Provider Relations Specialist - For West, Southwest & Northwest Regions

Responsibilities

FHCHS of PR, Inc. organization with extensive experience in managing mental health benefits and developing solutions that promote the emotional well-being of individuals, families, workplaces, and communities. Since our foundation in 1996, at FHC Mental Health, we have worked to facilitate access to excellent mental health services and support people at different stages of their lives.  Our experience has allowed us to evolve, expand our services, and develop integrated solutions that promote prevention, guidance, recovery, and continuity of care.  Website: https://fhcsaludmental.com/

The Provider Relations Specialist plays a key role in maintaining and developing strong working relationships between healthcare providers and our organization. This position ensures provider satisfaction, supports network development, facilitates communication, and assists with credentialing, regulatory compliance, and contract-related activities.

Job Duties/Responsibilities:

1. Performs site visits to providers to strengthen relationships, evaluation, orientation,  documentation collection, identify areas for improvement, and ensure contractual compliance.
2. Acts as primary liaison to resolve provider issues, improve collaboration, and support provider network growth.
3. Managing provider credentialing and re-credentialing to maintain compliance with industry standards and regulatory requirements.
4. Oversee provider ensuring accuracy, data setup, maintenance, timeliness, billing processes and will facilitate resolution of credentialing and billing issues.
5. Supports contract management activities and promotes collaboration and engagement within the provider network to support organizational goals related to quality, efficiency, and growth.
6. Submission of referral forms to the health plan within the established deadline, ensuring that the information is accurate and complete.
7. Assist in the implementation of initiatives, operational changes, or new products related to the provider network.
8. Participate in internal audits, as requested.
9. Coordinate and facilitate meetings, seminars, or training sessions for providers. Engages in mandatory training, workshops, seminars, educational activities for providers, and committee meetings such as Credentialing or Appeals, when required.
10. Conduct outbound calls for information gathering and maintain communication with other departments. Collaborate with internal departments (such as claims, compliance, and finance) to resolve issues related to billing and service.
11. Performs other duties as assigned/required by this position

Qualifications

• Bachelor’s degree in healthcare administration, Health Services Management, or a related field.
• Three or more years of experience in the health field, preferred in provider relations or managing a medical network.
• Full availability and willingness to travel across the island, with primary focus on the western region.\
• Proficiency with electronic platforms, technological applications and data management.
• Knowledge of healthcare regulations such as HIPAA and CMS guidelines affecting provider relations and healthcare billing and coding principles.
• Understanding of provider credentialing requirements and compliance standards, including familiarity with accreditation bodies and regulatory authorities.
• Preferred fully bilingual
• Detail-oriented approach with outstanding organizational and administrative skills to manage multiple provider accounts and related administrative tasks efficiently.
• Demonstrate excellent interpersonal skills.
• Analytical mindset and problem-solving skills to address billing discrepancies and credentialing challenges promptly.
• Excellent verbal and written communication abilities.

Benefit & Rewards Highlights

• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plans  
• 401(K) with company match
• Career development opportunities within UHS and its 300+ Subsidiaries!  
• Tuition incentive
• Continuing education incentive
• Vacation and sick license, among others.

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues  during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies. 

Headquarters in King of Prussia, PA, UHS has approximately 101,500 employees and continue to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.

EEO Statement and Notice:

 All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

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At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

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