TN Visa Provider Relations Representative Jobs
Provider Relations Representative roles qualify for TN visa sponsorship under the USMCA's Management Consultant or similar professional categories. Canadian citizens can enter at the port of entry without a petition; Mexican citizens require consular processing. Employers in healthcare networks, insurance, and managed care organizations actively file for this role.
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Get Access To All JobsINTRODUCTION
Opportunities for you!
- Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
- Free Continuing Education and certification
- Tuition reimbursement, education programs and scholarships
- Vacation time starts building on Day 1, and builds with your seniority
- Free money toward retirement with a 403(b) and matching contributions
- Free parking and electric charging
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.
Responsibilities
The Provider Relations Representative is responsible for addressing provider issues, applying resolutions, and responding to inquiries in an accurate and timely manner for both participating and non-participating providers. The Provider Relations Representative trains new and existing providers in accordance to Community Care Health (CCH) policies and procedures and completes provider on-site audits. Additionally, this position delivers provider relations support to internal departments, including but not limited to Contracting/Network Management, Quality, Compliance, and Medical Management. The provider representative also leads small projects for the department.
- Field Liaison: Acting as the "go-between" for the health plan and providers.
- Field Presence: Out of the office regularly, interfacing directly with the provider community.
- Education: Meeting with office staff to teach them how to use the portal, check eligibility, and understand prior authorization policies.
- Problem Resolution: Triaging provider issues (claims, authorizations, eligibility) and following through with internal departments (Claims, UM) until resolved.
- Data Integrity: Working with Provider Network Ops to audit and update the provider directory.
On-site (Base office at Shaw) when not traveling to providers' offices. This position will have heavy field travel to provider offices.
BASIC QUALIFICATIONS
Education
- High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
- Bachelor's Degree in Business or Healthcare Administration required
- Equivalent combination of education and experience may be substituted for the Bachelor’s Degree requirement
Experience
- 2 years of experience in managed care, physician office, or health plan environments required
- Health Plan experience is highly preferred to navigate internal issue resolution.
- Local candidates are a major plus (those with existing local provider relationships).
- Experience preferred for core systems: QNXT (will train), Word, and basic Excel (for tracking visits).
- High-level presentation skills, patience, and strong listening/articulation abilities preferred.
DISCLAIMERS
- Pay ranges listed are an estimate and subject to change.
- If any bonuses are noted, they are only applicable to external hires meeting criteria.
INTRODUCTION
Opportunities for you!
- Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
- Free Continuing Education and certification
- Tuition reimbursement, education programs and scholarships
- Vacation time starts building on Day 1, and builds with your seniority
- Free money toward retirement with a 403(b) and matching contributions
- Free parking and electric charging
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.
Responsibilities
The Provider Relations Representative is responsible for addressing provider issues, applying resolutions, and responding to inquiries in an accurate and timely manner for both participating and non-participating providers. The Provider Relations Representative trains new and existing providers in accordance to Community Care Health (CCH) policies and procedures and completes provider on-site audits. Additionally, this position delivers provider relations support to internal departments, including but not limited to Contracting/Network Management, Quality, Compliance, and Medical Management. The provider representative also leads small projects for the department.
- Field Liaison: Acting as the "go-between" for the health plan and providers.
- Field Presence: Out of the office regularly, interfacing directly with the provider community.
- Education: Meeting with office staff to teach them how to use the portal, check eligibility, and understand prior authorization policies.
- Problem Resolution: Triaging provider issues (claims, authorizations, eligibility) and following through with internal departments (Claims, UM) until resolved.
- Data Integrity: Working with Provider Network Ops to audit and update the provider directory.
On-site (Base office at Shaw) when not traveling to providers' offices. This position will have heavy field travel to provider offices.
BASIC QUALIFICATIONS
Education
- High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
- Bachelor's Degree in Business or Healthcare Administration required
- Equivalent combination of education and experience may be substituted for the Bachelor’s Degree requirement
Experience
- 2 years of experience in managed care, physician office, or health plan environments required
- Health Plan experience is highly preferred to navigate internal issue resolution.
- Local candidates are a major plus (those with existing local provider relationships).
- Experience preferred for core systems: QNXT (will train), Word, and basic Excel (for tracking visits).
- High-level presentation skills, patience, and strong listening/articulation abilities preferred.
DISCLAIMERS
- Pay ranges listed are an estimate and subject to change.
- If any bonuses are noted, they are only applicable to external hires meeting criteria.
See all 5+ Provider Relations Representative jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Provider Relations Representative roles.
Get Access To All JobsTips for Finding TN Visa Sponsorship as a Provider Relations Representative
Verify your degree matches the role
TN status requires a degree in a field directly related to the position. A business administration or healthcare management degree supports Provider Relations Representative filings; a general arts degree without relevant coursework can draw a CBP challenge.
Target managed care and payer organizations first
Health plans, pharmacy benefit managers, and regional Medicaid contractors file TN petitions regularly for provider-facing roles. These employers already understand the sponsorship process and are less likely to withdraw an offer over visa logistics.
Request a support letter before your border appointment
Canadian applicants present documentation at the port of entry, not a pre-approved petition. Ask your employer to prepare a detailed support letter specifying your job duties, required degree, and TN classification before you travel.
Use Migrate Mate to find verified sponsoring employers
Searching broadly wastes time on employers who have never filed TN or H-1B petitions. Migrate Mate filters Provider Relations Representative openings by employers with active TN visa sponsorship history, so you apply where approval is realistic.
Address Mexican citizen processing timelines with your employer
Mexican nationals require consular appointment scheduling, which adds four to eight weeks to the start date. Flag this early in the offer negotiation so the employer builds the timeline into their onboarding plan and does not withdraw over a delayed start.
Confirm the employer classifies the role correctly
CBP scrutinizes Provider Relations Representative roles because the position sits at the intersection of account management and healthcare consulting. Ask the hiring manager to confirm the position description emphasizes specialty occupation duties aligned with TN requirements—not general administrative tasks—before presenting your documents at the port of entry or consulate.
Provider Relations Representative jobs are hiring across the US. Find yours.
Find Provider Relations Representative JobsProvider Relations Representative TN Visa: Frequently Asked Questions
Does a Provider Relations Representative role qualify for TN visa status?
Yes, if the position requires a bachelor's degree or higher in a directly related field such as business administration, healthcare management, or a clinical discipline. CBP classifies these roles under the Management Consultant or similar USMCA professional category. Roles that emphasize routine account coordination over specialized advisory work face higher scrutiny, so the job description needs to reflect the professional nature of the duties.
How does TN visa compare to H-1B for this role?
TN has no annual lottery, no cap for Canadians, and no multi-month petition wait. Canadian citizens can be approved at the port of entry the same day. H-1B requires filing in April, waiting for lottery selection, and then a six-month wait before October 1 employment. For Provider Relations Representative roles, TN is consistently faster and more predictable, though it does not support dual intent toward a green card.
Where can I find Provider Relations Representative jobs with TN visa sponsorship?
Migrate Mate is built specifically for this search. It surfaces Provider Relations Representative openings from employers with verified TN and H-1B sponsorship history, so you are not guessing whether a company has filed before. Generic job boards list openings without any sponsorship filter, which means most results require additional vetting before you can rely on them.
What documents do I need to apply for TN status as a Canadian citizen?
You need a valid Canadian passport, a formal job offer letter specifying your title and duties, proof of your qualifying degree, and documentation supporting the TN professional category your role falls under. Canadian citizens present these directly to a CBP officer at a land border crossing or U.S. airport preclearance facility. No USCIS petition is required before your travel date.
Can my TN status be renewed if I stay with the same employer?
Yes, TN status is granted in increments of up to three years and can be renewed indefinitely as long as you maintain a qualifying job offer and the role continues to meet TN requirements. Renewals require the same documentation as the initial filing. There is no limit on the number of renewals, making TN a viable long-term status for Provider Relations professionals who are not pursuing permanent residence.
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