Top 741 Provider Relations Jobs

Provider Relations Specialist
Altus ACE —Houston, TX
- $70,000 - $85,000 a year
- Full-time
- Microsoft Outlook
- Mid-level
- Presentation skills
- Health savings account
- Health insurance
Quick Apply
9d
Provider Relations, Network Development Specialist
Behavioral Health Systems, Inc. —Birmingham, AL
- $62,010 - $64,515 a year
- Full-time
- Background check
- Sales
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Hospice Provider Relations Liaison
Mission Hospice and Home Care —San Mateo, CA
- $95,000 - $100,000 a year
- Full-time
- Marketing
- Mid-level
- Residential
Quick Apply
9d
Sr. Provider Relations Consultant
WellSense Health Plan —Remote
- $69,500 - $101,000 a year
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
11d
Provider Relations Representative (Remote in AZ - Pima or Pinal)
Imperial Management Administrators Services Inc —Arizona
- $30 - $32 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Marketing
Quick Apply
Provider Relations - Call Center Associate
Conduent State Healthcare, LLC —Remote
- $16 - $18 an hour
- Urgently hiring
- Computer literacy
- Administrative experience
- High school diploma or GED
- Paid training
- Paid holidays
Senior Project Manager, Provider Engagement Enablement
CVS Health —North Carolina
- $67,900 - $182,549 a year
- Full-time
- Remote
- 3 years
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
9d
Provider Network Specialist
Provider Partners Health Plan —Remote
- Microsoft Outlook
- Mid-level
- Driver's License
Quick Apply
Provider Relations Lead (PA)
CHOP - Soar Autism Center —Philadelphia, PA
- $100,000 - $110,000 a year
- Full-time
- 3 years
- Driver's License
- Bachelor's degree
- Mileage reimbursement
- Paid holidays
Quick Apply
Provider Relations Representative
Key Family of Companies —Columbus, OH
- Full-time
- Remote
- Mid-level
- 3 years
- Analysis skills
- Health insurance
Quick Apply
Provider Relations Analyst
Texas Children's Hospital —Bellaire, TX
- Full-time
- Research
- Mid-level
- High school diploma or GED
Network Relations Specialist
ITEL LABORATORIES INC —Remote
- Full-time
- Remote
- Customer service
- Mid-level
- Bachelor's degree
Quick Apply
Account Manager- Physician Liaison
Doctor Referral Institute —Remote
- $54,000 - $116,000 a year
- Part-time
- Remote
- Mid-level
- Organizational skills
- Communication skills
- Dental insurance
- Opportunities for advancement
Quick Apply
Principal Healthcare Analyst - Provider Relations
Blue Cross and Blue Shield of Minnesota —Eagan, MN
- $90,800 - $149,800 a year
- Hybrid work
- 5 years
- Office
- Master's degree
- Health insurance
- Dental insurance
Physician Liaison
US Foot & Ankle Specialists —Toms River, NJ
- $65,000 - $85,000 a year
- Evenings as needed
- Surgery
- Marketing
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
Physician Liaison- Hybrid
Mindcolor Autism —Milwaukee, WI
- Weekends as needed
- Marketing
- Mid-level
- Bachelor's degree
- Paid parental leave
- Disability insurance
Quick Apply
Bay Area Physician Liaison
HRC Fertility Management —Foster City, CA
- $110,000 - $125,000 a year
- Weekends as needed
- Marketing
- Mid-level
- Bachelor's degree
- Travel reimbursement
- Disability insurance
Quick Apply
7d
Director - Pharmacy Network Contracting & Public Payer Relations
Hemophilia Alliance —Remote
- $130,000 - $170,000 a year
- Full-time
- Background check
- Up to 50% travel
- 5 years
- Health savings account
- Health insurance
Quick Apply
Provider Network & Contract Manager
Senior Care Partners PACE —Kalamazoo, MI
- Customer service
- Mid-level
- 3 years
- Paid holidays
- Health insurance
Quick Apply
10d
Marketing - Physician Liaison
Beale Personnel, Inc. —Silver Spring, MD
- $70,000 - $90,000 a year
- Full-time
- Background check
- Marketing
- Mid-level
- Health insurance
- Dental insurance
Quick Apply

I want to receive the latest job alert for Provider Relations

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Provider Relations jobs near

Physician Liaison jobs in Milwaukee, WI

Call Center Representative jobs in Remote

Physician Liaison jobs in Silver Spring, MD

Senior Project Manager jobs in North Carolina

Employee Relations Manager jobs in Remote

Director Of Public Relations jobs in Remote

Network Specialist jobs in Birmingham, AL

Network Administrator jobs in Pasadena, CA

Customer Relations Representative jobs in Columbus, OH

Labor Relations Specialist jobs in Houston, TX

Physician Liaison jobs in Remote

Hospice Liaison jobs in New Jersey

Physician Liaison jobs in Lehigh Valley, PA

Medical Science Liaison jobs in Chicago, IL

Physician Liaison jobs in Minneapolis, MN

Physician Liaison jobs in Boston, MA

Physician Liaison jobs in Clarkston, MI

Clinical Liaison jobs in Los Angeles, CA

Physician Chart Review jobs in Texas

Clinical Liaison jobs in Kansas City, MO

Provider Relations Specialist

Altus ACE -
Houston, TX

Quick Apply

Job Details

Full-time
$70,000 - $85,000 a year
9 days ago

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Employee discount

Qualifications

Sales contract management
Microsoft Outlook
Presentations for conferences or internal meetings
Account development
Contract management experience in healthcare
Bachelor's degree
Health insurance knowledge
Quality improvement
Medical credentialing
Organizational skills
Contracts
Data-driven problem-solving
Business Administration

Full Job Description

Job Title:

Provider Network Specialist

Reports To:

SVP, Network Operations

FLSA Status:

Exempt

Department:

Network Operations & Contracting

Job Summary

The Provider Network Specialist is responsible for growing and servicing Altus ACE’s primary care provider network across Medicare, Medicare Advantage, Medicaid, and commercial value-based care contracts. This is a dual-role position requiring both business development (recruiting and closing new PCPs) and account management (servicing existing provider groups to ensure satisfaction, retention, and performance against contract SLAs).

The ideal candidate combines a working knowledge of managed care and value-based care with strong sales instincts, relationship management skills, and the ability to interpret performance data and communicate actionable insights to providers.

Essential Functions

1. Network Growth & PCP Recruitment

Prospect, recruit, and close new primary care physicians to join Altus ACE’s provider network and assigned PODs.
Build and maintain a pipeline of prospective PCPs with managed care experience who are positioned to capitalize on their attributed patient populations through value-based care arrangements.
Guide prospective providers through the full contracting process, from initial outreach to executed agreement.
Collaborate with senior leadership to identify strategic growth targets by geography, payor mix, and contract need.
Track recruitment activity and conversion metrics, reporting progress against growth targets.
Lead contract negotiations with physicians.
Assist with provider credentialing by ensuring all necessary documents are completed promptly and accurately.

2. Account Management & Provider Servicing

Serve as the primary point of contact for assigned provider groups, owning the ongoing relationship and ensuring provider satisfaction and retention.
Conduct regular site visits to provider locations, responding promptly to operational issues and proactively identifying needs.
Orient newly contracted providers to Altus ACE programs, systems, and processes, ensuring a smooth onboarding experience.
Provide training and support to providers and their staff on managed care topics, VBC program requirements, and ACE workflows.
Develop educational materials to support provider understanding and facilitate behavior change aligned with population health goals.
Act as a liaison between healthcare providers and the Altus ACE Network team, fostering strong professional relationships.

3. POD Operations & JOC Meeting Management

Own the end-to-end Joint Operating Committee (JOC) meeting process for assigned PODs: pull performance data, assemble the meeting packet, set and drive the agenda, facilitate the meeting, and follow up on action items.
Monitor POD performance metrics against payor contract SLAs, including shared savings, medical loss ratio, quality measures, and HCC recapture rates.
Present performance data to providers during JOC meetings and site visits, translating data into clear, actionable improvement opportunities.
Track PCP satisfaction within PODs and implement improvements as needed.

4. Clinical Operations & Population Health Support

Identify opportunities with local providers to support clinical and quality-related operations.
Contribute to the organization’s overall population health management strategy by reinforcing care gap closure and quality improvement at the practice level.
Respond to routine member and provider inquiries regarding managed care issues, providing accurate and helpful information.
Perform other related tasks as assigned, contributing to the success and efficiency of the Altus ACE network.

Qualifications

Required

Bachelor’s degree in healthcare administration, business, or related field, or equivalent combination of transferable work experience and education.
2+ years of experience in provider relations, network development, healthcare sales, or managed care operations.
Demonstrated understanding of managed care fundamentals: contracting, credentialing, provider networks, and payor relationships.
Working knowledge of value-based care concepts, including shared savings, risk arrangements, medical loss ratio, and quality/performance metrics.
Proven ability to close: track record of recruiting providers, closing contracts, or driving sales in a healthcare or professional services environment.
Excellent communication and presentation skills with both internal and external audiences, including the ability to present data-driven performance insights to physicians.
Strong relationship-building, problem-solving, and organizational skills.
High proficiency with MS Office (Word, Excel, PowerPoint, Outlook), with particular strength in Excel for data analysis and reporting.

Preferred

Experience working in an MSO, IPA, ACO, or similar value-based care organization.
Experience preparing and presenting dashboards using data visualization tools such as Tableau or Power BI.
Familiarity with Medicare, Medicare Advantage, and Medicaid programs and their associated quality measures (HEDIS, Stars, HCC coding).

Pay: $70,000.00 - $85,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible spending account
Health insurance
Health savings account
Paid time off
Vision insurance

Education:

Bachelor's (Required)

Experience:

Provider Relations: 2 years (Required)
Preparing/Presenting dashboards w/Tableau or Power BI: 1 year (Preferred)

Ability to Commute:

Houston, TX 77042 (Required)

Work Location: In person

Quick Apply

Refine Your Search

Provider Relations jobs

Provider Relations Specialist

Provider Relations, Network Development Specialist

Hospice Provider Relations Liaison

Sr. Provider Relations Consultant

Provider Relations Representative (Remote in AZ - Pima or Pinal)

Provider Relations - Call Center Associate

Senior Project Manager, Provider Engagement Enablement

Provider Network Specialist

Provider Relations Lead (PA)

Provider Relations Representative

Provider Relations Analyst

Network Relations Specialist

Account Manager- Physician Liaison

Principal Healthcare Analyst - Provider Relations

Physician Liaison

Physician Liaison- Hybrid

Bay Area Physician Liaison

Director - Pharmacy Network Contracting & Public Payer Relations

Provider Network & Contract Manager

Marketing - Physician Liaison

I want to receive the latest job alert for Provider Relations

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected