provider consultants are evaluated on outcomes, so your resume should quantify network growth, contract renegotiations, or credentialing cycle times you've improved. Generic relationship-management language won't stand out the way hard numbers do.
Apply early to roles that fit
Migrate Mate lists provider consultant openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings by payer type
Managed care organizations, third-party administrators, and hospital systems hire provider consultants for different workflows. Filter your search by industry to avoid wasting time on roles that require contracting experience you don't have.
Get your credentialing knowledge documented
Many provider consultant roles require demonstrated familiarity with CAQH, NCQA standards, or payer-specific enrollment portals. If you've worked in those systems, name them explicitly in your resume rather than using umbrella phrases like 'credentialing software.'
Prepare for case-based interview scenarios
Interviewers often walk candidates through a provider dispute or network gap scenario. Practice walking through how you'd identify the issue, engage the provider, and document resolution so your answer reflects actual workflow, not abstract process knowledge.
Negotiate by citing scope, not title alone
When negotiating offers, ground your ask in the number of providers you'll manage, the complexity of the payer mix, or whether the role includes contracting authority, since those factors vary widely and directly affect what comparable roles pay.
Provider Consultant Jobs: Frequently Asked Questions
Which companies are hiring the most provider consultants?
The companies hiring the most provider consultants right now include Palm Beach Accountable Care Organization, Blue Cross Blue Shield, and Advanced Management USA, with the largest share of openings in New York, California, and Arizona, based on current listings on Migrate Mate as of November 2026. Managed care organizations and third-party administrators tend to post the highest volumes consistently.
How many provider consultant jobs are remote?
About 100% of provider consultant openings are fully remote or hybrid as of November 2026, reflecting how much of the role revolves around phone and email-based provider outreach. Sub-specializations in provider education and network communications tend to be the most remote-friendly, while credentialing and onsite account management roles are more likely to require in-person presence.
How do you become a provider consultant?
Start by building a foundation in healthcare operations, managed care, or provider relations through roles like customer service representative, enrollment coordinator, or network operations associate. From there, develop fluency in credentialing workflows and payer contracting basics, then pursue roles with increasing provider-facing responsibility. Certifications in healthcare management or managed care can strengthen your candidacy when you're ready to move into a dedicated provider consultant position.
Can I get hired as a provider consultant with little experience?
Yes, entry-level provider consultant roles exist, particularly at health plans and managed care organizations that hire for provider services or enrollment support functions. Focus your applications on roles that emphasize training and don't list a minimum years-of-experience requirement. Highlight any background in customer-facing healthcare work, familiarity with insurance terminology, and comfort navigating payer portals or credentialing systems, even if that experience came from adjacent roles.
What does the provider consultant interview process look like?
Most provider consultant interviews include an initial phone screen with a recruiter, followed by one or two rounds with the hiring manager and sometimes a team lead. Expect behavioral questions about handling provider escalations, managing competing priorities, and navigating complex payer rules. Some employers add a scenario-based exercise where you work through a provider dispute or credentialing delay, so prepare to walk through your reasoning step by step rather than just describing outcomes.
Where can I find and apply to provider consultant jobs?
You can find and apply to provider consultant jobs on Migrate Mate, which lists current openings from across the United States in one place. Search for roles that match your experience level and specialization, then apply directly to each listing that fits.
See All 38 Provider Consultant Jobs
Find roles that match your experience and apply in just a few clicks.
Find Provider Consultant Jobs