ZipRecruiter

Log In

1

Director Provider Network Management Jobs (NOW HIRING)

Oscar Health

Director, Provider Operations

Tempe, AZ · On-site

$147K - $193K/yr

... with network operations, provider data management and contracting processes * 5+ years prior ... Direct experience operating within service-oriented organizational structures * Comprehensive ...

Oscar Health

Director, Provider Operations

Dallas, TX · Remote

$147K - $193K/yr

... with network operations, provider data management and contracting processes * 5+ years prior ... Direct experience operating within service-oriented organizational structures * Comprehensive ...

Amerihealth Caritas

Dir PNM LTSS

Philadelphia, PA · Remote

The LTSS Director of Provider Network Management is accountable for leading the development and management of our long-term services and supports (LTSS) and home and community-based services (HCBS ...

next page

Showing results 1-20

All JobsDirector Provider Network Management Jobs

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.
Network Project Coordinator

Network Project Coordinator

Regal Medical Group, Inc.

Orange, CA • On-site

$23 - $25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 28 days ago

Regal Medical Group rating

8.7

Company rating: 8.7 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

Position Summary:
The Coordinator, Network Management is responsible for working as the internal liaison in maintaining, processing and reviewing department databases and reporting on a daily basis to assist the Network Management Department in meeting the overall network growth and development goals.
Essential Duties and Responsibilities include the following:
  • Assist in Network growth and development to include preparation of contract packets for recruitment projects.
  • Responsible to work with Network Managers and providers to obtain proper signatures and documentation to effectively process newly recruited or existing providers.
  • Maintaining and updating the appropriate databases and department tools with statuses.
  • Coordinate receipt and processing of all provider contracts, credentialing, and correspondence.
  • Responsible for timely and accurate completion of PACF's related to incoming documentation received from providers regarding changes to their demographic information in the credentialing and provider network databases.
  • Responsible for initial review of all credentialing applications prior to submittal to RMG Contracts for completion and accuracy.
  • Working collaboratively with Network Managers during the contracting process to ensure department goals and requirements are being met.
  • Responsible for the initial submittal of provider profiles to the Health Plans and follow-up (as requested) to ensure PCP's are active in databases.
  • Limited contract negotiations under the direction of the Director, Network Management and/or Vice President of Regional Operations.
  • Daily interaction with regional providers.
  • Ensure contract compliance and adherence to DMHC, DHS, CMS and other regulatory agencies as required by contracting HMOs.
  • Internal network liaison for Database, Claims, Customer Service, Medical Management, and Provider Relation Departments.
  • Perform on-site visits (as required) to physicians, physician groups, hospitals and ancillary providers.
  • Facilitate the scheduling of meetings with providers.
  • Oversight of database maintenance and accuracy through use of audits.
  • Ensure accurate and timely data reporting requirements are being met.
  • Know and follow the Employee Handbook policies and procedures.
  • Maintain patient confidentiality so that HIPPAA compliance is observed at all times.
  • All other duties as directed by management.

Distribution of work:
  • Daily production will vary from day to day. All assigned work must be completed by the end of business day in order to maintain turnaround time compliance.

Special Projects:
  • Assist with any special projects.

The pay range for this position at commencement of employment is expected to be between $23 to $25 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an "at-will position" and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Full Time Position Benefits:
The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
Health and Wellness:
  • Employer-paid comprehensive medical, pharmacy, and dental for employees
  • Vision insurance
  • Zero co-payments for employed physician office visits
  • Flexible Spending Account (FSA)
  • Employer-Paid Life Insurance
  • Employee Assistance Program (EAP)
  • Behavioral Health Services

Savings and Retirement:
  • 401k Retirement Savings Plan
  • Income Protection Insurance

Other Benefits:
  • Vacation Time
  • Company celebrations
  • Employee Assistance Program
  • Employee Referral Bonus
  • Tuition Reimbursement
  • License Renewal CEU Cost Reimbursement Program
  • Business-casual working environment
  • Sick days
  • Paid holidays
  • Mileage

Education and / or Experience:
  • Minimum of 2 years relevant work experience in Network Management in a managed care setting, health plan or large medical group administration.
  • Knowledge of contracting principles/tools.
  • Excellent verbal and written communication skills.
  • Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point)
  • Must be able to travel within service area and have valid driver's license and insurance.

What Regal Medical Group employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply