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Provider Network Contract Manager Jobs (NOW HIRING)

Elevance Health

Provider Network Manager

Las Vegas, NV · On-site

$70K - $106K/yr

The Provider Network Manager is responsible for developing the provider network through contract ... Contracts may involve non-standard arrangements that require a moderate level of negotiation skills.

CVS Health

Contract Manager

Minneapolis, MN

$60K - $132K/yr

Recruits providers to ensure attainment of network expansion and adequacy targets. Collaborates ... contract management skills. Strong communication, critical thinking, problem resolution and ...

CVS Health

Contract Manager

Woodbury, MN

$60K - $132K/yr

Recruits providers to ensure attainment of network expansion and adequacy targets. Collaborates ... contract management skills. Strong communication, critical thinking, problem resolution and ...

CVS Health

Contract Manager

Brooklyn Park, MN

$60K - $132K/yr

Recruits providers to ensure attainment of network expansion and adequacy targets. Collaborates ... contract management skills. Strong communication, critical thinking, problem resolution and ...

CVS Health

Contract Manager

Rochester, MN

$60K - $132K/yr

Recruits providers to ensure attainment of network expansion and adequacy targets. Collaborates ... contract management skills. Strong communication, critical thinking, problem resolution and ...

Elevance Health

Provider Network Mgmt Dir

Mason, OH · Hybrid

Contracts involve non-standard arrangements that require a high level of negotiation skills. * Fee ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...

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Provider Network Contract Manager information

See salary details

$22K

$106.6K

$162.5K

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

As of Jun 15, 2026, the average yearly pay for provider network contract manager 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 is the difference between Provider Network Contract Manager vs Provider Contract Specialist?

AspectProvider Network Contract ManagerProvider Contract Specialist
CredentialsTypically requires a bachelor's degree in healthcare administration, business, or related field; certifications like CPC or CPMSM are commonSimilar credentials, often with healthcare or business background; certifications may include CPC or related
Work EnvironmentWorks within healthcare organizations or insurance companies, managing network contracts and negotiationsWorks in healthcare or insurance settings, focusing on contract review, processing, and compliance
Employer & Industry UsageUsed by health plans, provider networks, and insurance companies to manage provider agreementsCommonly employed in healthcare organizations and insurance firms for contract administration

The Provider Network Contract Manager oversees the negotiation and management of provider agreements, focusing on network development. The Provider Contract Specialist handles contract processing and compliance. While both roles require similar credentials and work in related environments, the manager has a broader strategic focus, whereas the specialist concentrates on contract details and administration.

What are some typical challenges faced by a Provider Network Contract Manager when negotiating contracts with healthcare providers?

A Provider Network Contract Manager often encounters challenges such as aligning payer and provider expectations, managing rate negotiations, and ensuring contract compliance with regulatory requirements. Balancing the need for competitive reimbursement rates while maintaining strong provider relationships can be complex, especially in markets with limited provider options. Additionally, contract managers must frequently collaborate with legal, finance, and clinical teams to address operational impacts and resolve disputes, making strong communication and negotiation skills essential.

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

To thrive as a Provider Network Contract Manager, you need expertise in healthcare contract negotiation, provider relations, and a solid understanding of insurance regulations, generally supported by a bachelor's degree in business, healthcare administration, or a related field. Familiarity with contract management software, data analysis tools, and knowledge of healthcare reimbursement systems is typically required. Strong communication, problem-solving, and relationship-building skills set top performers apart in this role. These abilities are crucial for building effective networks, ensuring compliance, and achieving cost-effective, high-quality care partnerships.

What is a Provider Network Contract Manager?

A Provider Network Contract Manager is a professional responsible for negotiating, developing, and managing contracts with healthcare providers such as hospitals, physicians, and clinics on behalf of insurance companies or healthcare organizations. Their main goal is to ensure that a network of providers delivers quality care to members at cost-effective rates. They also monitor contract compliance, analyze provider performance, and address any issues that may arise between providers and the organization. This role requires strong negotiation, communication, and analytical skills.
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Provider Network Contract Manager jobs near you
Healthcare Provider Network Contract Manager

Healthcare Provider Network Contract Manager

UnitedHealth Group

Cypress, CA • On-site

$72K - $130K/yr

Full-time

Retirement

Posted 17 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 141 frontline employees who took The Breakroom Quiz

189th of 872 rated healthcare providers

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
It's a big step forward when you realize that you've earned the trust to lead a team. Now, let's determine just how big that step can be. Take on this managerial role with UnitedHealth Group and you'll be part of a team that's reshaping how provider networks evolve and how health care works better for millions. As a manager within our network contracting team, you'll guide the development and support of Provider Networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader.
Primary Responsibilities:
  • Manage unit cost budgets, target setting, performance reporting and associated financial models
  • Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
  • Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls
  • Ensure that network composition includes an appropriate distribution of provider specialties
  • Provide explanations and information to others on difficult issues
  • Coach, provide feedback and guide others

Get ready for some significant challenge. This is an intense, fast-paced environment that can be demanding. In addition there are some data challenges and unique problems that need to be solved related to gaps in the process.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • 4+ years of experience in a network management-related role, such as contracting or provider services
  • 3+ years of experience in fee schedule development using actuarial models
  • 3+ years of experience using financial models and analysis to negotiate rates with providers
  • 3+ years of experience in performing network adequacy analysis
  • In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
  • Intermediate level of knowledge of claims processing systems and guidelines

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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