Provider Network Manager
Allegan, MI ยท Hybrid
$70K - $97K/yr
... and management of OnPoint's contracted provider network, oversight of the organizational ... implementation of self-determined arrangements including the management of contractual ...
Allegan, MI ยท Hybrid
$70K - $97K/yr
... and management of OnPoint's contracted provider network, oversight of the organizational ... implementation of self-determined arrangements including the management of contractual ...
Allegan, MI ยท Hybrid
$70K - $97K/yr
... and management of OnPoint's contracted provider network, oversight of the organizational ... implementation of self-determined arrangements including the management of contractual ...
Grand Rapids, MI ยท On-site
$223K - $234K/yr
... direct supervisor of product professionals * 3 years of relevant experience in health plan provider network management Physical Demands * Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 20 lbs
Grand Rapids, MI ยท On-site
$223K - $234K/yr
... direct supervisor of product professionals * 3 years of relevant experience in health plan provider network management Physical Demands * Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 20 lbs
Grand Rapids, MI ยท On-site
$223K - $234K/yr
... direct supervisor of product professionals * 3 years of relevant experience in health plan provider network management Physical Demands * Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 20 lbs
Grand Rapids, MI ยท On-site
$223K - $234K/yr
... direct supervisor of product professionals * 3 years of relevant experience in health plan provider network management Physical Demands * Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 20 lbs
... management. Ensures a high-quality, compliant provider network that supports participant care and aligns with Federal, State, and organizational requirements. Key Responsibilities * Develop ...
... management. Ensures a high-quality, compliant provider network that supports participant care and aligns with Federal, State, and organizational requirements. Key Responsibilities * Develop ...
Southfield, MI ยท On-site +1
The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and ...
Southfield, MI ยท On-site +1
The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and ...
The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and ...
The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and ...
Zeeland, MI ยท 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, MI ยท 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 ...
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 ...
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 ...
Lansing, MI ยท On-site
$47K - $53K/yr
Provide support for the area of Provider Network Management * Assist with data reporting, tracking, and monitoring * Provide support for state level report submissions * Provide support for Contract ...
Lansing, MI ยท On-site
$47K - $53K/yr
Provide support for the area of Provider Network Management * Assist with data reporting, tracking, and monitoring * Provide support for state level report submissions * Provide support for Contract ...
Port Huron, MI ยท On-site
Direct the day-to-day operations of the organization Provide strategic leadership, supervision, and ... o Data Management o Provider Network Management o SUD programs Supervision of the following ...
Port Huron, MI ยท On-site
Direct the day-to-day operations of the organization Provide strategic leadership, supervision, and ... o Data Management o Provider Network Management o SUD programs Supervision of the following ...
Auburn Hills, MI ยท On-site
$43.50 - $55.50/hr
Must possess at least three (3) years of project management, process improvement, product ... contracting, provider network services, and corporate compliance teams withing the Legal ...
Auburn Hills, MI ยท On-site
$43.50 - $55.50/hr
Must possess at least three (3) years of project management, process improvement, product ... contracting, provider network services, and corporate compliance teams withing the Legal ...
Auburn Hills, MI ยท On-site
$43.50 - $55.50/hr
Must possess at least three (3) years of project management, process improvement, product ... contracting, provider network services, and corporate compliance teams withing the Legal ...
Auburn Hills, MI ยท On-site
$43.50 - $55.50/hr
Must possess at least three (3) years of project management, process improvement, product ... contracting, provider network services, and corporate compliance teams withing the Legal ...
Grand Rapids, MI ยท Remote
Collaborates with senior leadership and the corporate network management team to develop and implement standardized provider contracts and contracting strategies. Also responsible for negotiating ...
Grand Rapids, MI ยท Remote
Collaborates with senior leadership and the corporate network management team to develop and implement standardized provider contracts and contracting strategies. Also responsible for negotiating ...
Lansing, MI ยท Remote
Collaborates with senior leadership and the corporate network management team to develop and implement standardized provider contracts and contracting strategies. Also responsible for negotiating ...
Lansing, MI ยท Remote
Collaborates with senior leadership and the corporate network management team to develop and implement standardized provider contracts and contracting strategies. Also responsible for negotiating ...
Flint, MI ยท Remote
Collaborates with senior leadership and the corporate network management team to develop and implement standardized provider contracts and contracting strategies. Also responsible for negotiating ...
Flint, MI ยท Remote
Collaborates with senior leadership and the corporate network management team to develop and implement standardized provider contracts and contracting strategies. Also responsible for negotiating ...
Traverse City, MI ยท Remote
Collaborates with senior leadership and the corporate network management team to develop and implement standardized provider contracts and contracting strategies. Also responsible for negotiating ...
Traverse City, MI ยท Remote
Collaborates with senior leadership and the corporate network management team to develop and implement standardized provider contracts and contracting strategies. Also responsible for negotiating ...
Detroit, MI ยท Remote
Collaborates with senior leadership and the corporate network management team to develop and implement standardized provider contracts and contracting strategies. Also responsible for negotiating ...
Detroit, MI ยท Remote
Collaborates with senior leadership and the corporate network management team to develop and implement standardized provider contracts and contracting strategies. Also responsible for negotiating ...
Ann Arbor, MI ยท Remote
Collaborates with senior leadership and the corporate network management team to develop and implement standardized provider contracts and contracting strategies. Also responsible for negotiating ...
Ann Arbor, MI ยท Remote
Collaborates with senior leadership and the corporate network management team to develop and implement standardized provider contracts and contracting strategies. Also responsible for negotiating ...
Southfield, MI ยท On-site +1
The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and ...
Southfield, MI ยท On-site +1
The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and ...
Southfield, MI ยท On-site
The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and ...
Southfield, MI ยท On-site
The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and ...
$47.7K - $64.2K
16% of jobs
$71.4K is the 25th percentile. Wages below this are outliers.
$64.2K - $80.7K
21% of jobs
$80.7K - $97.2K
6% of jobs
The median wage is $107K / yr.
$97.2K - $113.7K
12% of jobs
$113.7K - $130.2K
15% of jobs
$139.9K is the 75th percentile. Wages above this are outliers.
$130.2K - $146.8K
9% of jobs
$146.8K - $163.3K
13% of jobs
$163.3K - $179.8K
7% of jobs
$179.8K - $196.3K
1% of jobs
$196.3K - $212.8K
0% of jobs
$212.8K - $229.3K
0% of jobs
$47.7K
$114.7K
$229.3K
| Aspect | Director Provider Network Management | Provider Relations Manager |
|---|---|---|
| Credentials | Healthcare management, industry certifications | Healthcare or business-related certifications |
| Work Environment | Strategic planning, leadership, cross-department collaboration | Provider communication, relationship building, contract negotiations |
| Employer & Industry Usage | Health insurance companies, managed care organizations | Health plans, provider networks, healthcare organizations |
| Search & Comparison Intent | High-level network management, strategic oversight | Provider 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.

$70K - $97K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 27 days ago
The role of OnPointโs Provider Network Manager is to provide oversight and management of OnPointโs contracted provider network, oversight of the organizational implementation of self-determined arrangements including the management of contractual relationships with financial management service providers, and the oversight of county of financial responsibility arrangements. The Provider Network Manager will coordinate the development of provider contracts with the Lakeshore Regional Entity. The Provider Network Manager will assist OnPoint executive leadership with the management of OnPointโs network adequacy via development and maintenance of relationships with providers.
Pay Range:โฏโฏ
Salary: $70,428.80 - $97,198.40 annually
Benefits:
Flexible Work Conditions: โฏโฏโฏโฏ
Qualifications: โฏโฏ
Masterโs degree required with Public Administration or Human Services field.
Independent worker with experience in dealing with people, businesses, and human services agencies.
5 years experience with person-centered planning, self-determination, budget management, and a working knowledge of general business standards and practices.
Demonstrated ability to understand and apply Medicaid requirements and assist in providing training to service providers.
โฏโฏ Essential Functions:
*Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.
Leads the development and/or revision of OnPointโs contract management system in conjunction with other key organizational stakeholders with contract management responsibilities.
Oversees the development of assigned contracts in accordance with the organizational contract management system. The Provider Network Manager is responsible for the supervision of OnPointโs Contract Specialist who assures that the OnPoint contracted providers are in compliance with their contract and the requirements set forth by regional, state, and federal guidelines.
Responsible for the development and maintenance of the OnPoint Provider Manual.
Responsible for the oversight of quality service provision within OnPointโs contracted provider network including supervision of OnPointโs Provider Network Quality Specialist.
Conducts research, analyzes data, and disseminates results on assigned administrative and programmatic topics.
Participates on committees and teams as requested or assigned within OnPoint and within the region.
Works with key internal and internal stakeholders including individuals served to expand the provider network and offer more choice and greater control to individuals served by OnPoint.
Oversees organizational implementation of self-determination including supervision of OnPointโs Self Determination Coordinator. Responsible for assuring that OnPointโs self-determined arrangements are compliant with requirements from the PIHP and MDHHS.
Oversees organizational County of Financial Responsibility (โCOFRโ) agreements and works closely with the OnPoint finance team and other Community Mental Health Service providers to assure timely and fiscally responsible execution of COFR agreements.
Oversees organizational credentialing of external providers to assure compliance with regional, state, and federal requirements.
Other duties as assigned
Equipment/Technology:โฏโฏโฏโฏ
EEO Statement:
OnPoint is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetic information, protected veteran status, sexual orientation, gender identity or expression, pregnancy, height, weight, or marital status, or any other characteristic protected by federal, state or local laws.โฏ
Additional Information:
Sourced by ZipRecruiter
Oil and gas extraction
501 - 1,000 Employees
Deer Park, TX, US
2015