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Provider Network Jobs (NOW HIRING)

Elevance Health

Provider Network Manager

Topeka, KS · Hybrid

Provider Network Manager JR193682 Provider Network Manager The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and ...

Lowe's

PROvider Network Specialist

Mooresville, NC · On-site

$20.67 - $34.52/hr

Your Impact The PROvider Network Specialist is primarily responsible for completing specific activities in support of maintaining the health and accuracy of Lowe's PROvider network. The PROvider ...

Partner with PPHP

Provider Network Specialist

The Provider Network Specialist is responsible for supporting provider contracting activities through the preparation, processing, tracking, and maintenance of provider agreements and related ...

Bookmark Medical

Provider Network Manager

Nashville, TN · Remote

The Provider Network Manager, TN ('PNM') will primarily be responsible for affiliate primary care provider / practice performance in our Tennessee affiliate network's VBC contracts. Additionally, the ...

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Novus Group

Provider Network Advocate

Pittsburgh, PA

$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.

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UHS

Sr. Provider Network Manager

Reno, NV

The Sr. Manager of Provider Network leads and manages provider contracting and network developments consistent with the strategic goals of Prominence Health Plan & is responsible for ensuring the ...

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How much do provider network jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for provider network in the United States is $32.19, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $40.87 per hour, depending on experience, location, and employer.

What are the typical daily responsibilities of a Provider Network professional?

A Provider Network professional typically spends their days building and maintaining relationships with healthcare providers, negotiating and renewing contracts, ensuring network adequacy, and responding to provider inquiries or concerns. The role often involves analyzing data on network performance, collaborating with internal teams such as claims, compliance, and credentialing, and conducting outreach to recruit new providers or expand network coverage. You may also monitor regulatory changes and support provider onboarding efforts. This role requires frequent communication, both internally and externally, to ensure quality care delivery and a seamless provider experience.

What job makes $10,000 a month without a degree?

In the provider network field, roles such as experienced healthcare recruiters or independent insurance agents can earn around $10,000 monthly through commissions and bonuses, often without requiring a formal degree. Success in these roles depends on sales skills, industry knowledge, and building a strong network, with some positions offering flexible schedules and remote work options.

What profession makes $400,000 a year?

In the healthcare industry, certain specialized providers such as orthopedic surgeons, neurosurgeons, and cardiologists can earn $400,000 or more annually. These roles typically require advanced medical degrees, board certifications, and extensive experience. High earnings are often associated with private practice, high patient volume, or specialized skills.

What is the highest paid job in networking?

In networking, the highest paid roles are often senior positions such as Network Architects or Chief Network Officers, who design and oversee complex network infrastructure. These roles typically require advanced certifications like Cisco CCIE or Cisco CCNP, along with extensive experience, and can earn six-figure salaries depending on the organization and location.

What does a provider network specialist do?

A provider network specialist manages relationships between healthcare providers and insurance companies, ensuring provider data is accurate and contracts are up to date. They review provider credentials, assist with network development, and use healthcare management systems to support network operations.

What are the key skills and qualifications needed to thrive in the Provider Network position, and why are they important?

To thrive as a Provider Network professional, you need a solid understanding of healthcare operations, provider credentialing, and contract negotiation, typically supported by a bachelor’s degree in healthcare administration or a related field. Familiarity with provider databases, network management systems, and regulatory compliance platforms such as CAQH is often required. Strong relationship-building, problem-solving, and organizational skills set top candidates apart. These abilities are crucial for effectively developing, maintaining, and optimizing provider relationships within health plans or managed care organizations.

What is a Provider Network job?

A Provider Network job involves managing relationships between healthcare providers and insurance companies or healthcare organizations. Responsibilities typically include contracting, credentialing, and ensuring network adequacy to meet patient needs. Professionals in this role negotiate provider agreements, analyze network performance, and ensure compliance with regulations. They play a key role in maintaining access to quality healthcare services for members.

More about Provider Network jobs
What cities are hiring for Provider Network jobs? Cities with the most Provider Network job openings:
What are the most commonly searched types of Provider Network jobs? The most popular types of Provider Network jobs are:
What states have the most Provider Network jobs? States with the most job openings for Provider Network jobs include:
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Provider Network jobs near you
Infographic showing various Provider Network job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 75% Full Time, 16% Part Time, 1% Temporary, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $66,953 per year, or $32.2 per hour.
Provider Network Manager

Provider Network Manager

Independent Living Systems

Glendale, CA • On-site

$105K - $125K/yr

Full-time

Posted 13 days ago

Be an early applicant

Key responsibilities

  • Serve as the primary liaison between the organization and contracted providers regarding operational processes, performance expectations, service delivery requirements, and issue resolution.

  • Coordinate provider onboarding, orientation, training, and ongoing education activities to ensure understanding of organizational requirements, workflows, documentation standards, compliance expectations, and performance objectives.

  • Facilitate timely resolution of provider inquiries, complaints, service concerns, and operational issues, including tracking escalations, action plans, and resolution outcomes.

Independent Living Systems rating

6.5

Company rating: 6.5 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

We are seeking a Provider Network Manager to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Provider Network Manager supports the organization’s provider engagement, provider performance improvement, and network oversight activities related to contracted and subcontracted providers. This role is responsible for managing provider relationships, coordinating provider relations initiatives, supporting provider performance monitoring, facilitating communication between providers and internal operational teams, and promoting continuous improvement across the provider network. The Provider Network Manager is accountable for maintaining ongoing engagement with assigned providers, ensuring providers understand organizational expectations, performance standards, compliance requirements, and operational workflows. Through regular provider outreach and onsite visits—with top-performing, high-volume, strategically significant, or priority providers visited at least quarterly—the Manager fosters strong partnerships and drives operational excellence. Utilizing provider scorecards as a key performance management tool, the Manager evaluates provider performance, identifies opportunities for improvement, recognizes excellence, and supports targeted education and training initiatives. Working collaboratively with providers, the Manager develops action plans, addresses performance gaps, resolves operational issues, promotes best practices, and advances quality outcomes, operational efficiency, compliance, and member satisfaction. This position serves as a strategic provider relationship and performance management role focused on engagement, support, education, operational coordination, and continuous improvement rather than sales or purely administrative provider servicing functions.

Minimum Qualifications:

  • Bachelor’s degree in healthcare administration, business or a related field.
  • Requires 3 years of progressive experience in provider relations, healthcare operations, managed care, provider network operations, care coordination, or related healthcare environment.
  • Experience supporting provider engagement, provider operations, network management, or provider oversight activities.
  • Strong knowledge of healthcare operations, provider network management, healthcare regulations, and provider workflows.
  • Strong organizational, problem-solving, and relationship management skills.
  • Experience working with healthcare operational data, provider tracking systems, and reporting tools.
  • Proficiency with Microsoft Office applications, especially Excel and PowerPoint.
  • Excellent communication skills, both written and verbal, with the ability to effectively train and advise staff at all levels.
  • Requires strong problem-solving and customer service skills.
  • Must be a CA Resident and must reside in CA while employed.
  • Current and valid California (CA) Driver’s License.
  • Must use personal vehicle and current vehicle registration required.
  • Proof of auto insurance required, must maintain CA minimum insurance coverage.
  • CPR Certification required.

Preferred Qualifications:

  • Master’s degree in Healthcare Administration, Business Administration, or a related discipline.
  • Experience working within managed care organizations or health insurance companies.
  • Familiarity with healthcare compliance standards such as HIPAA and CMS regulations.
  • Certification in healthcare management or provider network contracting (e.g., CPHQ, CPMSM).
  • Demonstrated success in managing large or complex provider networks.

Responsibilities:

  • Demonstrates commitment to Our Mission and models ILS Experience Standards of Excellence.
  • Support the implementation, management, and continuous improvement of provider engagement, provider performance, and provider satisfaction initiatives to strengthen provider partnerships and support organizational goals.
  • Serve as the primary liaison between the organization and contracted providers regarding operational processes, performance expectations, service delivery requirements, and issue resolution.
  • Coordinate provider onboarding, orientation, training, and ongoing education activities to ensure understanding of organizational requirements, workflows, documentation standards, compliance expectations, and performance objectives.
  • Facilitate timely resolution of provider inquiries, complaints, service concerns, and operational issues, including tracking escalations, action plans, and resolution outcomes.
  • Develop, maintain, and distribute provider communications, educational materials, operational resources, and provider-facing tools related to policy updates, program requirements, and organizational initiatives.
  • Collaborate with internal departments, including Operations, Quality, Compliance, Credentialing, Care Management, Claims, and Provider Network teams, to support effective provider operations and service delivery.
  • Monitor, analyze, and maintain provider-related operational data, performance metrics, engagement activities, and trend reports to support decision-making and performance improvement efforts.
  • Assist in the preparation and support of provider audits, delegated oversight activities, compliance reviews, corrective action plans, and operational improvement initiatives in accordance with applicable regulatory and contractual requirements.
  • Participate in the development, implementation, and revision of provider-related workflows, policies, procedures, operational documentation, and process improvement initiatives to enhance efficiency and effectiveness.
  • Promote a culture of collaboration, accountability, continuous improvement, and member-centered service by fostering positive provider relationships and supporting organizational and provider network objectives.
  • Performs other duties as required or assigned.