At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Manages and facilitates dispute resolution processes to address issues arising from provider ...
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Manages and facilitates dispute resolution processes to address issues arising from provider ...
Respite Care Provider
Eau Claire, WI · On-site
$17.67/hr
The position will begin with flexible, hourly care provided in the family's home, allowing the ... Network (CDCN) will not be your legal employer on record. If hired by a Member or their Managing ...
Respite Care Provider
Eau Claire, WI · On-site
$17.67/hr
The position will begin with flexible, hourly care provided in the family's home, allowing the ... Network (CDCN) will not be your legal employer on record. If hired by a Member or their Managing ...
VP of Provider Network (Wisconsin)
Milwaukee, WI · On-site
$150K - $190K/yr
Bachelor's degree in Business Administration or Healthcare Administration required; a Master's degree in either field is preferred. * 10+ years of management level experience in provider network ...
Quick apply
VP of Provider Network (Wisconsin)
Milwaukee, WI · On-site
$150K - $190K/yr
Bachelor's degree in Business Administration or Healthcare Administration required; a Master's degree in either field is preferred. * 10+ years of management level experience in provider network ...
Provider Enrollment Coordinator
Waco, TX · On-site
$19 - $20/hr
... healthcare knowledge, and a high level of accuracy in documentation and data management. This position plays a critical role in expanding provider network participation and supporting access to care ...
Quick apply
Provider Enrollment Coordinator
Waco, TX · On-site
$19 - $20/hr
... healthcare knowledge, and a high level of accuracy in documentation and data management. This position plays a critical role in expanding provider network participation and supporting access to care ...
Provider Reimbursement Specialist
Rego Park, NY · On-site
$56K - $101K/yr
... and Health Net's internal Provider Network Management Dept. Acts as first line contact for ... Bachelor's degree in Health Services, Health Care/Hospital Administration, a related field or any ...
Provider Reimbursement Specialist
Rego Park, NY · On-site
$56K - $101K/yr
... and Health Net's internal Provider Network Management Dept. Acts as first line contact for ... Bachelor's degree in Health Services, Health Care/Hospital Administration, a related field or any ...
Ohio Children's Alliance Provider Relations Coordinator (Healthcare Network) About Us: Through its ... ability to manage project-related paperwork by ensuring all necessary materials are current ...
Ohio Children's Alliance Provider Relations Coordinator (Healthcare Network) About Us: Through its ... ability to manage project-related paperwork by ensuring all necessary materials are current ...
Primary Care Provider
Detroit, MI · On-site
Covenant Community Care, is a faith-based charitable non-profit Community Health Center serving the ... Strong organizational and time management skills * Compassionate and patient-centered approach to ...
Primary Care Provider
Detroit, MI · On-site
Covenant Community Care, is a faith-based charitable non-profit Community Health Center serving the ... Strong organizational and time management skills * Compassionate and patient-centered approach to ...
The Managed Care Analyst supports the financial analysis, modeling, and implementation of managed ... provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non ...
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The Managed Care Analyst supports the financial analysis, modeling, and implementation of managed ... provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non ...
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Growing as a strategic advisor, you leverage your influence, expertise, and network to deliver ... healthcare providers. Responsibilities Advise clients on their most complex technology strategy ...
Growing as a strategic advisor, you leverage your influence, expertise, and network to deliver ... healthcare providers. Responsibilities Advise clients on their most complex technology strategy ...
Growing as a strategic advisor, you leverage your influence, expertise, and network to deliver ... healthcare providers. Responsibilities Advise clients on their most complex technology strategy ...
Growing as a strategic advisor, you leverage your influence, expertise, and network to deliver ... healthcare providers. Responsibilities Advise clients on their most complex technology strategy ...
Primary Care Provider
Dorchester, MA · On-site
$185K - $232K/yr
The provider is responsible for direct patient care at DotHouse Health and manages the continuity of care of the patients that he or she sees or for whom he or she is responsible. Additionally, the ...
Primary Care Provider
Dorchester, MA · On-site
$185K - $232K/yr
The provider is responsible for direct patient care at DotHouse Health and manages the continuity of care of the patients that he or she sees or for whom he or she is responsible. Additionally, the ...
Growing as a strategic advisor, you leverage your influence, expertise, and network to deliver ... healthcare providers. Responsibilities Advise clients on their most complex technology strategy ...
Growing as a strategic advisor, you leverage your influence, expertise, and network to deliver ... healthcare providers. Responsibilities Advise clients on their most complex technology strategy ...
Primary Care Provider
Dorchester, MA · On-site
$185K - $232K/yr
The provider is responsible for direct patient care at DotHouse Health and manages the continuity of care of the patients that he or she sees or for whom he or she is responsible. Additionally, the ...
Primary Care Provider
Dorchester, MA · On-site
$185K - $232K/yr
The provider is responsible for direct patient care at DotHouse Health and manages the continuity of care of the patients that he or she sees or for whom he or she is responsible. Additionally, the ...
Primary Care Provider
Pittsburgh, PA · On-site
As both a healthcare provider and insurer, LIFE Pittsburgh takes full responsibility for the ... Manage acute and chronic conditions while prioritizing preventive care and proactive intervention ...
Primary Care Provider
Pittsburgh, PA · On-site
As both a healthcare provider and insurer, LIFE Pittsburgh takes full responsibility for the ... Manage acute and chronic conditions while prioritizing preventive care and proactive intervention ...
Personal Care Provider
Kieler, WI · On-site
$16.32/hr
Who We Are - CDWI This is a heartwarming opportunity for compassionate providers who love making a ... This role is about more than hands-on care - it's about being a trusted presence and helping the ...
Personal Care Provider
Kieler, WI · On-site
$16.32/hr
Who We Are - CDWI This is a heartwarming opportunity for compassionate providers who love making a ... This role is about more than hands-on care - it's about being a trusted presence and helping the ...
Direct Care Provider
Willmar, MN · On-site
$21/hr
Network of Support: Supervisors who care deeply about the participants and your wellbeing * Job ... Communication, adaptability, multi-tasking, teamwork, time-management * Behaviors: Patient ...
Direct Care Provider
Willmar, MN · On-site
$21/hr
Network of Support: Supervisors who care deeply about the participants and your wellbeing * Job ... Communication, adaptability, multi-tasking, teamwork, time-management * Behaviors: Patient ...
Respite Care Provider
Sioux Center, IA · On-site
$18.50 - $19.50/hr
Must be willing and able to submit health history record forms * This position requires regular ... COA Accreditation means that Seasons Center's programs, services, administration, and management ...
Respite Care Provider
Sioux Center, IA · On-site
$18.50 - $19.50/hr
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Respite Care Provider
Spirit Lake, IA · On-site
$18.50 - $19.50/hr
Must be willing and able to submit health history record forms * This position requires regular ... COA Accreditation means that Seasons Center's programs, services, administration, and management ...
Respite Care Provider
Spirit Lake, IA · On-site
$18.50 - $19.50/hr
Must be willing and able to submit health history record forms * This position requires regular ... COA Accreditation means that Seasons Center's programs, services, administration, and management ...
Direct Care Provider
Willmar, MN · On-site
$19.64/hr
Network of Support: Supervisors who care deeply about the participants and your wellbeing * Job ... Communication, adaptability, multi-tasking, teamwork, time-management * Behaviors: Patient ...
Direct Care Provider
Willmar, MN · On-site
$19.64/hr
Network of Support: Supervisors who care deeply about the participants and your wellbeing * Job ... Communication, adaptability, multi-tasking, teamwork, time-management * Behaviors: Patient ...
Direct care Provider
Battle Creek, MI · On-site
$17.13/hr
Lived experience with behavioral health issues is desired. Employees also understand that the above ... management.
Direct care Provider
Battle Creek, MI · On-site
$17.13/hr
Lived experience with behavioral health issues is desired. Employees also understand that the above ... management.
Healthcare Provider Network Manager information
See salary details
$22K - $34.8K
0% of jobs
$34.8K - $47.5K
0% of jobs
$47.5K - $60.3K
5% of jobs
$60.3K - $73.1K
11% of jobs
$83.3K is the 25th percentile. Wages below this are outliers.
$73.1K - $85.9K
12% of jobs
$85.9K - $98.6K
15% of jobs
The median wage is $106K / yr.
$98.6K - $111.4K
14% of jobs
$111.4K - $124.2K
17% of jobs
$126.4K is the 75th percentile. Wages above this are outliers.
$124.2K - $137K
14% of jobs
$137K - $149.7K
6% of jobs
$149.7K - $162.5K
7% of jobs
$22K
$106.6K
$162.5K
How much do healthcare provider network manager jobs pay per year?
What is the difference between Healthcare Provider Network Manager vs Healthcare Account Coordinator?
| Aspect | Healthcare Provider Network Manager | Healthcare Account Coordinator |
|---|---|---|
| Required Credentials | Bachelor's degree in healthcare administration, business, or related field; certifications like CHC or CPC | Associate's or bachelor's degree; healthcare or administrative certifications beneficial |
| Work Environment | Healthcare organizations, insurance companies, or managed care firms | Medical offices, insurance companies, or healthcare provider organizations |
| Employer & Industry Usage | Used in healthcare networks, insurance, and managed care settings | Common in healthcare provider offices and insurance agencies |
| Common Search & Comparison Intent | Understanding roles in healthcare network management | Assisting with healthcare account and provider relations |
The Healthcare Provider Network Manager focuses on managing healthcare provider networks, negotiating contracts, and ensuring network adequacy. In contrast, the Healthcare Account Coordinator handles provider relations, administrative tasks, and supports account management. Both roles require healthcare knowledge but differ in scope and responsibilities within the healthcare industry.

$67K - $182K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 12 days ago
CVS Health rating
5.8
Based on 4,235 frontline employees who took The Breakroom Quiz
78th of 99 rated pharmacies
Job description
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.
Position Summary Negotiates, executes, and analyzes contracts with larger and more complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. Handles dispute resolution and settlement negotiations, ensuring compliance with company standards and regulatory requirements. Leverages extensive negotiation skills and working knowledge of provider financial issues to optimize contracts, and collaborates with large hospitals and health systems to achieve successful contracting outcomes, all while supporting cost-saving initiatives and the growth of the provider network.
Negotiates, executes, and conducts high-level review and analysis of contracts with larger and more complex group/system providers while ensuring contracts align with company standards and goals related to accessibility, quality, and financial performance.
Manages and facilitates dispute resolution processes to address issues arising from provider contracts, ensuring equitable solutions.
Leads contract settlement negotiations, striving to reach mutually beneficial agreements with providers that maintain and enhance the provider network.
Implements strategies to enhance and expand the provider network, while ensuring it meets accessibility and quality standards.
Aligns provider contracts with financial goals and cost-saving initiatives, ensuring that contracts support the company's financial objectives.
Conducts comprehensive reviews and analyses of provider contracts, identifying areas for improvement and optimization.
Ensures that all provider contracts adhere to regulatory requirements, maintaining compliance with healthcare regulations.
Utilizes working knowledge of provider financial issues and competitor strategies to inform negotiation and contracting decisions.
Facilitates leadership, guidance, and mentorship to a team of professionals by setting strategic objectives, monitoring team performance, providing training and development opportunities, and fostering a collaborative and innovative work environment.
Required Qualifications
A minimum 7 years of experience contracting with providers within the healthcare industry.
A minimum 5 years of direct hospital contracting experience.
Experience with Commercial and Medicare lines of business.
Adept at problem solving and decision making skills, based on data and trends.
Adept at collaboration and teamwork
Addition skills include agrowth mindset (agility and developing yourself and others) skills;execution and delivery (planning, delivering, and supporting) skills;business intelligence andcommunication skills across multiple levels of leadership.
Ability to travel within assigned territory if needed
Preferred Qualifications
Strong understanding of the Connecticut market, including local payer and provider dynamics.
Hands-on experience with value-based contracting and alternative payment arrangements.
Education
Bachelor's degree or a combination of professional work experience and education.
Pay Range
The typical pay range for this role is:
$67,900.00 - $182,549.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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About CVS Health
Sourced by ZipRecruiter
Industry
Health care and social assistance and retail
Company size
10,000+ Employees
Headquarters location
Woonsocket, RI, US