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Managed Care Provider Network Contract Manager Jobs

IU Health

Contract Manager

Plainfield, IN · On-site

$87K - $116K/yr

The Contract Manager plays a key role in supporting IU Health's supply chain strategy by partnering ... to provide world-class care for children and adults and improve the health of patients and ...

Acuity Brands, Inc.

Contract Manager

Atlanta, GA

$85K - $114K/yr

Provide support and collaborate with attorneys on special projects. Skills and Minimum Experience ... contract management, legal operations, procurement, or related field. * Ability to work a hybrid ...

Monolithic Power Systems, Inc.

Contract Manager

Kirkland, WA · On-site

$101K - $135K/yr

We are seeking a contracts manager to drive sales contracts to closure and manage the operational ... We provide health care coverage, dental and vision, and life and disability protection. Employees ...

AboutWeb

Contract Manager

Chantilly, VA · On-site

$91K - $121K/yr

AboutWeb, an award-winning IT solutions company, has been providing excellence in product ... We are currently seeking a Contract Manager for our client in Chantilly, VA. Who You Are You are a ...

HeadFirst BV

Contract Manager

Atlanta, GA · On-site +1

$85K/yr

Impellam Group Contract Manager Impellam Group is seeking a Contract Manager who will be ... managed in a vendor management system, provide proper notification to ensure accurate set-up • ...

Centene Corp.

WI · On-site

$107K - $199K/yr

... network adequacy goals, and serving as a senior contracting expert. This role requires advanced ... Experience with health care provider negotiations for pharmacy benefit management or managed care ...

Chrysalis Center Inc

Contract Manager

Los Angeles, CA · On-site

$65K - $70K/yr

Working together, the Contract Manager and the Supervisor(s) manage and work alongside CE's transitional client employees, completing the scope of work and providing professional feedback through a ...

Rite of Passage

CONTRACT MANAGER

Queen Creek, AZ

$89K - $119K/yr

The Contract Manager is responsible for all aspects of the execution, tracking and reporting of the ... Maintain thorough and accurate contract and accounting records and provide technical assistance to ...

McCarl's Technical Services

Contract Manager

Pittsburgh, PA · On-site

$86K - $115K/yr

Provide written contract summaries for project teams to use in project execution. * Support project teams with contract administration during execution, including change management, claim ...

McCarl's Technical Services

Contract Manager

Warrendale, PA · On-site

$86K - $115K/yr

Provide written contract summaries for project teams to use in project execution. * Support project teams with contract administration during execution, including change management, claim ...

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Managed Care Provider Network Contract Manager information

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$60K

$88.7K

$124K

How much do managed care provider network contract manager jobs pay per year?

As of Sep 11, 2026, the average yearly pay for managed care provider network contract manager in the United States is $88,749.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,500.00 and $103,500.00 per year, depending on experience, location, and employer.

What states have the most Managed Care Provider Network Contract Manager jobs?

States with the most job openings for Managed Care Provider Network Contract Manager jobs include:

What are popular job titles related to Managed Care Provider Network Contract Manager jobs?

For Managed Care Provider Network Contract Manager jobs, the most frequently searched job titles are:

Infographic showing various Managed Care Provider Network Contract Manager job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 69% Full Time, 22% Part Time, and 7% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $88,749 per year, or $42.7 per hour.

Prov Net Ops Analyst Sr

Southfield, MI • Remote

Amerihealth Caritas
Health Care and Social Assistance • 5 - 10K employees
Learn more about Amerihealth Caritasexternal

Full-time

Posted 8 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

Job description

Role Overview: The Senior Provider Network Operations Analyst serves as a subject matter expert within Provider Network Operations and is responsible for operational accuracy, regulatory compliance, claims configuration, provider data, and related network operations.

Work Arrangement:

  • Remote - This position is fully remote; the associate must be located in Michigan (MI) and attend monthly meetings as needed in Southfield, MI.
  • Requires reliable high-speed internet (minimum 50 Mbps download / 5 Mbps upload)
  • Internet reimbursement may be available where required by law or contract

Responsibilities:

  • Review/approve and audit Payment Integrity (PI) vendor and internal prospective and retrospective edits/projects/recoveries.
  • User Acceptance Testing (UAT)/Client Review & audit (provider data, Appian Advanced Group ID (AGID) configuration, and set-up concentration) reviews requests prior to initial submission to Enterprise Operations (EO) and claims post-production.
  • Facets claims edit configuration concentration (Appian) - intake, review, impact assessment, and initial submission; UAT reviews requests prior to initial submission to EO and claims post-production.
  • Encounter error reconciliation representation, oversight, and management - including identification and initiation of claim or provider changes necessary to mitigate/prevent future errors.
  • Management and resolution of state complaints.
  • State policy and contract amendment changes analysis and management.
  • Internal or vendor medical policy or Health Value Optimization (HVO) edit changes and initiatives.
  • Monitor and review state communications and changes, lead initial analysis/determination of action, provide direction on work request submissions to level I analysts, and test/audit subsequent changes.
  • Business Process Outsourcing (BPO) and/or other intake/workflow tool management.
  • Single-case agreement management/ownership, including letter development and coordination with Provider Network Management (PNM).
  • Serves as the subject matter expert in state-specific health reimbursement rules and provider billing requirements and as liaison to the Enterprise Operations Configuration Department.
  • Maintain a current working knowledge of processing rules, contractual guidelines, state/Plan policy, and operational procedures to effectively provide technical expertise and business rules.
  • Acts as the resource to other departments by developing and managing work plans which document the status of key relationship issues and action items for high-profile providers.
  • Performs other related duties and projects as assigned

Education & Experience:

  • American Academy of Professional Coders (AAPC) certification (CPC, COC, CIC, CRC) or NHA (CBCS) certification required.
  • Associate's degree preferred, or equivalent combination of education and experience in a healthcare field.
  • 3 to 5 years of claims analysis experience in healthcare, managed care, or Medicaid environment preferred.
  • Claims processing and Provider data maintenance knowledge required
  • Understanding of and experience related to healthcare claims payment configuration process/systems and its relevance/impact on network operations required
  • Strong working knowledge of Microsoft Excel, Access, Word, and other MS Office tools; ability to work with pivot charts, Access databases, and data analytics.

Skills & Abilities:

  • Ability to focus on technology and business issues, as well as communicate appropriately with both technology and business experts
  • Strong analytic problem-solving skills
  • Superior organizational skills required
  • Critical thinking skills
  • Strong customer service skills
  • Data and reporting analysis
Employment Type: FULL_TIME

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