Provider Relations Representative Jobs in District of Columbia
Provider Relations Representative jobs in District of Columbia concentrate in managed care, federal health programs, and nonprofit health networks, reflecting the District's dense mix of government-contracted insurers, Medicaid managed care organizations, and advocacy-driven health systems. Hiring is most active in Washington DC proper, where organizations like CareFirst BlueCross BlueShield, AmeriHealth Caritas DC, and MedStar Health maintain long-standing provider relations functions. The most in-demand specialties are Medicaid and Medicare network management, credentialing liaison work, and provider dispute resolution. Find a role that fits below and apply directly.
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Title: Prospect Research Associate, Donor Relations
Reports to: Director, Development Strategy
Job Summary: The Prospect Research Associate coordinates prospect research efforts across the Development team and helps manage the constituent data used to determine prospect feasibility. The Associate is responsible for conducting research used to identify and qualify fundraising prospects with the capacity to make major gifts, including individuals, corporations, and foundations. This position also ensures ongoing donor pipeline maintenance and management to and from all levels of giving and monitors prospect pools for opportunities that merit attention from key stakeholders.
As a key member of the Development team, the Associate coordinates with the Development team to ensure constituent data is properly shared and accessed. This position is also responsible for producing and, where appropriate, analyzing and improving reports which monitor both departmental and individual progress toward goals. The ideal candidate must be thorough, detail-oriented, efficient, and committed to delivering a high-quality work product.
Job Duties:
- Research high net worth donor prospects and gather information regarding philanthropic interests, giving capacity, background, digital behavior and other key components.
- Prepare biographical profiles and research reports for use by gift officers, Development leadership, and other key leaders and staff involved in major gift fundraising.
- Maintain a process for the allocation of research responsibilities to ensure accurate profiles.
- Source prospects by scanning new sources and journals and utilizing software for organizations and individuals who align with strategic priorities.
- Support the review of gift officer caseloads in coordination with the Assistant Director.
- Work closely with the Data Services Manager to complete and review all Donor Relations reporting, answer requests from top leadership, and service gift officers and events with research needs.
- Regularly review and improve the major and principal gift pipeline; participate in pipeline management meetings to review progress toward overall fundraising goals.
- Undertake pipeline building activities, identifying sources of individual, corporate, and foundation support to match fundraising initiatives.
- Ensure information on donors and prospects is up-to-date, accurate, and properly documented.
- Remain current and fully informed on prospect research trends and available resources.
- Support the Data Services Manager with applicable reports and analysis.
Qualifications:
Education: Bachelor's degree required
Experience: 2+ years of experience in fundraising, prospect research, major gift fundraising, or related field; experience within a development or other fundraising team preferred
Communication: Excellent communication skills and collaborative mindset
Technology: Skilled in Microsoft Office applications, as well as CRM usage or a
willingness to learn; comfortable with computer and query logic preferred; advanced knowledge of Microsoft Excel highly preferred
Other Requirements:
- Understand and support the Heritage mission and vision for America, and the department’s goals and objectives.
- Ability to thoroughly investigate, analyze, and articulate the needs and interests of major gift prospects.
- Demonstrated record of efficiency and ability to meet deadlines in a fast-paced environment.
- Strong organizational and analytical skills.
- Collaborative mindset and team focused.
- Comfortable with AI usage, but willing to adhere to strict guidelines for accuracy, data security, organizational safety, and data integrity.
- Trustworthy with sensitive information.
- Efficient and able to meet deadlines with short turn-around times.
- Strong organizational and analytical skills.
Benefits and Salary:
The Heritage Foundation offers a highly competitive benefits package that includes, but is not limited to, best-in-class health care, vision, and dental insurance, employer-sponsored retirement funding, “take what you need” PTO and sick leave, 14 weeks of paid leave for new moms and 6 weeks of paid leave for new dads, among other programs.
The salary range for this role is $60,000 - $70,000 annually. This range is a good-faith estimate, and the final salary offered to a selected candidate depends on a variety of factors including, but not limited to, the candidate’s experience, education, and other qualifications; internal and external market pay for comparable jobs; and level of hire based on aforementioned qualifications.
Title: Prospect Research Associate, Donor Relations
Reports to: Director, Development Strategy
Job Summary: The Prospect Research Associate coordinates prospect research efforts across the Development team and helps manage the constituent data used to determine prospect feasibility. The Associate is responsible for conducting research used to identify and qualify fundraising prospects with the capacity to make major gifts, including individuals, corporations, and foundations. This position also ensures ongoing donor pipeline maintenance and management to and from all levels of giving and monitors prospect pools for opportunities that merit attention from key stakeholders.
As a key member of the Development team, the Associate coordinates with the Development team to ensure constituent data is properly shared and accessed. This position is also responsible for producing and, where appropriate, analyzing and improving reports which monitor both departmental and individual progress toward goals. The ideal candidate must be thorough, detail-oriented, efficient, and committed to delivering a high-quality work product.
Job Duties:
- Research high net worth donor prospects and gather information regarding philanthropic interests, giving capacity, background, digital behavior and other key components.
- Prepare biographical profiles and research reports for use by gift officers, Development leadership, and other key leaders and staff involved in major gift fundraising.
- Maintain a process for the allocation of research responsibilities to ensure accurate profiles.
- Source prospects by scanning new sources and journals and utilizing software for organizations and individuals who align with strategic priorities.
- Support the review of gift officer caseloads in coordination with the Assistant Director.
- Work closely with the Data Services Manager to complete and review all Donor Relations reporting, answer requests from top leadership, and service gift officers and events with research needs.
- Regularly review and improve the major and principal gift pipeline; participate in pipeline management meetings to review progress toward overall fundraising goals.
- Undertake pipeline building activities, identifying sources of individual, corporate, and foundation support to match fundraising initiatives.
- Ensure information on donors and prospects is up-to-date, accurate, and properly documented.
- Remain current and fully informed on prospect research trends and available resources.
- Support the Data Services Manager with applicable reports and analysis.
Qualifications:
Education: Bachelor's degree required
Experience: 2+ years of experience in fundraising, prospect research, major gift fundraising, or related field; experience within a development or other fundraising team preferred
Communication: Excellent communication skills and collaborative mindset
Technology: Skilled in Microsoft Office applications, as well as CRM usage or a
willingness to learn; comfortable with computer and query logic preferred; advanced knowledge of Microsoft Excel highly preferred
Other Requirements:
- Understand and support the Heritage mission and vision for America, and the department’s goals and objectives.
- Ability to thoroughly investigate, analyze, and articulate the needs and interests of major gift prospects.
- Demonstrated record of efficiency and ability to meet deadlines in a fast-paced environment.
- Strong organizational and analytical skills.
- Collaborative mindset and team focused.
- Comfortable with AI usage, but willing to adhere to strict guidelines for accuracy, data security, organizational safety, and data integrity.
- Trustworthy with sensitive information.
- Efficient and able to meet deadlines with short turn-around times.
- Strong organizational and analytical skills.
Benefits and Salary:
The Heritage Foundation offers a highly competitive benefits package that includes, but is not limited to, best-in-class health care, vision, and dental insurance, employer-sponsored retirement funding, “take what you need” PTO and sick leave, 14 weeks of paid leave for new moms and 6 weeks of paid leave for new dads, among other programs.
The salary range for this role is $60,000 - $70,000 annually. This range is a good-faith estimate, and the final salary offered to a selected candidate depends on a variety of factors including, but not limited to, the candidate’s experience, education, and other qualifications; internal and external market pay for comparable jobs; and level of hire based on aforementioned qualifications.
See All 44 Provider Relations Representative Jobs in District of Columbia
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Find JobsProvider Relations Representative Jobs by City in District of Columbia
Where District of Columbia roles are concentrated, by current openings.
Provider Relations Representative Job Market in District of Columbia
A snapshot from current District of Columbia openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Technology & Software
- Non-Profit & Social Services
- Consulting & Professional Services
- Fintech
- Education
What District of Columbia Employers Look For
The qualifications that appear most often in provider relations representative jobs across District of Columbia.
- Bachelor's degree in healthcare administration, public health, or a related field required
- Two or more years of provider relations, network management, or managed care experience preferred
- Familiarity with DC Medicaid managed care regulations and DHCF provider requirements
- Strong knowledge of provider credentialing, contracting, and claims dispute resolution processes
- Proficiency with provider data systems, CRM platforms, and healthcare enrollment portals
- Excellent written and verbal communication skills for provider education and issue resolution
Provider Relations Representative Jobs in District of Columbia: Frequently Asked Questions
How do you become a provider relations representative in District of Columbia?
Most provider relations representative positions in DC require a bachelor's degree in healthcare administration, public health, business, or a related field, with no state-issued license specific to the role. Employers typically look for candidates with a background in managed care operations, medical billing, or provider credentialing. Familiarity with DC's Department of Health Care Finance and its Medicaid managed care requirements gives candidates a meaningful edge in the local hiring process.
Which companies hire provider relations representatives in District of Columbia?
District of Columbia provider relations representative roles are posted by The Heritage Foundation, Council On Foreign Relations, and The Catholic University of America and others right now, based on current listings on Migrate Mate as of July 2026. DC's concentration of federally contracted health plans and nonprofit health systems means openings appear consistently across both large insurers and mission-driven managed care organizations serving Medicaid populations.
Which District of Columbia cities have the most provider relations representative jobs?
Washington and Foggy Bottom have the most provider relations representative openings in District of Columbia. Washington DC dominates because nearly all major insurers, Medicaid managed care organizations, and federal health contractors anchor their provider relations teams in the city, while any surrounding suburban concentrations reflect the large health systems and government-affiliated plans operating across the metro.
Are there remote provider relations representative jobs in District of Columbia?
Yes, and more than many healthcare roles, since provider relations work is largely desk-based, involving phone outreach, portal management, and email communication rather than hands-on clinical care. About 81% of provider relations representative openings tied to District of Columbia are remote or hybrid as of July 2026, reflecting how well the work translates to distributed teams. Network onboarding and provider education tasks are the functions most commonly offered remotely.
How can I get hired as a provider relations representative in District of Columbia with little or no experience?
The most realistic entry path is moving from a customer service, medical billing, or provider enrollment role within a DC-area health plan or managed care organization. CareFirst BlueCross BlueShield and AmeriHealth Caritas DC both hire provider services coordinators and enrollment associates that serve as direct stepping stones into provider relations. Completing a healthcare administration certificate from a DC-area institution and gaining working knowledge of DC Medicaid managed care rules strengthens a candidate's profile considerably for entry-level openings.
Where can I find and apply to provider relations representative jobs in District of Columbia?
You can find and apply to provider relations representative jobs in District of Columbia on Migrate Mate, which lists current DC openings from health plans, managed care organizations, and health systems. Search the listings, find a role that fits your background and experience level, and apply directly to the employer.
See All 44 Provider Relations Representative Jobs in District of Columbia
Find roles in District of Columbia that match your experience and apply in just a few clicks.
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