Provider Relations Representative Jobs in North Carolina
Provider Relations Representative jobs in North Carolina are consistently in demand, with openings concentrated in managed care, health insurance, and hospital network operations at levels from entry-level coordinator to senior account manager. The heaviest hiring happens in Charlotte, Raleigh, and Greensboro, where employers like Blue Cross and Blue Shield of North Carolina, Atrium Health, and UnitedHealth Group maintain large operations teams. The most sought-after specialties in North Carolina include Medicaid and Medicare managed care contracting, provider credentialing support, and network adequacy compliance. Find a role that fits below and apply directly.
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See related jobsThe Provider Relations Specialist is responsible for maintaining a strong and stable provider network by facilitating key recruitment related activities for existing services and maintaining positive, ongoing relationships with health care providing entities. This position will cultivate new provider relationships and provide ongoing provider support.
This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed.
Responsibilities & Duties
Recruit Providers to ensure an adequate Network of Providers
- Manage assigned recruitment projects and resources
- Collaborate with Provider Relations team and create strategies for meeting network growth
- Assist in recruiting and retaining qualified and capable providers
- Plan and execute daily recruitment call schedule and approach
- Use various network reports, including network adequacy, etc., to identify network gaps in existing assigned networks and recruit providers so networks remain competitive and compliant with state and federal regulations
- Track and report on recruitment interactions and cycle stages using various application tracking mechanisms on a regular basis
- Compile internal data to determine network needs and to increase network
Develop and Maintain relationships with the Provider community
- Maintain professional relationship with the provider community.
- Act as the point of contact for providers
- Provide technical assistance to assigned providers.
- Participate on assigned committees and in meetings to provide ongoing feedback using market conditions, industry trends, and provider insights.
- Provide technical assistance and customer service to network providers, other departments, and external stakeholders. This could include researching and troubleshooting issues, collaborating with other departments
Contract Responsibility
- Research, identify, and negotiate contracts as needed within established time lines to support access to services
- Be knowledgeable of assigned provider contracts with agencies and organizations in conjunction with Alliance’s Finance and Contract departments
Minimum Requirements
Education & Experience
Bachelor’s degree in a Human Services field from an accredited college or university and three (3) years progressive post-degree experience in the field of Mental Health, Substance Use, Intellectual/Developmental Disabilities or Physical Health;
OR
Master’s degree in Human Services from an accredited college or university with one (1) years post graduate experience in the field of Mental Health, Substance Use, Intellectual/Developmental Disabilities or Physical Health.
Experience working in a Managed Care Organization and specifically working with Provider Networks is preferred.
Knowledge, Skills, & Abilities
- Knowledge of Alliance’s goals, targets, and outcomes in relation to the responsibilities of the Provider Network Operations department.
- Knowledge of all disability areas including Mental Health, Substance Use and Developmental/Intellectual Disabilities
- Knowledge and understanding of principles, concepts, and Best Practices used in the treatment, habilitation and support of individuals with needs in any of the disability areas
- Knowledge and understanding of the different systems that impact Providers
- Microsoft Office suite, including Excel
- Proficient with database maintenance
- Exceptional interpersonal skills
- Highly effective Communication skills
- Problem solving skills
- Organizing skill
- Conflict resolution skills
- Effective public speaking and training skills
- Strong mediation skills in order to facilitate collaboration and positive relationships
- High Level of diplomacy and discretion to effectively negotiate and resolve issues independently
- Ability to build relationships
- Ability to make prompt independent decisions based upon relevant facts
- Ability to review and analyze data in an effort to evaluate program effectiveness, progress, problems, and system performance
- Ability to work effectively with others internally and externally
- Ability to effectively identify problems, and initiate solutions
- Ability to take initiative and utilize critical thinking
Salary Range
$33.46 - $42.66/ Hourly
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity
An excellent fringe benefit package accompanies the salary, which includes:
- Medical, Dental, Vision, Life, Long Term Disability
- Generous retirement savings plan
- Flexible work schedules including hybrid/remote options
- Paid time off including vacation, sick leave, holiday, management leave
- Dress flexibility
Education
Required- Bachelors or better in Human Services
Skills
Required- Communication
- Customer Service
- Microsoft Office
- Organizing
- Relationship Building
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
The Provider Relations Specialist is responsible for maintaining a strong and stable provider network by facilitating key recruitment related activities for existing services and maintaining positive, ongoing relationships with health care providing entities. This position will cultivate new provider relationships and provide ongoing provider support.
This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed.
Responsibilities & Duties
Recruit Providers to ensure an adequate Network of Providers
- Manage assigned recruitment projects and resources
- Collaborate with Provider Relations team and create strategies for meeting network growth
- Assist in recruiting and retaining qualified and capable providers
- Plan and execute daily recruitment call schedule and approach
- Use various network reports, including network adequacy, etc., to identify network gaps in existing assigned networks and recruit providers so networks remain competitive and compliant with state and federal regulations
- Track and report on recruitment interactions and cycle stages using various application tracking mechanisms on a regular basis
- Compile internal data to determine network needs and to increase network
Develop and Maintain relationships with the Provider community
- Maintain professional relationship with the provider community.
- Act as the point of contact for providers
- Provide technical assistance to assigned providers.
- Participate on assigned committees and in meetings to provide ongoing feedback using market conditions, industry trends, and provider insights.
- Provide technical assistance and customer service to network providers, other departments, and external stakeholders. This could include researching and troubleshooting issues, collaborating with other departments
Contract Responsibility
- Research, identify, and negotiate contracts as needed within established time lines to support access to services
- Be knowledgeable of assigned provider contracts with agencies and organizations in conjunction with Alliance’s Finance and Contract departments
Minimum Requirements
Education & Experience
Bachelor’s degree in a Human Services field from an accredited college or university and three (3) years progressive post-degree experience in the field of Mental Health, Substance Use, Intellectual/Developmental Disabilities or Physical Health;
OR
Master’s degree in Human Services from an accredited college or university with one (1) years post graduate experience in the field of Mental Health, Substance Use, Intellectual/Developmental Disabilities or Physical Health.
Experience working in a Managed Care Organization and specifically working with Provider Networks is preferred.
Knowledge, Skills, & Abilities
- Knowledge of Alliance’s goals, targets, and outcomes in relation to the responsibilities of the Provider Network Operations department.
- Knowledge of all disability areas including Mental Health, Substance Use and Developmental/Intellectual Disabilities
- Knowledge and understanding of principles, concepts, and Best Practices used in the treatment, habilitation and support of individuals with needs in any of the disability areas
- Knowledge and understanding of the different systems that impact Providers
- Microsoft Office suite, including Excel
- Proficient with database maintenance
- Exceptional interpersonal skills
- Highly effective Communication skills
- Problem solving skills
- Organizing skill
- Conflict resolution skills
- Effective public speaking and training skills
- Strong mediation skills in order to facilitate collaboration and positive relationships
- High Level of diplomacy and discretion to effectively negotiate and resolve issues independently
- Ability to build relationships
- Ability to make prompt independent decisions based upon relevant facts
- Ability to review and analyze data in an effort to evaluate program effectiveness, progress, problems, and system performance
- Ability to work effectively with others internally and externally
- Ability to effectively identify problems, and initiate solutions
- Ability to take initiative and utilize critical thinking
Salary Range
$33.46 - $42.66/ Hourly
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity
An excellent fringe benefit package accompanies the salary, which includes:
- Medical, Dental, Vision, Life, Long Term Disability
- Generous retirement savings plan
- Flexible work schedules including hybrid/remote options
- Paid time off including vacation, sick leave, holiday, management leave
- Dress flexibility
Education
Required- Bachelors or better in Human Services
Skills
Required- Communication
- Customer Service
- Microsoft Office
- Organizing
- Relationship Building
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
See All 5 Provider Relations Representative Jobs in North Carolina
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Find JobsProvider Relations Representative Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Provider Relations Representative Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
What North Carolina Employers Look For
The qualifications that appear most often in provider relations representative jobs across North Carolina.
- Active North Carolina health insurance producer license or eligibility to obtain one preferred
- Bachelor's degree in healthcare administration, business, or a related field required
- Experience in provider contracting, credentialing, or managed care operations strongly preferred
- Proficiency with provider data management systems and claims processing platforms
- Strong working knowledge of Medicaid, Medicare, or commercial insurance plan structures
- Excellent written and verbal communication skills for provider dispute resolution and outreach
Provider Relations Representative Jobs in North Carolina: Frequently Asked Questions
How do you become a provider relations representative in North Carolina?
Most provider relations representative roles in North Carolina require a bachelor's degree in healthcare administration, business, or a related field, though substantial experience in managed care or provider contracting can substitute at some employers. While there is no single mandatory state license, many positions at North Carolina insurers and health plans prefer candidates who hold or can obtain a North Carolina health insurance producer license issued through the North Carolina Department of Insurance. Familiarity with the state's Medicaid managed care program, NC Medicaid Managed Care, is a meaningful differentiator for roles at plans contracted with DHHS.
Which companies hire provider relations representatives in North Carolina?
Employers hiring provider relations representatives in North Carolina right now include Blossom ABA Therapy, Alliance Health Plan, and Noble Health Services, based on current listings on Migrate Mate as of August 2026. North Carolina's concentration of large health insurers, regional hospital systems, and Medicaid managed care organizations makes it one of the more active states for this role year-round.
Which North Carolina cities have the most provider relations representative jobs?
The cities with the most provider relations representative openings in North Carolina are Greensboro, North Carolina, and Raleigh. Charlotte leads because it serves as a major corporate headquarters hub for health insurers and managed care organizations, while Raleigh and the Research Triangle draw volume from state government health programs, large academic medical centers, and the dense concentration of regional health plan offices operating across the Piedmont corridor.
Are there remote provider relations representative jobs in North Carolina?
Yes, and more than most healthcare roles. About 100% of provider relations representative openings tied to North Carolina are remote or hybrid as of August 2026, reflecting that much of the work involves phone-based provider outreach, contract review, and data entry rather than in-person clinical duties. The functions most likely to stay fully remote are provider inquiry management, credentialing support, and network data maintenance, while roles involving on-site provider education or contract negotiation tend to require at least hybrid availability.
How can I get hired as a provider relations representative in North Carolina with little or no experience?
The most realistic entry path is moving into the role from a provider-facing administrative position such as medical billing specialist, prior authorization coordinator, or claims examiner, all of which are widely available at North Carolina hospital systems and health plans. Blue Cross and Blue Shield of North Carolina, Atrium Health, and Novant Health each hire for support roles that feed into provider relations tracks, and completing a healthcare administration associate degree or certificate through a North Carolina community college system program strengthens a candidate's profile considerably. Obtaining the North Carolina health insurance producer license early signals commitment and removes a hiring barrier at insurance-side employers.
Where can I find and apply to provider relations representative jobs in North Carolina?
You can find and apply to provider relations representative jobs in North Carolina on Migrate Mate, which lists current openings across the state. Search for roles that match your background and apply directly to the ones that fit.
See All 5 Provider Relations Representative Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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