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Director Provider Network Management Jobs (NOW HIRING)

Vaco LLC

VP, Provider Network

Crown Point, IN · Remote

$200K - $250K/yr

Hiring a VP Provider Network with Medicare Advantage network experience, specifically building and managing Medicare Advantage provider networks in Mississippi and Oklahoma. Someone who can hold ...

Vaco LLC

VP, Provider Network

Crown Point, IN · Remote

$200K - $250K/yr

Hiring a VP Provider Network with Medicare Advantage network experience, specifically building and managing Medicare Advantage provider networks in Mississippi and Oklahoma. Someone who can hold ...

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Director Provider Network Management information

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$48.5K

$130.2K

$269K

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

As of Jun 7, 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 May 2026, with employment types broken down into 1% Locum Tenens, 3% As Needed, 77% Full Time, 14% Part Time, and 5% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $130,243 per year, or $62.6 per hour.
Program Manager II - Provider Network Management

Program Manager II - Provider Network Management

Partnership HealthPlan of California

Redding, CA • On-site

Full-time

Posted 27 days ago

Job description

To develop, implement, improve, and manage assigned programs. In addition to the Program Manager I duties, the Program Manager II has a higher level of experience, more autonomy, exercises independent judgement, and conducts business analysis and program analytics. Programs are ongoing, which may include aligned projects and requires strategic planning and continuous improvement efforts after program startup. Participates in the design, implementation, and/or expansion of strategic programs and departmental initiatives. Develops and delivers program goals, measures, and reports.


  • Manages the day to day duties of assigned program(s); including data entry, tracking, and reporting.
  • Reviews program data accuracy, completeness, and required submissions.
  • Guides program staff in successful implementation of program activities.
  • Works with Supervisor to manage program budget(s).
  • Monitors system level reports developed for programs. Summarizes observations and conclusions to make recommendations to leadership.
  • Identifies and resolves program issues and concerns in a timely manner with minimal support and recommends solutions to leadership for final decision as necessary.
  • Attends program meetings and follows-up with stakeholders on outstanding deliverables and action items.
  • Plans, coordinates and facilitates events, conferences, and webinars, as needed.
  • Develops and publishes agendas, meeting minutes, and necessary documentation.
  • Facilitates and leads both internal and external meetings.
  • Develops and publishes communication/updates to program stakeholders.
  • Oversees the development of stakeholder reports on defined schedule.
  • Communicates program outcomes and potential risks to all levels of leadership.
  • Leads program evaluation and continuous improvement.
  • Oversees the successful implementation of new and assigned programs and their associated processes.
  • Develops and implements strategies to engage stakeholders.
  • May supervise and provide guidance to staff as assigned.
  • Provides daily support and coaching to program coordinators and partners.
  • Utilizes established software, tools, and resources needed for program execution and oversight.
  • Utilizes online collaboration applications.
  • Leads user demos, trainings and setup as needed
  • Maintains documentation per department specifications.
  • Other duties as assigned.

Education and Experience

Bachelor’s degree in Business Administration, Business Management, Computer Science or relevant field and at least two years of relevant program management experience required. In lieu of degree, a minimum of four (4) years of relevant experience to include a minimum of two (2) years program management experience will be considered.

 

Special Skills, Licenses and Certifications

Strong communication skills, both verbal and written, to interpret and articulate program requirements to involved stakeholders. Exceptional interpersonal and customer service skills. Ability to establish and maintain effective working relationships across all levels within the organization. Detail-oriented. Strong organization skills with ability to prioritize assignments and manage time effectively. Strong decision making, problem solving, critical thinking skills. Able to work under pressure and meet critical deadlines in a fast-moving environment. Adaptable to a continuous changing environment. Working knowledge of project management methodologies required. Proficient experience in use of various computer system software including Windows, Microsoft Word, Excel, Outlook, Visio, and PowerPoint. Valid California driver’s license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business.

 

Performance Based Competencies

Knowledge of business practices and protocols with ability to access data and information using automated systems. Ability to participate in team based projects. Strong organizational skills with ability to prioritize assignments and maintain effective filing systems and meet deadlines. Strong attention to detail; critical thinking/listening and communication skills.

Work Environment And Physical Demands

More than 50% of work time is spent using a computer. Ability to lift, carry, or move objects of varying size, weighting up to 25 lbs. Must be able to work in a fast-paced environment and maintain courtesy and composure when dealing with internal and external customers. Ability to function effectively with frequent interruptions and direction from multiple team members.

All HealthPlan employees are expected to:

  • Provide the highest possible level of service to clients;
  • Promote teamwork and cooperative effort among employees;
  • Maintain safe practices; and
  • Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE

$93,690.86 - $117,113.58

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

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