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Provider Network Consultant Jobs (NOW HIRING)

Long View Systems

Senior Network Consultant

Houston, TX · Hybrid

$86K - $112K/yr

Are you passionate about providing solutions for clients and working for a company that believes in ... We are looking for an energetic and client-orientated Senior Network Consultant for our Integrated ...

Elevance Health

Network Mgmt Consultant

Rocky Hill, CT · Hybrid

Network Mgmt Consultant Network Management Consultant (Behavioral Health) - Connecticut *Candidates ... Conducts provider outreach and engagement, development of community partnerships, educational ...

AHEAD

$90K - $120K/yr

Provide technical support during planning, implementation, testing, and post‑deployment ... network automation solutions. * Experience working in client‑facing, consulting, or ...

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How much do provider network consultant jobs pay per hour?

As of Sep 10, 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 is a provider network consultant?

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.

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 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.

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Provider Network Consultant jobs near you
Infographic showing various Provider Network Consultant job openings in the United States as of September 2026, with employment types broken down into 1% Internship, 1% As Needed, 81% Full Time, 11% Part Time, and 6% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $92,465 per year, or $44.5 per hour.

Provider Network Strategy Principal

Los Angeles, CA • On-site

WelbeHealth
Health Care and Social Assistance • 501 - 1,000 employees
Learn more about WelbeHealthexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 27 days ago

WelbeHealth rating

6.5

Company rating: 6.5 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

WelbeHealth is a value-based healthcare organization that's transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population.

The Provider Network Strategy Principal is a high impact role designed to provide strategic insight and guidance to improve the performance of our network. This role will be responsible for producing network performance analysis, creating reporting for market-level visibility, and leading key cross-functional initiatives that improve provider outcomes and team efficiency and effectiveness. The Provider Network Strategy Principal collaborates effectively with colleagues and stakeholders to promote WelbeHealth values, team culture and mission.

This role is different because the Provider Network Strategy Principal role at WelbeHealth:

  • Provides an opportunity to build and shape a highly integrated provider network strategy within a mission-driven PACE model, where clinical outcomes, participant experience, and community-based care are deeply interconnected.

We care about our team members. That's why we offer:

  • Medical insurance coverage (Medical, Dental, Vision)
  • Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
  • 401K savings + match
  • Comprehensive compensation package including base pay and bonus
  • And additional benefits!

On the day-to-day, you will:

Network Performance Intelligence & Analysis

  • Insight Generation & Trend Spotting: Produce high-frequency reports and "deep-dive" analyses on network performance trends (e.g., utilization, access, adequacy).
  • Data Storytelling: Translate complex data sets into concise, executive-level summaries that provide clear recommendations for network optimization.

Market-Level Reporting Architecture

  • Monthly Performance Reviews: Structure and maintain monthly market-level network reports, ensuring local leaders have a standardized, accurate view of their network's health.
  • Dashboard Ownership: Partner with the Central Analytics team to refine automated dashboards, ensuring they reflect the most critical KPIs for the Network Management team.

Strategic Initiative Management

  • Execution Roadmap: Lead the end-to-end lifecycle of key initiatives aimed at driving network performance.
  • Agile Implementation: Use iterative frameworks to manage project backlogs, ensuring that initiatives are moving forward and "blockers" are removed quickly.
  • Team Effectiveness: Identify internal workflow bottlenecks and design solutions (process maps, toolkits, or templates) that help the Network Management team work smarter, not harder.

Job requirements include:

  • Work in PST hours
  • Bachelor's Degree in relevant field required, Masters degree preferred.
  • 4+ years' experience in healthcare consulting, operations, or analytics.
  • Ability to design reporting and conducting ad hoc analysis
  • Proficiency in Excel, experience with data tools like PowerBI, Tableau, or SQL.
  • Demonstrated ability to prioritize in a fast-paced environment.

What WelbeHealth employees say

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Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About WelbeHealth

Sourced by ZipRecruiter

WelbeHealth is a healthcare organization based in Menlo Park, CA, US. Specializing in the field of healthcare and wellness, the company focuses its services primarily on senior citizens. They operate in a model known as Program of All-inclusive Care for the Elderly (PACE), which aims to provide complete health care services for seniors. The company was founded with the belief in the capacity of every human being for wellness, dignity, and joy.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Menlo Park, CA, US

Year founded

2016

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