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Director Provider Network Management Jobs in Michigan

CVS Health

MI · On-site

$100K - $231K/yr

Advises senior management and stakeholders on provider network performance, patient expectations and outcomes, and key financial metrics and targets. * Designs key strategies for retail network ...

RF Connect

Network Operations Director

Farmington Hills, MI · On-site

$83K - $112K/yr

Manage network performance , availability, and service assurance activities. * Direct incident ... response , escalation management, and root-cause analysis efforts. * Establish and monitor ...

PHINIA Inc. - (USA)

Network Lead

Auburn Hills, MI · On-site

$90 - $120/hr

Vendor Management: liaise with vendors and service providers, negotiating contracts and ensuring effective service delivery. * Innovation and Continuous Improvement: stay abreast of emerging network ...

Sonoma Consulting Inc.

Network Engineer

Lansing, MI · On-site

Company Description Company Description Halo Group is a premier provider of IT talent. We place ... Design and/or Configuration/implementation and/or Operations with Network Management platforms ...

CVS Health

MI · On-site

$54K - $159K/yr

Aetna is seeking a Pharmacy Network Manager to support the Director of Network Pharmacy in ensuring ... provide actionable insights to stakeholders. * 2-3 years of experience applying pharmacy ...

Phinia, Inc.

Network Lead

Auburn Hills, MI · On-site

$96K - $132K/yr

Vendor Management: Liaise with vendors and service providers, negotiating contracts and ensuring ... reported to the direct manager, Human Resources, or Safety Representative. EQUAL EMPLOYMENT ...

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Showing results 21-40

All JobsProvider Network Management JobsDirector Provider Network Management JobsDirector Provider Network Management Jobs in Michigan

Director Provider Network Management information

See Michigan salary details

$47.7K

$114.7K

$229.3K

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

As of Aug 12, 2026, the average yearly pay for director provider network management in Michigan is $114,706.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,200.00 and $148,500.00 per year, depending on experience, location, and employer.

What are the main challenges a director 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 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 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 are the most commonly searched types of Provider Network Management jobs in Michigan? The most popular types of Provider Network Management jobs in Michigan are:
What cities in Michigan are hiring for Director Provider Network Management jobs? Cities in Michigan with the most Director Provider Network Management job openings:
Director Provider Network Management jobs near you
Infographic showing various Director Provider Network Management job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $114,706 per year, or $55.1 per hour.

Senior Provider Network Operations Data Analyst

AmeriHealth Caritas Health Plan

Southfield, MI • On-site

Full-time

Posted 5 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

127th of 304 rated insurance

Job description

Role Overview: The Senior Provider Network Operations Senior Data Analyst serves as a subject matter expert and key support resource within Provider Network Operations. This role is responsible for training new hires, keeping the team informed and prepared as process or system changes occur, supporting analysts with complex questions, and ensuring accurate, compliant, and timely processing of provider data, rosters, and provider files.
Work Arrangement:
  • Remote - This position is fully remote for candidates residing in Michigan. Occasional travel for meetings, training, or business needs may be required.

Responsibilities:
  • Serve as a go-to subject matter expert for Provider Network Operations processes, including incoming provider data, provider enrollment file completion, and Facets updates.
  • Train new hires and provide ongoing education to analysts to ensure the team remains knowledgeable, consistent, and prepared as business requirements, systems, reporting needs, or processes change.
  • Process and oversee complex provider data files, large rosters, provider enrollments, and related updates while ensuring information is entered accurately and maintained appropriately in Facets and other applicable systems.
  • Monitor analyst workloads, review processing quality, audit analyst work, identify coaching opportunities, and provide guidance to support accuracy, productivity, and adherence to established procedures.
  • Develop new ideas and recommend process improvements that strengthen data quality, streamline enrollment and roster workflows, and improve team effectiveness.
  • Ensure provider data is accurate, complete, and compliant with internal standards, business rules, and reporting requirements; research and resolve discrepancies in a timely and thorough manner.
  • Maintain strong working relationships with provider groups, internal business partners, and cross-functional teams to support provider enrollment, data integrity, issue resolution, and operational needs.
  • User Acceptance Testing (UAT)/Client Review & audit (fee schedule concentration), reviews requests prior to initial submission to EO, and claims post-production
  • Capitation reconciliations, building queries, and comparing membership
  • Internal business report development; engagement with regulatory reporting
  • BAM/claim reporting submission and analysis, depending on complexity
  • Perform additional duties and special projects as assigned.

Education & Experience:
  • Bachelor's degree or equivalent combination of education and relevant work experience.
  • 3 to 5 years of experience in data analysis, healthcare operations, provider network operations, provider data operations, or a related field.
  • Experience with provider enrollment and changes.
  • Experience developing reports and analyzing complex datasets.
  • Managed care or healthcare experience preferred
  • Knowledge of Facets or similar healthcare administration platforms.

Skills & Abilities:
  • Strong analytical and problem-solving skills with the ability to identify trends, root causes, and actionable insights.
  • Proficiency in Microsoft Office Suite, particularly Excel, Word
  • Ability to prioritize and manage multiple competing priorities and projects simultaneously in a fast-paced environment.
  • Strong attention to detail and commitment to data accuracy.
  • Excellent organizational and communication skills.
  • Patience and professionalism when training new hires, coaching analysts, and supporting team members through process or system changes.
  • Flexible, adaptable, and willing to adjust to changing business needs, priorities, and deadlines.
  • Strong team player with a collaborative approach and willingness to support others to meet team and department goals.
  • Ability to work independently while effectively collaborating with cross-functional teams.
  • Experience supporting regulatory reporting and compliance initiatives preferred.

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