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Healthcare Provider Network Jobs (NOW HIRING)

Elevance Health

Provider Network Manager

Avondale, AZ · Hybrid

Provider Network Manager Provider Network Manager Location: Arizona Position Territory: Ideal ... We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for ...

Elevance Health

Provider Network Manager

Tucson, AZ · Hybrid

Provider Network Manager Provider Network Manager Location: Arizona Position Territory: Ideal ... We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for ...

CHPW

Provider Network Analyst

Seattle, WA · On-site +1

$35.10 - $53.71/hr

Have a minimum of three (3) years' experience working with health care professionals. * Have a ... Monitor Medicare network to identify access and gap issues and provide analysis for resolution in ...

Elevance Health

Provider Network Manager

Las Vegas, NV · On-site

$70K - $106K/yr

Provider Network Manager Location: This role requires associates to be in-office 1 - 2 days per ... We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for ...

Novus Group

Provider Network Advocate

Pittsburgh, PA · On-site

$48.21/hr

Provider Network Advocate This role serves as the vital bridge between a health insurance company (payor) and the hospitals, doctors, and clinics (healthcare providers) that deliver care to members.

Elevance Health

Provider Network Manager

Las Vegas, NV

$70K - $106K/yr

The Provider Network Manager is responsible for developing the provider network through contract ... We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for ...

Elevance Health

Provider Network Manager-CO

Denver, CO · On-site

$74K - $112K/yr

Provider Network Manager-CO Provider Network Manager Location: Denver, CO. This role requires ... We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for ...

CONSUMER DIRECT CARE NETWORK

Care Provider

Eau Claire, WI · On-site

$14.13/hr

Care Provider (Part-Time) Location : Menomonie Compensation : $14.13/hr + $0.70/mile Hours : 16-18 ... If hired, Consumer Direct Care Network (CDCN) will not be your legal employer on record. If hired ...

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Healthcare Provider Network information

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How much do healthcare provider network jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for healthcare provider network in the United States is $31.82, according to ZipRecruiter salary data. Most workers in this role earn between $14.90 and $28.37 per hour, depending on experience, location, and employer.

What is a healthcare provider network?

A healthcare provider network is a group of doctors, hospitals, and other healthcare professionals that have agreed to provide medical services to members of a specific health insurance plan at negotiated rates. These networks help insurance companies manage costs and ensure that patients have access to a range of healthcare services. Patients typically pay less when receiving care from providers within the network, while going outside the network may result in higher costs or limited coverage.

What are the key skills and qualifications needed to thrive as a Healthcare Provider Network Manager, and why are they important?

To thrive as a Healthcare Provider Network Manager, you need expertise in healthcare administration, contract negotiation, and provider relations, typically backed by a degree in healthcare management or a related field. Familiarity with network management software, claims processing systems, and knowledge of regulatory requirements such as HIPAA are essential. Strong interpersonal, organizational, and problem-solving skills help you build relationships and navigate complex negotiations. These capabilities ensure effective network growth, cost control, and high-quality care delivery within the healthcare system.

What are some common challenges faced by professionals working in healthcare provider network management?

Professionals in healthcare provider network management often face challenges such as maintaining up-to-date provider directories, ensuring compliance with complex regulatory requirements, and negotiating contracts that balance quality care with cost efficiency. Additionally, collaborating with both internal teams and external providers can require strong communication and relationship-building skills. Staying informed about evolving healthcare regulations and payer policies is also essential to effectively manage network adequacy and performance.
What states have the most Healthcare Provider Network jobs? States with the most job openings for Healthcare Provider Network jobs include:
Healthcare Provider Network jobs near you

Provider Network Manager

Community Health Plan of Imperial Valley

Imperial, CA • On-site

$85K - $115K/yr

Full-time

Medical, Retirement, PTO

Posted 5 days ago

Job description

About Us
Community Health Plan of Imperial Valley (CHPIV) is Imperial County's Medi-Cal managed care plan. We are a locally managed public health care plan committed to working with members, providers, and the residents of Imperial County.
Position Overview
Our team is growing, and we're looking for a Provider Network Manager to manage the strategic development and operations of CHPIV's directly contracted Medicare and Medi-Cal provider network. You will be responsible for developing, managing and servicing a network of individually contracted providers and Independent Physician Associations, including network adequacy, provider recruitment and contracting, performance monitoring, and maintaining strong relationships with providers to facilitate high-quality patient care.
Key Responsibilities
  • Provider Network Development: Identify gaps in the network, recruit new providers, and expand access to primary care, specialists, ancillary providers and facilities
  • Contract Negotiation: Negotiate favorable contract terms, reimbursement rates, service level agreements, and amendments for traditional and non-traditional providers
  • Provider Relationship Management: Maintain strong relationships with Independent Physician Associations (IPAs), hospitals, and other contracted providers, handling inquiries, escalations, and performance issues. Prepare agenda and lead quarterly joint operating committee meetings with IPAs, hospitals, and primary care providers, as needed.
  • Network Adequacy & Performance Improvement: Analyze provider performance, network coverage, and regulatory compliance. Educate and manage provider and IPA performance on STARS measures and risk adjustment coding documentation.
  • Onboarding & Training: Facilitate provider enrollment, credentialing, orientation, and ongoing education to ensure compliance with plan policies
  • Regulatory Compliance: Ensure adherence to healthcare regulations and program requirements, including CMS, Medicaid/Medicare standards,
  • Cross Collaboration: Work with outsourced vendors and internal subject matter experts to monitor and improve processes related to claims processing, utilization management, finance, and data file exchange.
  • Reporting & Analysis: Prepare performance reports, analyze network data, and provide strategic recommendations to leadership and other stakeholders.

Qualifications
  • Education: Bachelor's degree in healthcare administration, Business Administration, Public Health, or a related field. Master's preferred.
  • Experience: 5-8 years in provider relations, network management, or managed care; experience with Medicare/MAPD, Medicaid, or integrated delivery systems preferred.

What We Offer
  • Competitive salary of $85,000-$115,000/ year
  • Comprehensive benefits package that pays 85% of the cost of your family's healthcare
  • A 401 (k) with a generous match
  • Paid time off and holidays
  • Opportunities for growth and professional development
  • A chance to make a real difference in the health of your community

Apply