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Network Medical Management Jobs (NOW HIRING)

... network of physicians and other practitioners. The Vice President for Medical Management will possess the skills and capabilities needed to develop and execute medical cost management and health care ...

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that ... Supervise and coordinate day-to-day operations of the Medical Management department non-licensed ...

... network of physicians and other practitioners. The Vice President for Medical Management will possess the skills and capabilities needed to develop and execute medical cost management and health care ...

As a trusted leader in the medical device industry, we design, manufacture, and support products ... This includes Territory Manager roles for individuals with experience selling capital equipment ...

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Network Medical Management information

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$22K

$106.6K

$162.5K

How much do network medical management jobs pay per year?

As of Aug 12, 2026, the average yearly pay for network medical management in the United States is $106,570.00, according to ZipRecruiter salary data. Most workers in this role earn between $80,500.00 and $128,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Network Medical Management professional?

To excel in Network Medical Management, a strong background in healthcare administration, provider relations, and knowledge of managed care principles is essential, often supported by a degree in healthcare management or a related field. Familiarity with healthcare information systems, claims processing software, and regulatory compliance tools such as HIPAA and HEDIS is typically required. Excellent negotiation, problem-solving, and interpersonal communication skills help professionals build strong provider networks and resolve issues efficiently. These abilities are crucial for ensuring high-quality, cost-effective patient care and maintaining smooth operations in managed care organizations.

What is Network Medical Management?

Network Medical Management (NMM) refers to organizations or companies that provide administrative and management services to healthcare providers, such as independent physician associations (IPAs) and medical groups. NMM companies handle functions like claims processing, provider credentialing, contract negotiations, and care coordination to help streamline operations and improve patient care. Their goal is to support healthcare networks in delivering efficient, cost-effective, and high-quality services.

What is the difference between Network Medical Management vs Medical Office Manager?

AspectNetwork Medical ManagementMedical Office Manager
CredentialsTypically requires healthcare administration or related certificationsOften requires medical office administration or related certifications
Work EnvironmentHealthcare networks, insurance companies, or large medical organizationsMedical clinics, outpatient offices, or small healthcare practices
Employer & Industry UsageUsed in healthcare management, insurance, and network organizationsCommon in individual medical practices and clinics
Primary FocusOverseeing network operations, provider relations, and complianceManaging daily office operations, staff, and patient scheduling

While both roles involve healthcare management, Network Medical Management focuses on overseeing healthcare networks and provider relations, often within larger organizations. In contrast, Medical Office Managers handle daily administrative tasks within individual medical practices. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

What are some of the typical daily challenges faced by professionals in Network Medical Management roles?

Professionals working in Network Medical Management often encounter challenges related to coordinating care among diverse providers, ensuring compliance with healthcare regulations, and optimizing provider network performance. A typical day may involve analyzing provider data, resolving credentialing issues, and addressing concerns from both providers and patients. Effective communication and strong organizational skills are essential, as the role frequently involves cross-functional collaboration with clinical staff, insurance companies, and IT teams to improve patient outcomes and ensure network efficiency.
More about Network Medical Management jobs
What cities are hiring for Network Medical Management jobs? Cities with the most Network Medical Management job openings:
What states have the most Network Medical Management jobs? States with the most job openings for Network Medical Management jobs include:
Infographic showing various Network Medical Management job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $106,570 per year, or $51.2 per hour.

Virginia Children's Care Network Medical Director (M67977)

Association of American Medical Colleges

Richmond, VA โ€ข On-site

$150 - $250/hr

Other

Re-posted 6 days ago


Job description

Virginia Childrens Care Network Medical Director - M67977, req7559

Children's Hospital of Richmond at VCU - Richmond, VA

Mission or Goal of Unit

The VCCN medical director will provide clinical expertise and leadership in value-based care and quality improvement for Virginia Childrens Care Network. They will work with the CHoR Executive leadership, VCCN Executive Director, VCCN Board and committee chairs, VCCN board members, and VCUHS staff and leadership to set network clinical goals and priorities, to develop and select quality improvement and professional standards, and clearly articulate the mission and vision of VCCN. They will also be expected to participate in the Center for Team Care. The medical director will coโ€‘lead efforts to expand partnerships with both payers, practices, et. al. within Central Virginia, Northern Virginia, and other key markets in the state.

Chief Purpose of this position

Directs the medical management, care coordination and quality improvement activities of VCCN and monitors all reports, information summaries, relevant publications, clinical, utilization, and financial data related to these activities in collaboration with VCCN leadership and staff and VCCN physicianโ€‘led committees.

Position Responsibilities
  • Advises the planning, development, and implementation of strategies for improving health outcomes, quality care delivery and cost containment in conjunction with VCCN leadership and staff and VCCN physicianโ€‘led committees.
  • Communicates with colleagues, CHoR and VCUHS Department Chairs, VCUHS and medical practice administrative leadership, and legal and regulatory entities to champion the initiatives of the CIN.
  • Ensures communication and alignment with CHoRs leadership and overall quality strategy.
  • Engages and maintains relationships with privateโ€‘practice physician leaders in the community and CHoR faculty.
  • Engages and maintains relationships with VCUHS clinical and administrative executive leaders. Participates in community outreach efforts to educate and engage physicians around clinical integration AND quality activities for pediatric patients.
  • Participates in the development and execution of payer contracting strategies in cooperation with the VCCN Executive Director and other staff of VCCN and member organizations.
  • Facilitates the review of quality and efficiency metrics to be applied to physicians participating in VCCN and leads the development of recommended performance thresholds for incentiveโ€‘based payments based on selected metrics, in collaboration with the VCCN Quality Improvement Committee.
  • Actively engages with VCCN Board of Managers and VCCN committees, as appropriate.
  • Assists in the development of future community physician leaders within VCCN.
  • Leads and facilitates committees as needed to foster collaboration between participating CIN physicians.
  • Develops a strong understanding of clinical quality and clinical integration programs, and governmental regulations that relate to and affect clinical integration activities.
  • Ensure responsibility and visible commitment of diversity equity and inclusion strategy, programs, and initiatives through collaboration and implementation of initiatives across the health system.
  • Other duties as assigned by Executive Director of CIN.
  • In partnership with Center for Team Care Medical Director, help assist in development of Center for Team Care protocols, practice guidelines and other initiatives to improve delivery of contemporary, evidence based care for pediatric populations. They will work with other clinical leaders to ensure clear communication to providers regarding the expectations and standards of clinical care.
  • Work with unit leaders and practices to reduce cost of care by realizing episodic and urgent care visits inside our captive system, but also by implementing Center for Team Care protocols and guidelines to streamline care and improve patient outcomes through proactive Pop Health care management using risk prediction tools.
  • Will lead with timely and effective biโ€‘directional communication to all subโ€‘specialty providers thereby assisting in the retention of employee and dependent care within VCU Health Systems through an integrated network of primary care and specialist care.
  • Will work with leaders and administrators to define and develop new business opportunities to meet anticipated, future needs of the community of pediatric patients served.
  • Patient Population: Demonstrates the knowledge and skills necessary to provide equitable care appropriate to the age of the patients served on their assigned unit. Demonstrates knowledge and related competencies of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to their age, specific needs and to provide the equitable care needed as described in departmental policies and procedures. Neonates (0โ€‘4 weeks), Infant (1โ€‘12 months), Pediatrics (1โ€‘12 years), Adolescents (13โ€‘17 years)
Required Qualifications
  • Required Education: Medical Degree is required with board certification in a medical specialty.
  • Licensure/Certification Required: Must have an active, valid and unrestricted license to practice medicine in Virginia.
  • Years and Type of Required Experience: Ten (10) or more years of clinical practice experience in a hospital or health care system.
  • Other Knowledge, Skills and Abilities Required: Strong interpersonal skills with proven ability to initiate and cultivate productive collaborative relationships with physician leaders at partner organizations. Experience as an active listener and a change agent, with demonstrated ability to build consensus. Experience with promoting physician leadership development. Proven success working in a large complex organization with matrix reporting relationships. Ability to maintain a high level of satisfaction with referring physicians/institutions and members. Excellent communication skills, both oral and written. Must be able to negotiate and/or communicate with a wide variety of people. Must be able to travel to the various local partner organization sites as needed.
  • Cultural Responsiveness: Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias.
Preferred Qualifications
  • Preferred Education: MPH or equivalent is preferred.
  • Licensure/Certification Preferred: N/A
  • Other Knowledge, Skills and Abilities Preferred: Strong understanding of clinical quality and clinical integration programs preferred. Contract negotiation and experience in population health thinking preferred.
Other
  • Working Conditions: Periods of high stress and fluctuating workloads may occur. General office environment. Longโ€‘distance or air travel as neededโ€” not to exceed 10% travel. May be exposed to human blood and other potentially infectious materials. *Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.
  • Physical Requirements: Physical Demands: Lifting/ Carrying (0โ€‘50 lbs.), Push/ Pull (0โ€‘50 lbs.), Stoop, Kneel, Squat, Bending. Work Position: Sitting, Walking, Standing.
  • Additional Physical Requirements/ Hazards: Physical Requirements: Manual dexterity (eye/hand coordination), Maneuver weight of patients, Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Acuity - far, Acuity - near, and Hazards: Use of Latex Gloves.
  • Mental/Sensory - Emotional - Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking. Emotional: Fast pace environment, Steady Pace, Able to Handle Multiple Priorities, Frequent and Intense. Customer Interactions, Able to Adapt to Frequent Change.
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