Provider Relations Manager

Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.

We are seeking an experienced and strategic Provider Relations Manager to lead and scale our Provider Relations function. Reporting to the Director of Provider Relations, this role will be responsible for managing team performance, driving operational excellence across credentialing and enrollment workflows, and serving as a senior liaison between providers, payers, and internal stakeholders.

The Provider Relations Manager will oversee day-to-day operations through Team Leads, establish best practices, ensure compliance, and drive continuous improvement aligned with organizational growth. This role blends people leadership, process ownership, and strategic execution in a fast-paced healthcare services environment.

What You Will Do

Leadership & Team Management

• Manage and develop Provider Relations Team Leads and senior specialists, ensuring strong performance, accountability, and professional growth.

• Set clear expectations, goals, and KPIs for the Provider Relations team; monitor performance and address gaps proactively.

• Coach leaders on workload management, escalation handling, and team development best practices.

• Partner with HR and leadership on hiring, onboarding, and performance management.

Client Relationship Management

• Serve as a point of contact for assigned clients, addressing inquiries and concerns proactively.

• Conduct regular client meetings to review provider enrollment and credentialing data, discuss challenges, and align on goals.

• Monitor and analyze key performance indicators (KPIs) such as retention/turnover rate, credentialing turnaround time, Network Adequacy, Net Promoter Score, etc.

Operational Oversight

• Oversee all provider enrollment, credentialing, and re-credentialing activities to ensure accuracy, timeliness, and payer compliance.

• Ensure effective tracking, reporting, and documentation of enrollment status, payer communications, and provider data across systems.

• Act as the senior escalation point for complex provider, payer, or claims-related issues.

• Ensure CAQH profiles, payer applications, and internal databases remain accurate and audit-ready.

Process Improvement & Strategy

• Identify and implement process improvements to streamline workflows, reduce cycle times, and improve provider experience.

• Standardize SOPs, reporting structures, and quality controls across the Provider Relations function.

• Analyze trends, bottlenecks, and performance metrics to inform decision-making and continuous improvement initiatives.

• Support departmental strategy and scaling efforts as the organization grows nationally.

Stakeholder Management

• Serve as a key liaison with internal teams including Revenue Cycle, Operations, Compliance, and Clinical Leadership.

• Provide executive-level updates and reporting to leadership on provider enrollment status, risks, and capacity planning.

• Ensure clear, professional communication with providers and external partners.

What It Takes to Join the Family

• 5+ years of experience in provider relations, credentialing, enrollment, or healthcare operations.

• 2+ years of people management experience, including managing Team Leads or supervisors.

• 2+ years of account management or customer success experience, serving as primary point of contact for clients.

• Strong understanding of medical billing, payer enrollment, claims resolution, and healthcare workflows.

• Proven ability to lead teams, drive accountability, and implement scalable processes.

• Bachelor’s degree required; degree in healthcare administration, business, or process improvement preferred.

• Exceptional organizational, analytical, and reporting skills.

• Strong communication skills with the ability to influence across levels and functions.

• Proficiency in Microsoft Office Suite and credentialing/enrollment databases.

• Ability to thrive in a fast-paced, high-growth environment with evolving priorities.

• Detail-oriented with strong problem-solving and decision-making capabilities.

Salary Range
$55,000—$65,000 USD

Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.

All official recruitment communications from Assembly Health will originate from an @assembly.health email address. Candidates are encouraged to carefully verify sender domains and remain vigilant against potential impersonation attempts. Communications from any other domain should be considered unauthorized.