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Anthem Provider Network Manager Jobs (NOW HIRING)

Memspa

$100 - $125/hr

In conjunction with the Director of Educational Technology, the Network Manager will learn the needs of the district to provide network integrity and great customer service. Responsibilities * Align ...

Zeeland Public Schools

Network Manager

Zeeland, MI · On-site

In conjunction with the Director of Educational Technology, the Network Manager will learn the needs of the district to provide network integrity and great customer service. Responsibilities: * Align ...

Zeeland Public Schools

Network Manager

Zeeland, MI

In conjunction with the Director of Educational Technology, the Network Manager will learn the needs of the district to provide network integrity and great customer service. Responsibilities: * Align ...

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Anthem Provider Network Manager information

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$22K

$106.6K

$162.5K

How much do anthem provider network manager jobs pay per year?

As of Sep 10, 2026, the average yearly pay for anthem provider network manager in the United States is $106,570.00, according to ZipRecruiter salary data. Most workers in this role earn between $80,500.00 and $128,000.00 per year, depending on experience, location, and employer.

What does an Anthem Provider Network Manager do?

An Anthem Provider Network Manager is responsible for developing, maintaining, and optimizing the network of healthcare providers who deliver services to Anthem's members. They negotiate contracts, ensure provider compliance with company policies, and work to improve the quality and accessibility of care. Their role also includes analyzing network performance, resolving provider issues, and collaborating with internal teams to meet organizational goals. This position is key to ensuring that Anthem's provider network meets regulatory requirements and serves the needs of members.

How does an Anthem Provider Network Manager collaborate with healthcare providers to maintain strong network relationships?

An Anthem Provider Network Manager regularly engages with healthcare providers through meetings, site visits, and ongoing communication to address concerns, negotiate contracts, and ensure mutual understanding of policies. They serve as the main point of contact for providers, helping resolve operational or administrative issues and facilitating quality improvement initiatives. This collaboration not only strengthens network relationships but also ensures that members receive high-quality, cost-effective care. Building trust and maintaining open lines of communication are key components of this role.

What are the key skills and qualifications needed to thrive as an Anthem Provider Network Manager?

To thrive as an Anthem Provider Network Manager, you need expertise in healthcare network management, contract negotiation, and provider relations, typically supported by a bachelor’s degree in healthcare administration or a related field. Familiarity with claims processing systems, provider database management software, and knowledge of regulatory compliance are crucial. Strong communication, problem-solving, and relationship-building skills help you effectively manage provider partnerships and resolve issues. These skills are essential to ensure a robust provider network, maintain compliance, and deliver quality healthcare services to members.

What are popular job titles related to Anthem Provider Network Manager jobs?

For Anthem Provider Network Manager jobs, the most frequently searched job titles are:

Infographic showing various Anthem Provider Network Manager job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 80% Physical, 2% Hybrid, and 18% Remote job distribution, with an average salary of $106,570 per year, or $51.2 per hour.

Outreach, Enrollment & Provider Network Manager

San Leandro, CA • On-site

Asian Health Services
Outpatient Health Care • 51 - 200 employees
Learn more about Asian Health Servicesexternal

$115K - $138K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Imagine a center where our seniors can receive transformative health care that will allow them to age at home and in their communities. 

At Asian Health Services, we recognize that so many of our elderly patients continue to struggle to get the care they need because of challenges that go beyond the walls of the clinic.

To address these gaps, we've found a solution and model of care that integrates the quality care our elders receive at our health center with the most comprehensive support system, like transportation, culturally-inclusive meals, and social activities, our elders deserve.

We are building a Program of All-Inclusive Care for the Elderly (PACE) to bring life-changing, culturally competent care to low-income seniors-supporting them as they age safely and with dignity, right in their communities. Based on the PACE model, SpringLight Health will offer coordinated medical care, transportation, meals, social activities, medication management, and caregiver support-all tailored to each individual's needs.

Learn more by visiting our website here.


Job Summary: 
 
This role presents an exciting opportunity for a detail-oriented, operationally strong professional to support the build-out and day-to-day functioning of operations for a new PACE program. The Manager will be responsible for executing and coordinating key operational workflows across enrollment, provider relations and care coordination, working closely with senior leadership to ensure participant-centered service delivery. 
 
 
Essential Job Functions

Enrollment & Eligibility Operations

  • Manage participant enrollment and disenrollment workflows, including CMS and DHCS submission tracking
  • Support Medi-Cal and Medicare eligibility verification and redetermination processes
  • Identify and escalate enrollment-related issues to ensure eligibility continuity for participants
  • Supervise, coach, and develop Intake Coordinator(s) and Outreach and Enrollment Coordinators; set clear expectations, provide feedback, and support professional growth.
  • Ensure that the enrollment targets are met every month by coordinating intake team staffing, and coverage
  • Establish and maintain standard work, training, and job aids for intake workflows; onboard new team members as the program scales.

Provider Network & Relations

  • Support provider network operations including provider data maintenance, credentialing coordination, and access management
  • Serve as an operational point of contact for provider relations, issue resolution, and escalation workflows
  • Monitor network adequacy and service level concerns, escalating as appropriate

Credentialing and Delegated Oversight Support

  • Coordinate delegated credentialing and compliance requirements with providers and internal teams.
  • Support ongoing monitoring processes (for example, OIG exclusion checks and documentation of required attestations) in partnership with compliance/quality and health plan operations.
  • Track and document provider compliance with contract requirements, including timeliness of medical record return and participation in required trainings.

Care Coordination & Referral Operations

  • Coordinate centralized referral workflows and external appointment scheduling processes
  • Ensure timely specialty scheduling, visit note retrieval, and participant follow-through
  • Collaborate with Clinical Operations and IDT teams on care transitions and participant access issues

Team & Operational Support

  • May oversee one or more operational staff or coordinators as the team grows
  • Contribute to workforce and process improvement initiatives as census scales
Minimum Qualifications
  • Bachelor's degree in healthcare administration, business, public health, or related field, or equivalent relevant experience.
  • 3+ years of experience in provider network management, contracting, provider relations, or health plan operations.
  • Strong communication, relationship-building, and issue resolution skills.
  • High attention to detail and ability to manage multiple deadlines in a fast-moving startup environment.
  • Comfort operating in evolving, build-as-you-go environments preferred
Preferred Qualifications
  • Master's degree in Business Administration (MBA), Health Administration (MHA), or related field
  • Supervisory or lead experience in health plan operations
  • Experience in a startup or high-growth healthcare environment
  • Strong attention to detail and follow-through
  • Ability to manage multiple workflows and competing priorities
  • Clear, collaborative communication across teams
  • Comfort with ambiguity and a continuous improvement mindset
  • Analytical and process-oriented approach to problem-solving
$115,000 - $138,000 a year

Benefits That Support You
We're committed to supporting our team's well-being. Our comprehensive benefits package includes:

Health & Wellness

  • 100% employer-paid medical, dental & vision coverage
  • Acupuncture & chiropractic coverage

Time Off

  • 12 vacation days
  • 12 sick days
  • 12 paid holidays + 3 floating holidays (additional flexible days you can use anytime)

Financial & Retirement

  • 403(b) with 3% employer contribution + up to 2% match
  • Flexible Spending Account (FSA) & Dependent Care Assistance

Additional Support

  • Commuter benefits
  • Long-Term Disability Insurance
 
Please note: We are not seeking support from staffing agencies at this time. Direct applicants only.
 
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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