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Director Provider Network Management Jobs (NOW HIRING)

$53K - $82K/yr

Provider Network Management Relations Executive Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Provider Network Management Relations Executive to join our team. Type ...

This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement ... Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: PND > Network ...

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This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement ... Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: PND > Network ...

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This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement ... Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: PND > Network ...

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Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in ... This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

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Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in ... This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

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Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in ... This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

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Provider Network Manager-CO

Denver, CO ยท On-site

$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 Jul 21, 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:
Infographic showing various Director Provider Network Management job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 84% Full Time, 12% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $130,243 per year, or $62.6 per hour.

Provider Network Management Analyst

Community Behavioral Health.

Philadelphia, PA โ€ข On-site

$65K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 24 days ago


Job description

Position Overview:

Provider Network Management Analyst is primarily responsible for supporting the Provider Network Access and Development and the Provider Contracting teams with data analysis to inform provider network adequacy, capacity and disparities and to address need areas to support timely and effective access to behavioral health services and meet network adequacy standards.

Essential Functions:

  • Maintain thorough and complete knowledge of the CBH provider network, including as new initiatives are implemented.
  • Conduct and create ongoing process for data analysis, reviewing the accuracy and integrity of data; monitoring the provider network against member demographics, utilization and other targeted population indicators.
  • Create and conduct ongoing processes to monitor member utilization of in-network and out of network (OON) providers, and identify OON providers not being utilized by members
  • Lead provider network analyses and create reports to evaluate service utilization, adequacy and accessibility
  • Conduct ongoing research in relation to provider network management and offer recommendations to ensure alignment with the PA Department of Human Servicesโ€™ Healthchoices Behavioral Health Program Standards and Requirements.
  • Assist with updating annual Provider Network and Member Needs Assessments.
  • Run reports as requested by regulatory bodies
  • Liaise with Information Technology (IT) department and other relevant departments to complete data-oriented tasks.
  • Gather and interpret data as well as offer recommendations for program/service proposals and need areas identified through Network Adequacy
  • Review and prepare analysis for procurements, including relevant demographics, treatment utilization and related gaps for target populations
  • Review and prepare analysis of the provider network, including maximum licensed capacity, current network capacity, and member need and access to services offered by CBHโ€™s provider network
  • Create protocol (in conjunction with the unit Manager) regarding how data will be obtained, evaluated and incorporated into Provider Network Management projects
  • Work with Provider Network Management team members to ensure efficient workflow of procurement process
  • Perform other related duties and projects as assigned.
  • Ability to travel and work nontraditional work hours when necessary

Position Requirements:

  • Education: Bachelorโ€™s Degree in Healthcare Management, Public Health, or Analytical Field required. Masterโ€™s Degree preferred.
  • License/Certification: N/A
  • Relevant Work Experience: At least 3 years of direct experience working in a managed care environment with information systems, data analytics, and/or provider operations.

Skills:

  • Knowledge of the Pennsylvania Medicaid program
  • Strong data analytics experience
  • Advanced critical thinking and analytical skills to interpret sometimes ambiguous requirements
  • Encourage and promote active team process engagement and individual ownership
  • Exceptional communication (verbal and written) skills
  • Strong attention to detail to ensure quality and accuracy in deliverables
  • Comfortable with ambiguity and able to set your own direction
  • Must work well under pressure and be able to meet aggressive deadline
  • Ability to manage and coordinate multiple projects and deadlines while meeting quality standards
  • Intermediate proficiency in Microsoft Outlook, Word, Excel and PowerPoint
  • Experience with Network Analysis software and reporting such as GeoAccess
  • Experienced user of Microsoft Access and SQL programming
  • Must have the ability to quickly learn and use new software tools


CBH is a dynamic organization dedicated to providing access to high-quality, accountable care to improve the health and mental wellness of our members. We proudly offer a robust compensation and benefits package, including:

  • Family Planning, Fertility, Adoption Benefits
  • 403B Retirement Plan
  • PTO Days/Sick Days
  • Wellness Program
  • Employee Assistance Program
  • Health, Dental, Vision Insurance
  • Medical, Prescription Drug Insurance
  • Tuition Reimbursement
  • Commuter Benefits
  • Flexible Spending

Philadelphia Residency Requirement:

  • The successful candidate must be a current Philadelphia resident or become a resident within six months of hire.

U.S. Authorization Requirement:

  • CBH does not provide sponsorship for applicants requiring future work authorization. All candidates must be legally authorized to work in the United States without requiring sponsorship now or in the future.

Equal Employment Opportunity:

  • We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.

Requesting An Accommodation:

  • CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.
  • If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at CBH.Recruitment@Phila.gov