Provider Relations Representative Jobs
Provider Relations Representative jobs are open across healthcare, insurance, managed care, and government programs, at every level from entry-level coordinator to senior and manager, with specializations in credentialing, network development, and provider engagement. See the openings below and apply to the ones that match your experience.
Find JobsLooking for remote work? View remote provider relations representative jobs →Overview
Showing 5 of 91+ Provider Relations Representative jobs
We’re excited you’re considering joining a great place to work!
Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.
About this Position
We're looking for a Provider Relations Consultant to serve as a senior-level subject matter expert within our workers' compensation provider network. If you're a strategic, relationship-driven professional with deep knowledge of workers' compensation managed care, we want to hear from you.
Responsibilities & Qualifications
What You'll Do
- Manage complex, high-profile provider relationships including large occupational health systems and multi-specialty groups
- Lead contract negotiations, amendments, and renewals including fee schedule arrangements
- Develop, lead, and implement strategies to improve injured worker and provider satisfaction, network participation and engagement, and outcomes
- Identify network gaps and implement strategies to improve access, performance, and injured worker outcomes
- Develop and deliver training programs for providers and internal staff on workers' compensation billing, treatment guidelines, and state regulations
- Monitor provider performance data and collaborate with clinical teams to support evidence-based, return-to-work focused care
- Prepare and present reports on network metrics, claim outcomes, and strategic recommendations to leadership
What You Bring
- Bachelor's degree in Healthcare Administration, Business, or related field required; Master's preferred
- 8+ years of experience in provider relations, workers' compensation managed care, or occupational health
- In-depth knowledge of workers' compensation regulations, fee schedules, and evidence-based treatment guidelines
- Excellent analytical, communication, and presentation skills
- Proficiency in Microsoft Office Suite and data analytics tools
Texas Mutual Pay Transparency
The base pay range is based on the market evaluation of the job and may include pay for multiple levels. Individual base pay within the range is determined by a variety of factors, including experience, performance, education, and demonstration of skills and competencies required for each role. Your recruiter can discuss the full value of our total compensation package with you, including our generous bonus plans and flex-hybrid work model.
Base Pay Range: $93,168.50 - $115,090.50 Per YearFlex-Hybrid Work Environment:
Texas Mutual’s flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.
Our Benefits:
Annual performance bonus and merit-based pay increase
Lifestyle Savings Account ($1,000 per year)
Automatic 4% employer contribution to retirement plan
401k plan with 100% employer match up to 6%
Student loan repayment matching in 401k plan
Three weeks’ time off for vacation
Nine paid holidays and two personal days each year
Day one health, Rx, vision and dental insurance
Life and disability insurance
Flexible spending account
Pet insurance and pet Rx discounts
Free on-site gym, fitness classes, and health and wellness resources
Free identity theft protection
Free student loan repayment and refinancing consultation
Professional development and tuition reimbursement
Employee referral bonus
Free onsite snacks
We’re excited you’re considering joining a great place to work!
Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.
About this Position
We're looking for a Provider Relations Consultant to serve as a senior-level subject matter expert within our workers' compensation provider network. If you're a strategic, relationship-driven professional with deep knowledge of workers' compensation managed care, we want to hear from you.
Responsibilities & Qualifications
What You'll Do
- Manage complex, high-profile provider relationships including large occupational health systems and multi-specialty groups
- Lead contract negotiations, amendments, and renewals including fee schedule arrangements
- Develop, lead, and implement strategies to improve injured worker and provider satisfaction, network participation and engagement, and outcomes
- Identify network gaps and implement strategies to improve access, performance, and injured worker outcomes
- Develop and deliver training programs for providers and internal staff on workers' compensation billing, treatment guidelines, and state regulations
- Monitor provider performance data and collaborate with clinical teams to support evidence-based, return-to-work focused care
- Prepare and present reports on network metrics, claim outcomes, and strategic recommendations to leadership
What You Bring
- Bachelor's degree in Healthcare Administration, Business, or related field required; Master's preferred
- 8+ years of experience in provider relations, workers' compensation managed care, or occupational health
- In-depth knowledge of workers' compensation regulations, fee schedules, and evidence-based treatment guidelines
- Excellent analytical, communication, and presentation skills
- Proficiency in Microsoft Office Suite and data analytics tools
Texas Mutual Pay Transparency
The base pay range is based on the market evaluation of the job and may include pay for multiple levels. Individual base pay within the range is determined by a variety of factors, including experience, performance, education, and demonstration of skills and competencies required for each role. Your recruiter can discuss the full value of our total compensation package with you, including our generous bonus plans and flex-hybrid work model.
Base Pay Range: $93,168.50 - $115,090.50 Per YearFlex-Hybrid Work Environment:
Texas Mutual’s flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.
Our Benefits:
Annual performance bonus and merit-based pay increase
Lifestyle Savings Account ($1,000 per year)
Automatic 4% employer contribution to retirement plan
401k plan with 100% employer match up to 6%
Student loan repayment matching in 401k plan
Three weeks’ time off for vacation
Nine paid holidays and two personal days each year
Day one health, Rx, vision and dental insurance
Life and disability insurance
Flexible spending account
Pet insurance and pet Rx discounts
Free on-site gym, fitness classes, and health and wellness resources
Free identity theft protection
Free student loan repayment and refinancing consultation
Professional development and tuition reimbursement
Employee referral bonus
Free onsite snacks
Provider Relations Representative Jobs by Experience Level
See All 91 Provider Relations Representative Jobs
Find roles that match your experience and apply in just a few clicks.
Find JobsProvider Relations Representative Job Market
Who's Hiring
- Independent Living Systems12
- Molina Healthcare10
- American Health Plans5
- The Emily Program3
- Key Family of Companies3
Top Industries Hiring
- Healthcare & Medical Services
- Insurance
What Employers Look For
The qualifications that appear most often in provider relations representative jobs.
- Two or more years of experience in provider relations, credentialing, or healthcare contracting
- Proficiency with provider data management and credentialing platforms such as CAQH or PECOS
- Knowledge of managed care, Medicare, Medicaid, or commercial insurance plan structures
- Strong verbal and written communication skills for provider outreach and dispute resolution
- Associate or bachelor's degree in healthcare administration, business, or a related field
- Familiarity with contract terms, network adequacy standards, and provider appeals processes
Tips for Your Provider Relations Representative Job Search
Tailor your resume to credentialing workflows
Highlight experience with provider enrollment, credentialing databases, or contract management systems on your resume. Recruiters for these roles scan for familiarity with CAQH, PECOS, or similar platforms, so name the tools you have actually used.
Target listings by network type
Filter openings by payer type, such as commercial, Medicaid, or Medicare Advantage, because day-to-day workflows differ significantly. Matching your background to the right network type makes your application far more competitive than applying broadly.
Apply early to roles that fit
Migrate Mate lists provider relations representative openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Quantify your provider outreach results
Instead of listing job duties, show outcomes: how many providers you onboarded, disputes you resolved, or network gaps you closed. Hiring managers in this field respond to numbers that demonstrate relationship management at scale.
Prepare for scenario-based interview questions
Interviewers frequently ask how you have handled a provider threatening to leave a network or a credentialing dispute that stalled. Prepare two or three concrete examples that show your ability to de-escalate and reach resolution.
Negotiate using your provider portfolio scope
When discussing compensation, reference the size and complexity of the provider network you managed, including specialty mix and geographic reach. This context anchors your value more effectively than job title comparisons alone.
Provider Relations Representative Jobs: Frequently Asked Questions
Which companies are hiring the most provider relations representatives?
The companies hiring the most provider relations representatives right now include Independent Living Systems, Molina Healthcare, and American Health Plans, with the largest share of openings in Florida, California, and Texas, based on current listings on Migrate Mate as of September 2026. Health plans, managed care organizations, and Medicaid managed care contractors consistently post the highest volume of these roles.
How many provider relations representative jobs are remote?
About 90% of provider relations representative openings are fully remote or hybrid as of September 2026, reflecting increased flexibility across the healthcare industry. Provider outreach, credentialing support, and dispute resolution roles tend to be the most remote-eligible, while positions involving in-person provider visits or local network development are more likely to require on-site presence.
How do you become a provider relations representative?
Start by building foundational knowledge in healthcare administration, insurance operations, or managed care through a degree program or entry-level work in a related role such as provider enrollment or member services. Gain hands-on experience with credentialing processes and provider data systems, then pursue roles that involve direct provider contact. Familiarity with payer structures and regulatory requirements strengthens your candidacy at every stage.
Can you get hired as a provider relations representative with little experience?
Yes, entry-level provider relations representative roles exist, particularly at health plans and third-party administrators that run structured training programs. Candidates with customer service, medical billing, or healthcare administrative backgrounds are frequently considered for these positions. Demonstrating knowledge of managed care terminology, showing comfort with database tools, and expressing genuine interest in provider partnerships can offset a shorter work history.
What does the provider relations representative interview process look like?
The process typically includes an initial phone screen with a recruiter focused on your healthcare background, followed by one or two interviews with a hiring manager and sometimes a panel from the network or contracting team. Expect behavioral questions about conflict resolution with providers, experience managing credentialing timelines, and scenarios involving network retention. Some employers add a brief written exercise or case study related to provider outreach or dispute handling.
Where can I find and apply to provider relations representative jobs?
You can find and apply to provider relations representative jobs on Migrate Mate, which lists current openings from across the United States. Search for roles that match your background in areas like credentialing, network development, or provider outreach, and apply directly to each listing that fits your experience and preferred location or work arrangement.
See All 91 Provider Relations Representative Jobs
Find roles that match your experience and apply in just a few clicks.
Find Jobs