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Director Provider Network Management Jobs (NOW HIRING)

Phsorg

... as Executive Director of Provider Network Oversight for Presbyterian Health Plan. This is a ... Lead enterprise strategy, governance, and performance management for national, regional, and wrap ...

Elevance Health

Provider Network Manager

Topeka, KS · Hybrid

Provider network management experience. * Behavioral health experience preferred. * Knowledge of value-based care and Kansas market preferred. * Data analysis and reporting experience. * Medicaid ...

Bookmark Medical

Provider Network Manager

Nashville, TN · Remote

The Provider Network Manager, TN ('PNM') will primarily be responsible for affiliate primary care provider / practice performance in our Tennessee affiliate network's VBC contracts. Additionally, the ...

Elevance Health

Provider Network Manager-CO

Denver, CO

$74K - $112K/yr

Provider Network Manager-CO Provider Network Manager Location: Denver, CO. This role requires ... Non-Management Exempt Workshift: Job Family: PND > Network Contracting Please be advised that ...

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Director Provider Network Management information

See salary details

$48.5K

$130.2K

$269K

How much do director provider network management jobs pay per year?

As of Jun 30, 2026, the average yearly pay for director provider network management in the United States is $130,243.00, according to ZipRecruiter salary data. Most workers in this role earn between $83,500.00 and $148,500.00 per year, depending on experience, location, and employer.

What are the main challenges a Director of Provider Network Management typically faces in maintaining provider relationships?

Directors of Provider Network Management often encounter challenges such as negotiating favorable contract terms, ensuring provider compliance with quality standards, and balancing cost containment with network adequacy. They must navigate complex regulatory requirements and address concerns from both providers and internal stakeholders. Building and maintaining positive relationships requires strong communication skills, as well as the ability to resolve disputes and align network strategies with organizational goals.

What is the difference between Director Provider Network Management vs Provider Relations Manager?

AspectDirector Provider Network ManagementProvider Relations Manager
CredentialsHealthcare management, industry certificationsHealthcare or business-related certifications
Work EnvironmentStrategic planning, leadership, cross-department collaborationProvider communication, relationship building, contract negotiations
Employer & Industry UsageHealth insurance companies, managed care organizationsHealth plans, provider networks, healthcare organizations
Search & Comparison IntentHigh-level network management, strategic oversightProvider engagement, relationship management

The main difference is that the Director Provider Network Management oversees the entire provider network strategy and operations, focusing on high-level management and planning. In contrast, the Provider Relations Manager concentrates on maintaining and strengthening relationships with individual providers, handling day-to-day communication and negotiations.

What does a Director of Provider Network Management do?

A Director of Provider Network Management oversees the development and maintenance of healthcare provider networks for insurance companies, health plans, or healthcare organizations. They are responsible for negotiating and managing contracts with hospitals, physicians, and other healthcare providers to ensure quality care and cost-effectiveness. Their role also involves analyzing network performance, ensuring regulatory compliance, and leading a team to optimize provider relationships and network expansion.

What are the key skills and qualifications needed to thrive as a Director of Provider Network Management, and why are they important?

To thrive as a Director of Provider Network Management, you need deep knowledge of healthcare networks, contract negotiation, and provider relations, usually backed by a bachelor's or master's degree in healthcare administration or a related field. Familiarity with provider management systems, data analytics tools, and regulatory compliance platforms is typically required. Exceptional leadership, strategic thinking, and relationship-building skills help drive team performance and foster strong partnerships with providers. These abilities are crucial for optimizing network performance, ensuring regulatory compliance, and achieving organizational goals in a complex healthcare landscape.
What cities are hiring for Director Provider Network Management jobs? Cities with the most Director Provider Network Management job openings:
What are the most commonly searched types of Provider Network Management jobs? The most popular types of Provider Network Management jobs are:
What states have the most Director Provider Network Management jobs? States with the most job openings for Director Provider Network Management jobs include:
Director Provider Network Management jobs near you
Infographic showing various Director Provider Network Management job openings in the United States as of June 2026, with employment types broken down into 85% Full Time, and 15% Part Time. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $130,243 per year, or $62.6 per hour.
Director, Provider Network Management

Director, Provider Network Management

Scripps Health

San Diego, CA • On-site

Other

Posted 5 days ago

Scripps Health rating

8.6

Company rating: 8.6 out of 10

Based on 137 frontline employees who took The Breakroom Quiz

10th of 877 rated healthcare providers

Job description

Location: La Jolla, San Diego

This position is eligible to participate in the Director Incentive Plan.

Founded in 1924, Scripps Health is a $5 billion, private nonprofit health system based in San Diego, founded in 1924 by philanthropist Ellen Browning Scripps. Serving over 600,000 patients annually, it operates five acute-care hospitals, 30 outpatient centers, and a wide physician network of 3,000 affiliated doctors and 17,800 employees.  Recognized nationally for excellence, Scripps has earned top rankings from Great Place to Work and Becker's Healthcare and maintains an AA rating with a stable outlook from S&P Global Ratings due to its strong leadership and financial performance.

Why join Scripps Health?

AWARD-WINNING WORKPLACE: 

At Scripps Health, your ambition is empowered, and your abilities are appreciated: 

  • Nearly a quarter of our employees have been with Scripps Health for over 10 years.
  • Scripps is a Great Place to Work Certified company for 2025.
  • Scripps has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
  • Beckers Healthcare ranked Scripps Health on its 2026 list of 150 top places to work in health care.
  • We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.

  • Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.

    As Director, Provider Network Management, you will be responsible for creating and maintaining a comprehensive contracted provider network to serve Scripps Health Plan members.

What will you do?

  • Oversee the credentialing, provider database, contracting, and provider relations teams.

  • Lead provider relations functions, including training, problem-solving, and provider satisfaction initiatives for all medical groups, IPAs, institutional providers, and ancillary providers.
  • Be responsible for Customer Service related to both member and provider inquiries.
  • Maintain provider directories for all contracted IPAs and medical groups.
  • Support Scripps' integrated delivery system. Scripps Health Plan operates as both an MSO and a KK-licensed plan for large commercial groups.
  • Manage relationships related to Scripps Health Plan's plan-to-plan risk arrangements with major HMO plans.

Serve in a role that blends financial analysis, contract negotiations, operational efficiency, and system-wide impact, working extensively with Scripps Health Plan Services, stakeholders across the organization, and external providers and vendors. 

#LI-JS1

Required Education/Experience/Specialized Skills:

  • At least seven years combined experience in management of provider relations and contracting at the plan, medical group /IPA level of which four years must be in a leadership capacity.

Preferred Education/Experience/Specialized Skills/Certification:

  • Masters degree in healthcare administration or similar

  • Epic Tapestry experience

  • Negotiation skills, creating policies and procedures and leading multiple teams.

What Scripps Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Scripps Health

Sourced by ZipRecruiter

As a nationally recognized health system, Scripps Health is committed to providing the highest quality care to our patients. Through collaboration and innovation, our healthcare professionals lead the frontier in caring for our community. With a culture centered around teamwork, each laboratory site serves as a resource of support for each other, setting our laboratories as the benchmark for standardization.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

San Diego, CA, US

Year founded

1924

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