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Senior Network Consultant Engineer

Oak Brook, IL · Hybrid

$105K - $143K/yr

... providers such as Dell Sonicwall, HP Procurve, and others. - The Senior Network Consultant Engineer will maintain and monitor environments using a variety of solutions, and also provide Tier 2 ...

Bennett Thrasher LLP

Network Consultant

Fort Myers, FL · On-site +1

As a Network Consultant at Bennett Thrasher, you will provide reliable services to help manage our clients' IT environments. You will visit client sites to resolve IT related issues, managing the ...

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$62

How much do provider network consultant jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for provider network consultant in the United States is $44.45, according to ZipRecruiter salary data. Most workers in this role earn between $38.46 and $49.76 per hour, depending on experience, location, and employer.

What are high paying consultant jobs?

High-paying consultant jobs often include management consultants, IT consultants, and financial advisors, with salaries exceeding $100,000 annually. These roles typically require specialized skills, certifications, and experience, and may involve working with large organizations or on complex projects.

What does a network consultant do?

A provider network consultant analyzes and manages healthcare provider networks to ensure efficient service delivery and cost management. They review provider contracts, optimize network configurations, and collaborate with healthcare organizations to improve network performance, often using data analysis tools and industry regulations.

What is the difference between Provider Network Consultant vs Provider Relations Specialist?

AspectProvider Network ConsultantProvider Relations Specialist
CredentialsTypically requires healthcare or insurance-related certifications, bachelor’s degreeOften requires similar healthcare or insurance background, certifications vary
Work EnvironmentWorks with healthcare providers, insurance companies, and internal teams to develop and manage provider networksFocuses on building and maintaining relationships with healthcare providers, handling provider inquiries
Employer & Industry UsageCommon in health insurance companies, managed care organizationsFound in insurance companies, healthcare organizations, and provider networks

Both roles involve working with healthcare providers and require similar certifications. The Provider Network Consultant typically focuses on designing and optimizing provider networks, while the Provider Relations Specialist emphasizes maintaining provider relationships and communication. The roles often overlap but differ mainly in scope and focus within the healthcare industry.

What are the key skills and qualifications needed to thrive as a Provider Network Consultant, and why are they important?

To thrive as a Provider Network Consultant, you need expertise in healthcare network management, contract negotiation, and a bachelor’s degree in healthcare administration or a related field. Familiarity with claims management software, provider databases, and knowledge of regulatory compliance are typically required, along with certifications such as CPC (Certified Provider Credentialing Specialist) being advantageous. Strong communication, relationship-building, and analytical skills set top performers apart in this role. These abilities are crucial for optimizing provider networks, ensuring regulatory compliance, and building effective partnerships that enhance healthcare delivery.

What does a provider consultant do?

A provider network consultant evaluates and manages relationships with healthcare providers to ensure network adequacy and compliance. They analyze provider data, negotiate contracts, and support the integration of providers into health plans or networks, often using industry tools and data analysis skills.

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

A Provider Network Consultant can potentially earn $10,000 or more per month through experience, specialized knowledge, and strong negotiation skills in healthcare network management. High earnings are often associated with senior roles, certifications, and a deep understanding of insurance and provider contracts. Such roles typically require industry experience rather than formal degrees.

What are Provider Network Consultants?

Provider Network Consultants are professionals who work primarily within the healthcare industry to build, maintain, and optimize the network of healthcare providers for insurers or managed care organizations. They are responsible for recruiting new providers, negotiating contracts, ensuring compliance with regulations, and addressing network adequacy and performance issues. Their work helps ensure that members have access to a robust network of doctors, hospitals, and other healthcare professionals while balancing quality, cost, and coverage requirements.

What are some common challenges faced by Provider Network Consultants when negotiating contracts with healthcare providers?

Provider Network Consultants often encounter challenges such as balancing cost containment for the insurance company with competitive reimbursement rates for providers, navigating complex regulatory requirements, and addressing provider concerns about contract terms. Effective negotiation requires strong communication skills and a thorough understanding of both payer priorities and provider needs. Additionally, consultants must stay up-to-date on market trends and ensure network adequacy to meet member access standards.
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Provider Network Consultant jobs near you
Provider Network Consultant

Provider Network Consultant

Health Care Service Corporation

Chicago, IL • Hybrid

$55K - $123K/yr

Other

Medical, Life, Retirement, PTO

Posted 28 days ago

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job SummaryThis position is responsible for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed. Ability and willingness to travel, including overnight stays.

Required Job Qualifications:
*Bachelor's degree in health care or business administration or a minimum of 4 years work experience in a managed care environment.
*Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience.
*Effective interpersonal, analytical, presentation and communication skills.
*Knowledge of the health care industry and BCBSIL private business.
*Ability and willingness to travel within assigned areas for responsibility, including overnight stays.
*Extensive knowledge of contracts, applications, and products.
*Demonstrated proficiency in provider reimbursement methods.
*Working knowledge of claims processing systems.
*Effective organizational and planning skills.
*Ability to take initiative and work independently.
*Demonstrated ability to meet deadlines and work well under pressure.
*Working knowledge of software, including Microsoft Office

Preferred Job Qualifications:

*Provider facing experience
*Claims processing experience is a plus
*Familiar with Government contracts i.e. regulatory/compliance
*Knowledge of Commercial line of business

*Project management experience
*Self starter

#LI-SZ1

#LI-Hybrid

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$55,900.00 - $123,500.00

Exact compensation may vary based on skills, experience, and location.

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