Texicare · 3 days ago
Provider Engagement Specialist
Hybrid (Texas, US)
Full-time
Hybrid
Entry, Mid Level
2+ years expTexicare is a mission-driven health affiliate of Texas Mutual, headquartered in Austin, Texas, committed to transforming the healthcare landscape for small businesses in Texas. The Provider Engagement Specialist will build strong relationships within the provider network, assist with provider education and support, and contribute to network operations and growth.
Financial ServicesHealth InsuranceInsurance
No H1B
Responsibilities
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
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
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
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
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
Qualification
Required
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, or managed care or any equivalent combination of education, training, and experience
An understanding of provider contracting, credentialing, claims workflows, and utilization management
Strong relationship-building, communication, and presentation skills
Demonstrated problem-solving and conflict-resolution abilities
High attention to detail with strong organizational skills
Proficiency in Microsoft Office Suite and familiarity with provider portals, CRM systems, and reporting dashboards
Preferred
Experience working with commercial health plans is strongly preferred
Benefits
Automatic 4% employer contribution to retirement plan
401k plan with 100% match up to 6%
Flexible time off for vacation, illness, etc.
Nine paid holidays
Day one health, Rx, vision, and dental insurance
Life and disability insurance
Flexible spending account
Pet coverage and pet Rx discounts
Free identity theft protection
Free 2nd medical opinion service
Company
Texicare
Texicare offers level-funded health insurance plans to small businesses.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Meredith Duncan
President & CEO, Texicare
Recent News
2026-01-07
Company data provided by crunchbase