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CONSUMER DIRECT CARE NETWORK

Care Provider

Elk Mound, WI · On-site

$14.13/hr

Care Provider (Part-Time) Location : Menomonie Compensation : $14.13/hr + $0.70/mile Hours : 16-18 per week Summary: Seeking a dependable and caring Respite Provider to transport and supervise a ...

Advantage Home Care

Care provider

Roseburg, OR · On-site

$18 - $20/hr

At Advantage Home Care, we believe that investing in the health, training, wellbeing, and satisfaction of our employees directly influences the quality of care we provide to our clients.

Alegre Home Care

Care Provider

Sonora, CA · On-site

$23/hr

Health Benefits if you work 30+ hours per week and TWO WEEKS Paid TIME OFF accrual. * Join our ... Registered with Home Care Services Bureau Offering COMPANY-PAID Medical Benefits and PTO Alegre ...

Oakmont Senior Living

Care Provider

Las Vegas, NV

$15/hr

Care Provider Shifts, Time, and Days: Sunday through Thursday from 2:30pm to 10:45pm Pay Range: $15 ... For the health and safety of our team members and residents, Oakmont Management Group may require ...

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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
Manager, Network Management - Cigna Healthcare - Hybird (VA, MD)

Manager, Network Management - Cigna Healthcare - Hybird (VA, MD)

Cigna

Richmond, VA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Cigna Healthcare rating

8.4

Company rating: 8.4 out of 10

Based on 216 frontline employees who took The Breakroom Quiz

34th of 870 rated healthcare providers

Job description

Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As a Network Contracting Manager, you will report to the AVP, Provider Network Management. In this individual contributor role, you will support the strategic direction of the provider network while managing daytoday contracting and network management activities.

Responsibilities
  • Manage complex feeforservice and valuebased contracting and negotiations with large physician groups, ancillary providers, and hospital systems.
  • Lead key market contracting strategy projects, with responsibility for managing direct reports as assigned.
  • Build and maintain strong provider relationships to support network growth and valuebased business opportunities.
  • Partner closely with matrix teams (e.g., Claims, Medical Management, Credentialing) to ensure aligned execution.
  • Develop strategic network positions, identify valueoriented and riskbased opportunities, and contribute to alternative network initiatives and analytics.
  • Meet unit cost targets while maintaining an adequate and competitive provider network.
  • Design and manage initiatives to improve medical cost and quality, providing consultative guidance informed by clinical informatics.
  • Prepare, review, and project the financial impact of large or complex provider contracts and alternative contract terms.
  • Create, implement, and ensure operational accuracy of healthcare provider (HCP) agreements through effective crossfunctional collaboration.
  • Lead the resolution of escalated provider issues and manage key provider relationships, demonstrating deep knowledge of the local market landscape, including contract loading and maintenance.
Required Qualifications
  • 3+ years of healthcare provider contracting and negotiation experience involving complex physician groups and ancillary providers
  • Experience in managed care, healthcare, or health insurance, including commercial contracting
  • Proven leadership experience, including mentoring and guiding others
  • Strong provider relationship management skills, with demonstrated success building longterm partnerships
  • Knowledge of complex reimbursement methodologies, including incentivebased models (strongly preferred)
  • Deep understanding of hospital, managed care, and provider business models, with the ability to influence sales and provider audiences
  • Strong presentation and communication skills, including the ability to build internal relationships in a fastpaced, matrixed organization
  • Customercentric approach with strong interpersonal skills and comfort navigating change
  • Strong problemsolving, decisionmaking, negotiation, contract interpretation, and financial analysis skills
  • Proficiency in Microsoft Office
Preferred Qualifications
  • Bachelor's degree in a related field (relevant industry experience may be substituted)
  • MBA or MHA preferred

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 92,000 - 153,300 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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