Provider Relations Representative Jobs in Pennsylvania
Provider Relations Representative jobs in Pennsylvania are concentrated in Philadelphia, Pittsburgh, and Harrisburg, where major insurers, health systems, and managed care organizations maintain large network and contracting operations. Employers such as Independence Blue Cross, Highmark Health, and UPMC consistently hire for this role across credentialing, contract administration, and network development specialties. The market supports candidates from entry-level coordinator positions through senior relationship management roles. Scan the live roles below and apply to whichever ones fit.
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Showing 5 of 9+ Provider Relations Representative jobs
Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That's why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care.
Provider Relations Specialist Position Overview
As a Provider Relations Specialist, you will cultivate and manage referring provider relationships within a designated territory. You will collaborate with the client's treatment team, internally and externally to provide comprehensive care coordination. You will also act as an internal liaison to foster and enhance the experience and outcomes for their clients and families. As a talented specialist you will identify market strategies, build and deepen professional relationships, and optimize potential opportunities to expand The Emily Program's community impact and patient engagement.
Schedule
- Monday-Friday (8:00 am-5:00 pm)
- Some evenings and weekends as needed for travel, events, or conferences
Location
- Remote based
- 70-90% Travel within the assigned territory
- PA, Southern NJ, DE and surrounding areas as assigned
- Requires permanent residence in the state of PA
Compensation Disclosure
- Provider Relations Specialist, starting salary range between $95,000-125,000
- Uncapped incentive compensation plan
Final Compensation offered will be within pay range based on qualifications/experience met for the position
How Provider Relations Specialist Empower Recovery
- Concierge Customer Service: Ensures the coordination of communication as an integral part of the treatment team, joining internal and external care providers to provide an ideal level of communication and a concierge level of client experience. Locally manages the entire communication process from the initial call and proactively anticipates obstacles and participates in solutions from inception of a referral through the admission process to enhance patient and referent experience.
- Business Aptitude: Is the "CEO" of their own territory; builds, manages and executes a diversified, strategic business plan that includes tactical, measurable activities and branding opportunities that produce business results. Ability to make keen judgments and decisions by analyzing business opportunities and anticipating changes in the marketplace. Functions as "eyes and ears" back to the company providing a reciprocating connection between the program and the eating disorder community.
- Professional Relationship Development: Has the ability to continuously initiate professional relationships, connect interpersonally, leverage differentiators and maintain a mutually beneficial relationship. Provides unique knowledge, adapts to situations and navigates obstacles to create a genuine, trusting partnership.
- Results Driven: Drives territory initiatives with a self-motivated, self-governed approach; holding oneself accountable to tangible business and relational results through diverse, persistent outreach efforts. Motivated to achieve measurable outcomes. Continuously driven to pursue clinical and market knowledge that positions themselves and TEP as a valued resource in the treatment community.
- Client and Colleague Focused: Ensures our client's and colleague's perspectives are the driving force behind business decisions and activities, while ensuring that there is alignment with The Emily Program's Core Values. Establishes professional credibility by immersing themselves in their respective communities, becoming a trusted resource for colleagues and clients.
Role Responsibilities
- Demonstrate professionalism in interpersonal, verbal, and written communication skills with colleagues, clinicians, and all referral sources.
- Ability to analyze territory, develop a comprehensive outreach plan, and implement strategies to win back business, retain established and grow existing professional referral database.
- Demonstrate professionalism in interpersonal, verbal, and written communication skills with colleagues, clinicians, and all referral sources.
- Ability to analyze territory, develop a comprehensive outreach plan, and implement strategies to win back business, retain established and grow existing professional referral database.
- Develop and execute a written quarterly and annual business development plan within the designated territory to meet or exceed targets
- Conduct face to face meetings with key decision makers to uncover needs, address barriers to treatment and create community partnerships
- Develop new and emerging referral channels by creating opportunities to increase awareness of our services among providers, to increase program reach
- Plan/attend conferences/networking events on behalf of The Emily Program
- Plan and execute presentations and tours, customize them to the target audience
- Respond immediately to service and referral inquiries and provide support the referring professional and the family, from the first call through admission, ensuring communication and care coordination
- Participate in Quarterly field rides with VP, Clinical Outreach
- Manage expenses and company credit card tasks as designated by supervisor/administrator
- Perform other duties as assigned.
Professional Qualifications
- 2+ years' experience working in sales, business development, or account management
- Experience working in behavioral health or eating disorder outreach is preferred but not
- Experience working with Salesforce or similar CRM tools
- Must possess a current, valid S. Driver's License.
- Must have reliable
Education Qualifications
- Bachelor's degree Preference for a degree in marketing, communications, psychology, or social work, but not required.
- In the absence of a bachelor's degree, high school diploma in addition to 4+ years of relevant experience
- Clinical background preferred but not required
What we offer:
Employee Benefits: We understand the importance of a well-rounded benefits package. That's why we're dedicated to providing a range of plans to meet your needs.
For full-time employees, we offer:
- HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield)
- Dental insurance (Delta Dental)
- Vision insurance (EyeMed)
- Short-term and long-term disability insurance
- Company-paid life insurance
- 401(k) plan available two months after start date
- Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation
Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.
Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That's why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care.
Provider Relations Specialist Position Overview
As a Provider Relations Specialist, you will cultivate and manage referring provider relationships within a designated territory. You will collaborate with the client's treatment team, internally and externally to provide comprehensive care coordination. You will also act as an internal liaison to foster and enhance the experience and outcomes for their clients and families. As a talented specialist you will identify market strategies, build and deepen professional relationships, and optimize potential opportunities to expand The Emily Program's community impact and patient engagement.
Schedule
- Monday-Friday (8:00 am-5:00 pm)
- Some evenings and weekends as needed for travel, events, or conferences
Location
- Remote based
- 70-90% Travel within the assigned territory
- PA, Southern NJ, DE and surrounding areas as assigned
- Requires permanent residence in the state of PA
Compensation Disclosure
- Provider Relations Specialist, starting salary range between $95,000-125,000
- Uncapped incentive compensation plan
Final Compensation offered will be within pay range based on qualifications/experience met for the position
How Provider Relations Specialist Empower Recovery
- Concierge Customer Service: Ensures the coordination of communication as an integral part of the treatment team, joining internal and external care providers to provide an ideal level of communication and a concierge level of client experience. Locally manages the entire communication process from the initial call and proactively anticipates obstacles and participates in solutions from inception of a referral through the admission process to enhance patient and referent experience.
- Business Aptitude: Is the "CEO" of their own territory; builds, manages and executes a diversified, strategic business plan that includes tactical, measurable activities and branding opportunities that produce business results. Ability to make keen judgments and decisions by analyzing business opportunities and anticipating changes in the marketplace. Functions as "eyes and ears" back to the company providing a reciprocating connection between the program and the eating disorder community.
- Professional Relationship Development: Has the ability to continuously initiate professional relationships, connect interpersonally, leverage differentiators and maintain a mutually beneficial relationship. Provides unique knowledge, adapts to situations and navigates obstacles to create a genuine, trusting partnership.
- Results Driven: Drives territory initiatives with a self-motivated, self-governed approach; holding oneself accountable to tangible business and relational results through diverse, persistent outreach efforts. Motivated to achieve measurable outcomes. Continuously driven to pursue clinical and market knowledge that positions themselves and TEP as a valued resource in the treatment community.
- Client and Colleague Focused: Ensures our client's and colleague's perspectives are the driving force behind business decisions and activities, while ensuring that there is alignment with The Emily Program's Core Values. Establishes professional credibility by immersing themselves in their respective communities, becoming a trusted resource for colleagues and clients.
Role Responsibilities
- Demonstrate professionalism in interpersonal, verbal, and written communication skills with colleagues, clinicians, and all referral sources.
- Ability to analyze territory, develop a comprehensive outreach plan, and implement strategies to win back business, retain established and grow existing professional referral database.
- Demonstrate professionalism in interpersonal, verbal, and written communication skills with colleagues, clinicians, and all referral sources.
- Ability to analyze territory, develop a comprehensive outreach plan, and implement strategies to win back business, retain established and grow existing professional referral database.
- Develop and execute a written quarterly and annual business development plan within the designated territory to meet or exceed targets
- Conduct face to face meetings with key decision makers to uncover needs, address barriers to treatment and create community partnerships
- Develop new and emerging referral channels by creating opportunities to increase awareness of our services among providers, to increase program reach
- Plan/attend conferences/networking events on behalf of The Emily Program
- Plan and execute presentations and tours, customize them to the target audience
- Respond immediately to service and referral inquiries and provide support the referring professional and the family, from the first call through admission, ensuring communication and care coordination
- Participate in Quarterly field rides with VP, Clinical Outreach
- Manage expenses and company credit card tasks as designated by supervisor/administrator
- Perform other duties as assigned.
Professional Qualifications
- 2+ years' experience working in sales, business development, or account management
- Experience working in behavioral health or eating disorder outreach is preferred but not
- Experience working with Salesforce or similar CRM tools
- Must possess a current, valid S. Driver's License.
- Must have reliable
Education Qualifications
- Bachelor's degree Preference for a degree in marketing, communications, psychology, or social work, but not required.
- In the absence of a bachelor's degree, high school diploma in addition to 4+ years of relevant experience
- Clinical background preferred but not required
What we offer:
Employee Benefits: We understand the importance of a well-rounded benefits package. That's why we're dedicated to providing a range of plans to meet your needs.
For full-time employees, we offer:
- HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield)
- Dental insurance (Delta Dental)
- Vision insurance (EyeMed)
- Short-term and long-term disability insurance
- Company-paid life insurance
- 401(k) plan available two months after start date
- Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation
Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.
See All 9 Provider Relations Representative Jobs in Pennsylvania
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Find JobsProvider Relations Representative Jobs by City in Pennsylvania
Where Pennsylvania roles are concentrated, by current openings.
Provider Relations Representative Job Market in Pennsylvania
A snapshot from current Pennsylvania openings, updated as new roles post.
Who's Hiring
What Pennsylvania Employers Look For
The qualifications that appear most often in provider relations representative jobs across Pennsylvania.
- Bachelor's degree in healthcare administration, business, or a related field required
- Two or more years of experience in provider relations, network management, or managed care
- Familiarity with Pennsylvania insurance regulations and managed care contracting standards
- Strong knowledge of credentialing processes and provider enrollment workflows
- Proficiency with contract management systems and Microsoft Office suite
- Excellent written and verbal communication skills for provider and internal stakeholder outreach
Provider Relations Representative Jobs in Pennsylvania: Frequently Asked Questions
How do you become a provider relations representative in Pennsylvania?
Most provider relations representative positions in Pennsylvania require a bachelor's degree in healthcare administration, business, or a related field, along with experience in managed care or health insurance operations. Pennsylvania does not issue a specific state license for this role, but employers often expect familiarity with Pennsylvania Department of Insurance regulations and provider enrollment standards. Completing a certified professional in healthcare contracting or credentialing program can strengthen your candidacy with Pennsylvania's major insurers and health systems.
Which companies hire provider relations representatives in Pennsylvania?
Companies currently hiring provider relations representatives in Pennsylvania include Sylvan Health, SKYGEN, and Accanto Health, per current listings on Migrate Mate as of August 2026. Pennsylvania's concentration of regional Blues plans, integrated health systems, and Medicaid managed care organizations makes it one of the more active states for this role year-round.
Which Pennsylvania cities have the most provider relations representative jobs?
Philadelphia, Pennsylvania, and Mifflintown have the most provider relations representative openings in Pennsylvania. Philadelphia leads due to its dense concentration of health insurers and academic medical systems, Pittsburgh's demand is driven by UPMC and Highmark's large regional footprints, and Harrisburg draws openings from state government health programs and mid-size managed care contractors based in the capital region.
Are there remote provider relations representative jobs in Pennsylvania?
Yes, and more than many healthcare roles, because provider relations work is relationship- and communication-focused rather than hands-on clinical. About 100% of provider relations representative openings tied to Pennsylvania are remote or hybrid as of August 2026, reflecting how much of the work involves phone outreach, contract review, and system entry. Credentialing and network auditing functions are among the tasks most frequently performed fully remote.
How can I get hired as a provider relations representative in Pennsylvania with little or no experience?
The most realistic entry path is through a provider enrollment or credentialing coordinator role, which large Pennsylvania employers such as Independence Blue Cross, Highmark Health, and Geisinger use to develop early-career staff before moving them into full provider relations responsibilities. Candidates from medical billing, customer service, or healthcare administrative support backgrounds regularly make this lateral move in Pennsylvania. Earning a Certified Provider Credentialing Specialist designation through the National Association of Medical Staff Services gives candidates a measurable edge in the Pennsylvania market.
Where can I find and apply to provider relations representative jobs in Pennsylvania?
You can find and apply to provider relations representative jobs in Pennsylvania on Migrate Mate, which lists current openings across the state. Search the available roles, identify the ones that match your experience and location preference, and apply directly to whichever positions fit.
See All 9 Provider Relations Representative Jobs in Pennsylvania
Find roles in Pennsylvania that match your experience and apply in just a few clicks.
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