Provider Relations Specialist Jobs in Pennsylvania
Provider Relations Specialist jobs in Pennsylvania are concentrated in Philadelphia, Pittsburgh, and Harrisburg, where large managed care organizations, hospital networks, and regional health plans drive steady hiring at every level from coordinator to senior specialist. Employers with long-standing operations in the state, including Independence Blue Cross, UPMC Health Plan, and Highmark, regularly recruit for roles in network development, credentialing support, and provider engagement. Demand is particularly strong for specialists with experience in Medicare Advantage, Medicaid managed care, and provider onboarding within Pennsylvania's robust payer and integrated health system landscape. Scan the live roles below and apply to whichever ones fit.
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POSITION SUMMARY:
To receive filed and or transferred complaints for investigation. The position will be responsible for resolving complaints through mediation, conciliation, and other types of resolutions.
Typical job duties include but not limited to:
- Develop case profiles through relative facts of a complaint, by methods of interviewing, fact-finding conferences, assessment of documents, discovery and onsite field investigations.
- Notify clients of the status of their complaint within 30 days.
- Gather all relevant information in a timely manner for case review with the HRC Executive Director.
- Determine if the pleadings are complete and the parties have received a copy of the pleadings as well as the rules and regulations of the Commission.
- Determine if the parties can reach a mutually acceptable resolution of the dispute. If a resolution agreement is not possible; the Investigator shall interview the parties offering each a responsible opportunity to present his/her version of the allegations of discrimination in writing and or in person.
- Thoroughly document case management to substantiate accuracy of the facts, as well as prepare all supportive information and documents for possible future litigation.
- Maintain a confidential file of all case materials including national-level materials which may come through the Commission office.
- Interview witnesses of both the complainant and or the respondent whom he/she believes to have information relevant to the allegations and shall obtain relevant documents from the parties or their witnesses and submit the data and document sheet/request for information.
- Abide by current federal, state and local regulations pertaining to Human Relations enforcement of ordinances and laws.
- To communicate and make recommendations to the Commission regarding final case determination.
- Prepare, file and document complaints requesting relief and remedy under the HRC ordinance of the City of Reading.
- Communicate with the City Solicitor regarding case files.
- Participate in educational and Commission programs.
- This position reports to the HRC Executive Director.
- Travel throughout the city for investigative purposes and possible out-of-town training.
- Perform other duties as may be assigned.
MINIMUM QUALIFICATIONS:
Educational Requirements/Experience
- Minimum of a High School Diploma, Associates degree in a related field preferred
- Valid Driver’s license
- Experience in negotiating, problem solving, conciliation and/or mediation methods
POSITION SUMMARY:
To receive filed and or transferred complaints for investigation. The position will be responsible for resolving complaints through mediation, conciliation, and other types of resolutions.
Typical job duties include but not limited to:
- Develop case profiles through relative facts of a complaint, by methods of interviewing, fact-finding conferences, assessment of documents, discovery and onsite field investigations.
- Notify clients of the status of their complaint within 30 days.
- Gather all relevant information in a timely manner for case review with the HRC Executive Director.
- Determine if the pleadings are complete and the parties have received a copy of the pleadings as well as the rules and regulations of the Commission.
- Determine if the parties can reach a mutually acceptable resolution of the dispute. If a resolution agreement is not possible; the Investigator shall interview the parties offering each a responsible opportunity to present his/her version of the allegations of discrimination in writing and or in person.
- Thoroughly document case management to substantiate accuracy of the facts, as well as prepare all supportive information and documents for possible future litigation.
- Maintain a confidential file of all case materials including national-level materials which may come through the Commission office.
- Interview witnesses of both the complainant and or the respondent whom he/she believes to have information relevant to the allegations and shall obtain relevant documents from the parties or their witnesses and submit the data and document sheet/request for information.
- Abide by current federal, state and local regulations pertaining to Human Relations enforcement of ordinances and laws.
- To communicate and make recommendations to the Commission regarding final case determination.
- Prepare, file and document complaints requesting relief and remedy under the HRC ordinance of the City of Reading.
- Communicate with the City Solicitor regarding case files.
- Participate in educational and Commission programs.
- This position reports to the HRC Executive Director.
- Travel throughout the city for investigative purposes and possible out-of-town training.
- Perform other duties as may be assigned.
MINIMUM QUALIFICATIONS:
Educational Requirements/Experience
- Minimum of a High School Diploma, Associates degree in a related field preferred
- Valid Driver’s license
- Experience in negotiating, problem solving, conciliation and/or mediation methods
See All 61 Provider Relations Specialist Jobs in Pennsylvania
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Find JobsProvider Relations Specialist Jobs by City in Pennsylvania
Where Pennsylvania roles are concentrated, by current openings.
Provider Relations Specialist Job Market in Pennsylvania
A snapshot from current Pennsylvania openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Education
- Healthcare & Medical Services
- Manufacturing
- Agriculture & Farming
- Consulting & Professional Services
What Pennsylvania Employers Look For
The qualifications that appear most often in provider relations specialist jobs across Pennsylvania.
- Bachelor's degree in healthcare administration, business, or a related field required
- Demonstrated experience with provider credentialing, contracting, or network operations preferred
- Familiarity with Pennsylvania Medicaid and Medicare Advantage managed care regulations expected
- Strong proficiency in provider data management systems and claims resolution workflows
- Excellent written and verbal communication skills for provider outreach and dispute resolution
- Ability to travel within Pennsylvania for provider site visits and relationship management
Provider Relations Specialist Jobs in Pennsylvania: Frequently Asked Questions
How do you become a provider relations specialist in Pennsylvania?
The most direct path into provider relations in Pennsylvania is a bachelor's degree in healthcare administration, business, or a related field combined with experience in a health plan, hospital billing office, or credentialing department. There is no state-issued license required for this role in Pennsylvania, but familiarity with the Pennsylvania Insurance Department's managed care regulations and the state's Medical Assistance program structures gives candidates a meaningful edge with major Pennsylvania payers and integrated health systems.
Which companies hire provider relations specialists in Pennsylvania?
Employers hiring provider relations specialists in Pennsylvania right now include Penn State University, Temple University Health System, and State Farm, based on current listings on Migrate Mate as of July 2026. Pennsylvania's dense concentration of regional health plans, Blue Cross Blue Shield affiliates, and large integrated systems like UPMC and Geisinger means hiring activity is consistent throughout the year rather than seasonal.
Which Pennsylvania cities have the most provider relations specialist jobs?
The cities with the most provider relations specialist openings in Pennsylvania are Philadelphia, Pittsburgh, and University Park. Philadelphia leads because it anchors Pennsylvania's largest commercial payer market, home to Independence Blue Cross and numerous Medicaid managed care contractors, while Pittsburgh's concentration of UPMC and Highmark operations sustains strong demand, and Harrisburg draws hiring tied to state government health programs and regional network administration.
Are there remote provider relations specialist jobs in Pennsylvania?
Yes, and more than most healthcare operations roles. About 42% of provider relations specialist openings tied to Pennsylvania are remote or hybrid as of July 2026, reflecting how much of the work involves phone outreach, data entry, and system-based credentialing rather than in-person site visits. Roles focused on provider data management and escalation resolution tend to be the most consistently remote, while positions requiring field relationship management typically remain on-site or hybrid.
How can I get hired as a provider relations specialist in Pennsylvania with little or no experience?
The most realistic entry point is a role in provider data entry, claims support, or member services at a Pennsylvania health plan or hospital billing department, which builds the payer-side vocabulary hiring managers look for. Large Pennsylvania employers such as Highmark and Independence Blue Cross periodically recruit for provider services coordinator positions that are explicitly designed for candidates with limited direct experience. A working knowledge of Pennsylvania's Medical Assistance provider enrollment process, gained through coursework or volunteering with a community health organization, meaningfully strengthens an entry-level application.
Where can I find and apply to provider relations specialist jobs in Pennsylvania?
You can find and apply to provider relations specialist jobs in Pennsylvania on Migrate Mate, which lists current openings from employers operating across the state. Search the listings, identify the roles that match your background and location, and apply directly to the ones that fit your experience level and preferred work arrangement.
See All 61 Provider Relations Specialist Jobs in Pennsylvania
Find roles in Pennsylvania that match your experience and apply in just a few clicks.
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