Provider Engagement Specialist

Founded in 2023 as a mission-driven health affiliate of Texas Mutual, Texicare was created by a group of seasoned healthcare professionals, and is headquartered in Austin, Texas.

Texicare is committed to changing the healthcare landscape by providing small businesses with innovative solutions that increase access to easy-to-use, more affordable, quality health care for Texans and their families. Texicare’s vision is to transform the healthcare ecosystem for the better, helping to create a healthier and happier Texas. Our healthcare plans were designed to be used, to remove barriers to care, to truly make a difference in people’s lives.

We’re looking for passionate, mission-driven individuals to join us in creating a healthier and happier Texas.

We are hiring a Provider Relations Specialist to assist with building strong, collaborative relationships across our provider network and delivering an exceptional provider experience. In this role, you will serve as a trusted point of contact for physicians, medical groups, hospitals, and ancillary providers—helping them navigate health plan processes, resolve operational issues, and stay informed on key updates and initiatives.

You will play a hands‑on role in provider education, onboarding, and engagement, while partnering closely with internal teams to support network operations, provider satisfaction, and network growth. This is an ideal opportunity for someone who enjoys relationship‑building, problem‑solving, and making a meaningful impact on how providers experience and interact with a health plan.

Provider Relationship Management

• Build and maintain strong working relationships with physicians, medical groups, hospitals, and ancillary providers to deliver a best‑in‑class provider experience.
• Serve as the providers’ primary point of contact; conduct regular outreach (virtual, telephonic, and in‑person) to address operational issues, identify trends, and proactively resolve concerns.

Provider Education & Support

• Deliver training, orientation, and ongoing education to network providers regarding credentialing, recredentialing, claims submission, authorization requirements, quality programs, and utilization management processes.
• Communicate updates to network providers regarding policy changes, regulatory requirements, program enhancements, and new technology tools.
• Ensure providers understand and can navigate provider portals, reporting dashboards, and self‑service tools.

Network Operations & Issue Resolution

• Support network development efforts, including provider onboarding, demographic accuracy, and participation in credentialing processes.
• Identify gaps in provider knowledge or workflow inefficiencies and coordinate internal resources to drive resolution.
• Track provider issues to completion and maintain detailed documentation in CRM or internal systems.

Provider Engagement & Outreach Activities

• Plan and execute provider engagement activities, including webinars, office visits, training, and informational sessions.
• Collect provider feedback and relay insights to internal stakeholders to inform process improvements and enhance the provider experience.
• Support the administration and follow‑up of annual provider satisfaction surveys and related improvement strategies.

Network Development and Contracting Support

• Support provider recruitment and network expansion efforts by conducting outreach to prospective providers and communicating the company’s value proposition.
• Partner with the contracting team to support network adequacy monitoring and expansion efforts for targeted provider outreach.

• A bachelor’s degree or any equivalent combination of education, training, and experience.
• At least 2 years of experience in provider relations, network management, healthcare operations, managed care, or any equivalent combination of education, training, and experience.
• Experience working with commercial health plans is strongly preferred.
• An understanding of provider contracting, credentialing, claims workflows, and utilization management.
• Strong relationship‑building, communication, and presentation skills.
• D…