Provider Relations Specialist Jobs in USA with Visa Sponsorship
Provider Relations Specialist roles are regularly sponsored under the H-1B visa, particularly at health systems, managed care organizations, and insurance companies. Most positions require a bachelor's degree in healthcare administration, business, or a related field to qualify as a specialty occupation. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsINTRODUCTION
Optum Serve Health Services (OSHS) is one of three businesses under Optum Serve. Optum Serve provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well-being of Americans. By joining Optum Serve you are part of the family of companies that makes UnitedHealth Group a leader across most major segments in the U.S. health care system.
OSHS specializes in creating and managing health care programs through on-location services, patient specific in-clinic appointments, telehealth assessments, or any combination based on customer need. OSHS's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services.
ROLE AND RESPONSIBILITIES
The National Provider Relations Advocate is accountable for the full range of provider relations and service interactions within Optum Serve, including working on end-to-end provider claims / concerns, ease of use of provider portal, and support for training & development of external provider education programs. They will support and nurture positive relationships between Optum Serve, providers, and program managers. Supports strategies relating to the retention of the provider network. May also be involved in identifying and remediating operational short-falls and researching and remediating claims.
Schedule: Full-time, 40-hour work week, Monday through Friday, Employees work 8-hour shifts, with a flexible schedule determined by the supervisor upon hire.
Location: Remote nationwide (10% sites visits to ensure compliance 50 to 100 miles from their home.)
Primary Responsibilities:
- Provide on-boarding and orientation to new providers (e.g., ensure providers take online training; provide instruction on processes for network participation)
- Participate in company initiatives related to compliance or advocating company resources
- Apply knowledge of applicable health care industry practices, trends and issues to inform communications about how our products/services can benefit providers
- Communicate and advocate providers' needs to internal stakeholders in order to drive creation of solutions that meet our mutual business goals
- Develop resources and programs to assist and educate providers (e.g., web-based training; FAQ document)
- Work with internal groups to identify, understand, and/or improve internal tools, resources, systems, and capabilities that can maximize provider, member, or company performance
- Assess provider understanding and needs related to industry and company information, tools, systems, and changes
- Communicate industry and company information to providers through various means (e.g., newsletters; emails; outreach calls; teleconference; conferences; on-site meetings)
- Provide feedback to providers on quality and performance metrics/scorecards
- Educate providers on policies and procedures applicable to delivery of care (e.g., regulatory; benefit; claims)
- Educate providers on administrative tools (e.g., portal; electronic payments and statements; Intellijet; IVR)
- Educate providers on clinical tools, processes, and programs (e.g., utilization review; wellness assessments; quality/gaps in care; Premium Designation; View360; UM Template)
- Gather data from relevant systems (e.g., claims; data warehouse; payment integrity; EDI/Portal reporting; customer relations systems) and business partners (e.g., contracting; claims operations)
- Collaborate and/or participate in discussions with colleagues to identify potential root cause of issues
- Demonstrate understanding of providers' business goals and strategies in order to facilitate the analysis and resolution of their issues
- Analyze data to determine root cause of issue (e.g., identify trends and patterns; identify outliers and anomalies) and/or escalate problem to appropriate group for further analysis as necessary
- Involve leadership and/or escalate issues as necessary to implement provider solutions
- Coordinate with internal and/or external resources to implement provider solutions
- Ensure that provider solutions meet their needs and increase provider satisfaction (e.g., simplify processes)
- Analyze network adequacy based on defined access standards, target markets, or customer requirements to identify need to recruit new provider
- Perform network analysis to identify potential provider recruitment opportunities (e.g., review competitive data; review Board Certified website)
- Research provider nominations or recruitment requests (e.g., from members, sales, account management) in order to achieve network adequacy
- Summarize and communicate provider network outcomes (e.g., recruitment and/or retention) to internal and external stakeholders
- Build/sustain effective relationships with providers to maintain open lines of communication and ensure our awareness of their needs
- Make updates to provider information (e.g., address changes; location changes; specialty changes)
- Support recruiting and retention efforts by identifying and/or implementing improvement/expansion opportunities to provider services
- Respond to provider's requests by directing them to appropriate internal or external resources
- Help providers understand and improve performance under incentive contracts and accountable care strategies
- Communicate provider updates and information to applicable stakeholders (e.g., health plans; internal partners; providers; account managers; employer groups) regarding research and resolution of issues within applicable defined metrics (e.g., turnaround time)
- Ensure that provider data (e.g., demographics; fee schedule) is accurate through audits, re-credentialing, and/or outreach
- Review and respond to provider complaints in a timely fashion
- Performs other duties as assigned
BASIC QUALIFICATIONS
- High School Diploma
- 1+ years of experience in provider relations
- 1+ years of customer service or healthcare experience
- Intermediate computer proficiency experience with Microsoft Office (Word, Excel, and Outlook) and be able to access multiple web applications
- Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
- Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
PREFERRED QUALIFICATIONS
- Ability to travel 10% of the time within 100 miles of territory assigned and Reliable transportation, with a current and non-restricted state Driver's License and State-required insurance
- Provider data loading or other healthcare database maintenance
- Proficiency with MS Access, MS Visio, and/or MS SharePoint
- Experience in continuous process, efficiency, and quality improvement
- 2+ years of data entry experience
SOFT SKILLS
- Ability to work independently and maintain good judgment and accountability
- Demonstrated ability to work well with health care providers
- Strong organizational and time management skills
- Ability to multi-task and prioritize tasks to meet all deadlines
- Ability to work well under pressure in a fast-paced environment
- Ability to problem-solve complex problems
- Ability to work collaboratively with internal/external team as well as providers
- Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
COMPENSATION
- Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
OTHER INFORMATION
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location, and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
INTRODUCTION
Optum Serve Health Services (OSHS) is one of three businesses under Optum Serve. Optum Serve provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well-being of Americans. By joining Optum Serve you are part of the family of companies that makes UnitedHealth Group a leader across most major segments in the U.S. health care system.
OSHS specializes in creating and managing health care programs through on-location services, patient specific in-clinic appointments, telehealth assessments, or any combination based on customer need. OSHS's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services.
ROLE AND RESPONSIBILITIES
The National Provider Relations Advocate is accountable for the full range of provider relations and service interactions within Optum Serve, including working on end-to-end provider claims / concerns, ease of use of provider portal, and support for training & development of external provider education programs. They will support and nurture positive relationships between Optum Serve, providers, and program managers. Supports strategies relating to the retention of the provider network. May also be involved in identifying and remediating operational short-falls and researching and remediating claims.
Schedule: Full-time, 40-hour work week, Monday through Friday, Employees work 8-hour shifts, with a flexible schedule determined by the supervisor upon hire.
Location: Remote nationwide (10% sites visits to ensure compliance 50 to 100 miles from their home.)
Primary Responsibilities:
- Provide on-boarding and orientation to new providers (e.g., ensure providers take online training; provide instruction on processes for network participation)
- Participate in company initiatives related to compliance or advocating company resources
- Apply knowledge of applicable health care industry practices, trends and issues to inform communications about how our products/services can benefit providers
- Communicate and advocate providers' needs to internal stakeholders in order to drive creation of solutions that meet our mutual business goals
- Develop resources and programs to assist and educate providers (e.g., web-based training; FAQ document)
- Work with internal groups to identify, understand, and/or improve internal tools, resources, systems, and capabilities that can maximize provider, member, or company performance
- Assess provider understanding and needs related to industry and company information, tools, systems, and changes
- Communicate industry and company information to providers through various means (e.g., newsletters; emails; outreach calls; teleconference; conferences; on-site meetings)
- Provide feedback to providers on quality and performance metrics/scorecards
- Educate providers on policies and procedures applicable to delivery of care (e.g., regulatory; benefit; claims)
- Educate providers on administrative tools (e.g., portal; electronic payments and statements; Intellijet; IVR)
- Educate providers on clinical tools, processes, and programs (e.g., utilization review; wellness assessments; quality/gaps in care; Premium Designation; View360; UM Template)
- Gather data from relevant systems (e.g., claims; data warehouse; payment integrity; EDI/Portal reporting; customer relations systems) and business partners (e.g., contracting; claims operations)
- Collaborate and/or participate in discussions with colleagues to identify potential root cause of issues
- Demonstrate understanding of providers' business goals and strategies in order to facilitate the analysis and resolution of their issues
- Analyze data to determine root cause of issue (e.g., identify trends and patterns; identify outliers and anomalies) and/or escalate problem to appropriate group for further analysis as necessary
- Involve leadership and/or escalate issues as necessary to implement provider solutions
- Coordinate with internal and/or external resources to implement provider solutions
- Ensure that provider solutions meet their needs and increase provider satisfaction (e.g., simplify processes)
- Analyze network adequacy based on defined access standards, target markets, or customer requirements to identify need to recruit new provider
- Perform network analysis to identify potential provider recruitment opportunities (e.g., review competitive data; review Board Certified website)
- Research provider nominations or recruitment requests (e.g., from members, sales, account management) in order to achieve network adequacy
- Summarize and communicate provider network outcomes (e.g., recruitment and/or retention) to internal and external stakeholders
- Build/sustain effective relationships with providers to maintain open lines of communication and ensure our awareness of their needs
- Make updates to provider information (e.g., address changes; location changes; specialty changes)
- Support recruiting and retention efforts by identifying and/or implementing improvement/expansion opportunities to provider services
- Respond to provider's requests by directing them to appropriate internal or external resources
- Help providers understand and improve performance under incentive contracts and accountable care strategies
- Communicate provider updates and information to applicable stakeholders (e.g., health plans; internal partners; providers; account managers; employer groups) regarding research and resolution of issues within applicable defined metrics (e.g., turnaround time)
- Ensure that provider data (e.g., demographics; fee schedule) is accurate through audits, re-credentialing, and/or outreach
- Review and respond to provider complaints in a timely fashion
- Performs other duties as assigned
BASIC QUALIFICATIONS
- High School Diploma
- 1+ years of experience in provider relations
- 1+ years of customer service or healthcare experience
- Intermediate computer proficiency experience with Microsoft Office (Word, Excel, and Outlook) and be able to access multiple web applications
- Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
- Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
PREFERRED QUALIFICATIONS
- Ability to travel 10% of the time within 100 miles of territory assigned and Reliable transportation, with a current and non-restricted state Driver's License and State-required insurance
- Provider data loading or other healthcare database maintenance
- Proficiency with MS Access, MS Visio, and/or MS SharePoint
- Experience in continuous process, efficiency, and quality improvement
- 2+ years of data entry experience
SOFT SKILLS
- Ability to work independently and maintain good judgment and accountability
- Demonstrated ability to work well with health care providers
- Strong organizational and time management skills
- Ability to multi-task and prioritize tasks to meet all deadlines
- Ability to work well under pressure in a fast-paced environment
- Ability to problem-solve complex problems
- Ability to work collaboratively with internal/external team as well as providers
- Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
COMPENSATION
- Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
OTHER INFORMATION
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location, and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
See all 47+ Provider Relations Specialist Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Provider Relations Specialist roles.
Get Access To All JobsTips for Finding Visa Sponsorship as a Provider Relations Specialist
Target health systems and managed care organizations
Large hospital networks and insurance companies have established immigration programs and file H-1B petitions routinely. These employers are far more likely to sponsor than smaller provider groups or independent clinics, which rarely have the HR infrastructure for visa support.
Frame your degree as directly relevant to the role
USCIS scrutinizes specialty occupation status for business-facing healthcare roles. A degree in healthcare administration, health informatics, or business with a healthcare concentration strengthens your petition considerably compared to a general business degree alone.
Bring quantifiable outcomes to every application
Employers sponsoring visas want certainty. Demonstrate measurable impact from prior provider relations work, such as credentialing cycle times reduced, provider network growth percentages, or dispute resolution rates. Concrete numbers reduce hiring hesitation around sponsorship cost and risk.
Understand the LCA and prevailing wage before negotiating
Your employer must file a Labor Condition Application certifying your role meets prevailing wage requirements before sponsorship proceeds. Knowing this process helps you identify whether an offer is structured for successful filing and avoids surprises during the petition stage.
Highlight experience with credentialing systems and payer contracts
Familiarity with CAQH, PECOS, or payer-specific portals signals specialized expertise that generic candidates lack. This specificity helps justify the specialty occupation classification to USCIS and signals to employers that your skill set warrants the investment in sponsorship.
Apply through Migrate Mate to find verified sponsoring employers
Not every job posting discloses visa sponsorship upfront. Migrate Mate filters specifically for employers willing to sponsor, saving significant time and preventing late-stage rejections when sponsorship requirements surface after multiple interview rounds.
Frequently Asked Questions
Can a Provider Relations Specialist role qualify for H-1B sponsorship?
Yes, but it requires careful positioning. USCIS must be satisfied that the role is a specialty occupation requiring a bachelor's degree in a specific field. Roles tied to managed care contracting, credentialing oversight, or network compliance tend to qualify more consistently than generalist liaison positions. A strong job description and degree match are critical to petition approval.
What degree do I need to get sponsored as a Provider Relations Specialist?
Most successful petitions cite a bachelor's degree in healthcare administration, health informatics, public health, or business administration with a healthcare focus. A general business or communications degree may be challenged by USCIS unless the job duties clearly require field-specific knowledge. Some employers accept equivalent combinations of education and directly related professional experience under the three-for-one substitution rule.
Which types of employers are most likely to sponsor Provider Relations Specialists?
Large managed care organizations, regional health systems, Medicare Advantage plans, and multi-state insurance carriers are the most consistent sponsors. These organizations handle high volumes of provider credentialing and network management work, have established legal and HR teams for immigration, and file H-1B visa petitions regularly. Smaller clinics or single-specialty practices rarely sponsor. Use Migrate Mate to browse roles filtered by sponsorship willingness.
Are H-1B approval rates good for Provider Relations roles?
Approval rates for healthcare operations roles have historically been solid when the petition establishes a clear specialty occupation nexus. The primary risk is USCIS issuing a Request for Evidence questioning whether the role requires a degree in a specific field. Employers with experienced immigration counsel typically resolve these successfully. Roles at large health systems with standardized job architectures tend to face fewer RFEs than smaller or newly created positions.
Can I get sponsored on an OPT extension while working as a Provider Relations Specialist?
Yes. If you graduated from a STEM-eligible program such as health informatics or health data analytics, you may qualify for a 24-month OPT extension, giving you up to three years of post-graduation work authorization. This extends your window to secure H-1B sponsorship through two lottery cycles. Non-STEM graduates have a 12-month OPT period, making early sponsorship conversations with your employer essential.
What is the prevailing wage requirement for sponsored Provider Relations Specialist 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.