Provider Relations Representative Jobs in USA with Visa Sponsorship
Provider Relations Representatives work in healthcare administration coordinating between insurers, hospitals, and medical networks. Employers in managed care and health systems regularly sponsor H-1B visa and TN visas for qualified candidates with degrees in healthcare administration, public health, or business. For detailed occupation requirements, see the O*NET profile.
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Job Summary
Provides administrative, operational, and provider relations support to ensure the effective coordination and execution of Provider Relations activities. Responsible for organizing, tracking, scheduling, reporting, documenting, and maintaining systems and workflows that support provider engagement, issue resolution, network activities, and departmental priorities.
Coordinates meetings, maintains provider and operational trackers, pulls and analyzes routine reports, develops dashboards, monitors work queues and deliverables, and supports accurate documentation within applicable systems, including Salesforce and Microsoft 365 tools.
Provides support to Provider Relations leadership and representatives by coordinating information and follow-up across internal teams. May also support routine provider communications, education, issue intake, research, and resolution as needed.
The role requires strong organization, attention to detail, follow-through, technical proficiency, and the ability to manage multiple priorities in a fast-paced, highly matrixed healthcare environment.
Essential Job Duties
Provider Relations Operations & Administrative Coordination
- Provides administrative and operational support for Provider Relations activities, initiatives, projects, and departmental priorities.
- Organizes and maintains Provider Relations workflows, trackers, calendars, reference materials, contact lists, assignments, and other operational resources.
- Coordinates meetings, including scheduling, invitations, agendas, materials, attendance, meeting notes, action items, and follow-up.
- Tracks action items, deliverables, due dates, escalations, and outstanding requests to support timely completion and appropriate follow-through.
- Maintains organized documentation and ensures information is accurately recorded in applicable systems and shared resources.
- Supports development and maintenance of standardized Provider Relations processes, templates, job aids, workflows, and operating procedures.
- Coordinates information between Provider Relations and internal departments to ensure requests are routed appropriately and outstanding items are tracked through completion.
- 10% travel required within WA/OR
Reporting, Tracking & Dashboards
- Pulls routine operational reports and compiles data to support Provider Relations leadership and team activities.
- Creates and maintains dashboards, trackers, spreadsheets, and other reporting tools to monitor workload, outreach, provider issues, assignments, performance measures, and departmental activities.
- Reviews reports and tracking tools for completeness and accuracy and follows up on missing or incomplete information.
- Organizes data into clear summaries, reports, presentations, and dashboards for leadership and team review.
- Supports recurring monthly, quarterly, and ad hoc reporting requirements.
- Identifies trends, overdue activities, workflow gaps, and other items requiring follow-up and communicates them to appropriate team members or leadership.
- Maintains reporting calendars and coordinates timely completion of recurring reports and deliverables.
Systems & Documentation
- Maintains Provider Relations information within applicable systems, including Salesforce, SharePoint, Microsoft Teams, Excel, and other department tools.
- Supports consistent documentation of provider contacts, outreach, issues, escalations, meetings, and follow-up activities.
- Performs data entry, data validation, reconciliation, and routine quality checks to maintain accurate provider and departmental information.
- Maintains electronic files, shared resources, templates, provider contact information, and departmental records.
- Assists with development and maintenance of standardized workflows to improve efficiency, consistency, visibility, and accountability.
Provider Relations Support
- Serves as a support resource for routine and non-complex Provider Relations activities.
- Assists with provider communications, outreach, education, and follow-up as assigned.
- Responds to or appropriately routes routine provider questions and requests.
- Researches routine provider issues and coordinates with internal departments to support resolution.
- Accurately triages provider claim and operational issues to the appropriate department or Provider Relations representative.
- Assists with provider roster, demographic, contact, and other data updates.
- Supports provider orientations, trainings, Joint Operating Committee meetings, outreach campaigns, and other provider engagement activities.
- May maintain relationships with a limited portfolio of non-complex providers or provide coverage for Provider Relations representatives as needed.
- Supports network development, provider research, recruitment, contracting activities, regulatory audits, and special projects as assigned.
- Provides additional provider-facing support during periods of increased volume, vacancies, special projects, or other business needs.
Required Qualifications
- At least 2 years of customer service, provider services, or claims experience in a managed care or medical office setting, or equivalent combination of relevant education and experience.
- General understanding of the health care delivery system, including government-sponsored health plans.
- Organizational skills and attention to detail.
- Ability to manage multiple tasks and deadlines effectively.
- Interpersonal skills, including ability to interface with providers and medical office staff.
- Ability to work in a cross-functional highly matrixed organization.
- Effective verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
- Familiarity with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc.
- Experience delivering training and facilitating educational presentations.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.78 - $44.49 / HOURLY
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
JOB DESCRIPTION
Job Summary
Provides administrative, operational, and provider relations support to ensure the effective coordination and execution of Provider Relations activities. Responsible for organizing, tracking, scheduling, reporting, documenting, and maintaining systems and workflows that support provider engagement, issue resolution, network activities, and departmental priorities.
Coordinates meetings, maintains provider and operational trackers, pulls and analyzes routine reports, develops dashboards, monitors work queues and deliverables, and supports accurate documentation within applicable systems, including Salesforce and Microsoft 365 tools.
Provides support to Provider Relations leadership and representatives by coordinating information and follow-up across internal teams. May also support routine provider communications, education, issue intake, research, and resolution as needed.
The role requires strong organization, attention to detail, follow-through, technical proficiency, and the ability to manage multiple priorities in a fast-paced, highly matrixed healthcare environment.
Essential Job Duties
Provider Relations Operations & Administrative Coordination
- Provides administrative and operational support for Provider Relations activities, initiatives, projects, and departmental priorities.
- Organizes and maintains Provider Relations workflows, trackers, calendars, reference materials, contact lists, assignments, and other operational resources.
- Coordinates meetings, including scheduling, invitations, agendas, materials, attendance, meeting notes, action items, and follow-up.
- Tracks action items, deliverables, due dates, escalations, and outstanding requests to support timely completion and appropriate follow-through.
- Maintains organized documentation and ensures information is accurately recorded in applicable systems and shared resources.
- Supports development and maintenance of standardized Provider Relations processes, templates, job aids, workflows, and operating procedures.
- Coordinates information between Provider Relations and internal departments to ensure requests are routed appropriately and outstanding items are tracked through completion.
- 10% travel required within WA/OR
Reporting, Tracking & Dashboards
- Pulls routine operational reports and compiles data to support Provider Relations leadership and team activities.
- Creates and maintains dashboards, trackers, spreadsheets, and other reporting tools to monitor workload, outreach, provider issues, assignments, performance measures, and departmental activities.
- Reviews reports and tracking tools for completeness and accuracy and follows up on missing or incomplete information.
- Organizes data into clear summaries, reports, presentations, and dashboards for leadership and team review.
- Supports recurring monthly, quarterly, and ad hoc reporting requirements.
- Identifies trends, overdue activities, workflow gaps, and other items requiring follow-up and communicates them to appropriate team members or leadership.
- Maintains reporting calendars and coordinates timely completion of recurring reports and deliverables.
Systems & Documentation
- Maintains Provider Relations information within applicable systems, including Salesforce, SharePoint, Microsoft Teams, Excel, and other department tools.
- Supports consistent documentation of provider contacts, outreach, issues, escalations, meetings, and follow-up activities.
- Performs data entry, data validation, reconciliation, and routine quality checks to maintain accurate provider and departmental information.
- Maintains electronic files, shared resources, templates, provider contact information, and departmental records.
- Assists with development and maintenance of standardized workflows to improve efficiency, consistency, visibility, and accountability.
Provider Relations Support
- Serves as a support resource for routine and non-complex Provider Relations activities.
- Assists with provider communications, outreach, education, and follow-up as assigned.
- Responds to or appropriately routes routine provider questions and requests.
- Researches routine provider issues and coordinates with internal departments to support resolution.
- Accurately triages provider claim and operational issues to the appropriate department or Provider Relations representative.
- Assists with provider roster, demographic, contact, and other data updates.
- Supports provider orientations, trainings, Joint Operating Committee meetings, outreach campaigns, and other provider engagement activities.
- May maintain relationships with a limited portfolio of non-complex providers or provide coverage for Provider Relations representatives as needed.
- Supports network development, provider research, recruitment, contracting activities, regulatory audits, and special projects as assigned.
- Provides additional provider-facing support during periods of increased volume, vacancies, special projects, or other business needs.
Required Qualifications
- At least 2 years of customer service, provider services, or claims experience in a managed care or medical office setting, or equivalent combination of relevant education and experience.
- General understanding of the health care delivery system, including government-sponsored health plans.
- Organizational skills and attention to detail.
- Ability to manage multiple tasks and deadlines effectively.
- Interpersonal skills, including ability to interface with providers and medical office staff.
- Ability to work in a cross-functional highly matrixed organization.
- Effective verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
- Familiarity with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc.
- Experience delivering training and facilitating educational presentations.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.78 - $44.49 / HOURLY
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
See all 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 Provider Relations Representative Jobs
Target managed care and health plan employers
Large health insurers and managed care organizations file Labor Condition Applications for Provider Relations roles far more frequently than smaller clinics. Focus your search on employers with established HR infrastructure and a track record of sponsoring work visas.
Align your degree to the specialty occupation standard
H-1B approval depends on showing the role requires a specific bachelor's degree. Degrees in healthcare administration, public health, or business administration are the strongest fit for Provider Relations positions and support the specialty occupation argument most directly.
Highlight network contracting and credentialing experience
Employers sponsoring visas want candidates who reduce onboarding risk. Concrete experience with provider credentialing, contract negotiation, or claims resolution signals immediate value and strengthens the business case a hiring manager must make to justify sponsorship.
Understand TN eligibility if you hold Canadian or Mexican citizenship
TN visa classification covers certain business and management roles under USMCA. If your degree is in a qualifying field like business administration, TN may be available without the H-1B lottery, giving you a faster path to starting work.
Address the specialty occupation question proactively
Provider Relations is a role USCIS scrutinizes for H-1B eligibility. Come prepared to explain why your specific position requires a degree in a particular field, not just any bachelor's degree, using your job description and employer documentation as evidence.
Build experience in health information systems
Familiarity with systems like Epic, Facets, or similar provider management platforms strengthens your profile significantly. Employers sponsoring visas are especially motivated when candidates bring technical skills that are harder to source domestically on short timelines.
Frequently Asked Questions
Do employers commonly sponsor visas for Provider Relations Representative roles?
Sponsorship exists but is more common at large managed care organizations, regional health plans, and hospital networks than at smaller practices. Employers with dedicated HR and legal teams are better positioned to navigate H-1B visa filings. You can browse sponsoring employers currently hiring on Migrate Mate to identify which organizations have active openings.
Does a Provider Relations Representative role qualify as an H-1B specialty occupation?
It can qualify, but USCIS scrutinizes administrative healthcare roles closely. The key is demonstrating that the specific position requires a degree in a particular field, such as healthcare administration or public health, not just any bachelor's degree. Job descriptions that list specific degree requirements and employers who document this requirement in writing have stronger petition outcomes.
What degrees support an H-1B or work visa petition for this role?
Healthcare administration, public health, business administration, and health informatics are the most defensible degree fields for Provider Relations positions. A general business or communications degree can work if the employer's job description ties the role's duties directly to that field of study. The degree-to-job match is the core of the specialty occupation argument.
Can a Canadian citizen get a TN visa for a Provider Relations Representative position?
Possibly, if the role fits a covered TN category and your degree aligns. Management consultant or certain scientific or business analyst categories have been used for healthcare administrative roles, but TN classification requires a clear match between the USMCA category, the job duties, and your credentials. An immigration attorney can assess your specific situation before you apply.
What should I expect during the H-1B petition process for this type of role?
Your employer files a Labor Condition Application with the Department of Labor first, then submits Form I-129 to USCIS after the H-1B lottery selection. For administrative healthcare roles, USCIS sometimes issues Requests for Evidence challenging specialty occupation status. Having a detailed job description, an employer support letter explaining degree requirements, and documentation of your credentials reduces the risk of delays.
What is the prevailing wage requirement for sponsored Provider Relations Representative jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.