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Provider Network Contract Manager Jobs (NOW HIRING)

paradigm

Provider Contract Manager

Tampa, FL · On-site

$84K - $112K/yr

Monitor provider network performance and growth. * Focus on growth, efficiency and performance of underdeveloped network segments/geographic locations by product line as assigned. * Directly manage ...

Cigna

Sr. Network Contract Manager- New England

Build and maintain strong provider relationships to support network growth and value-based business opportunities. * Coordinate closely with matrix partners (i.e., Claims, Medical Management ...

Elevance Health

Provider Network Manager

Mesa, AZ · Hybrid

The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing. How you will make an impact: * Primary focus of ...

Elevance Health

Provider Network Manager

Chandler, AZ · Hybrid

The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing. How you will make an impact: * Primary focus of ...

APS Health Care PR

PR · On-site

The Manager Provider Network elaborates and establishes contracts, fee schedules and all communications related to the Provider Department. Essential Functions : * Supervises the credentialing and re ...

Elevance Health

Provider Network Manager

Avondale, AZ · Hybrid

The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing. How you will make an impact: * Primary focus of ...

Elevance Health

Provider Network Manager

Peoria, AZ · Hybrid

The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing. How you will make an impact: * Primary focus of ...

Elevance Health

Provider Network Manager

Glendale, AZ · Hybrid

The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing. How you will make an impact: * Primary focus of ...

Elevance Health

Provider Network Manager

Tempe, AZ · Hybrid

The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing. How you will make an impact: * Primary focus of ...

Elevance Health

Provider Network Manager

Peoria, AZ · Hybrid

The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing. How you will make an impact: * Primary focus of ...

Elevance Health

Provider Network Manager

Mesa, AZ · Hybrid

The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing. How you will make an impact: * Primary focus of ...

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Provider Network Contract Manager information

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$22K

$106.6K

$162.5K

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

As of Jul 21, 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.
More about Provider Network Contract Manager jobs
What cities are hiring for Provider Network Contract Manager jobs? Cities with the most Provider Network Contract Manager job openings:
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What job categories do people searching Provider Network Contract Manager jobs look for? The top searched job categories for Provider Network Contract Manager jobs are:
Provider Network Contract Manager jobs near you
Infographic showing various Provider Network Contract Manager job openings in the United States as of July 2026, with employment types broken down into 49% Full Time, 19% Part Time, 1% Temporary, and 31% Contract. Highlights an 69% Physical, 2% Hybrid, and 29% Remote job distribution, with an average salary of $106,570 per year, or $51.2 per hour.
Provider Network & Contract Manager

Provider Network & Contract Manager

Senior Care Partners PACE

Kalamazoo, MI

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Job description

Provider Network and Contracts Manager
The Program of All-Inclusive Care for the Elderly (PACE) offers a variety of services, with many of them provided onsite at a PACE Center.
PACE is an alternative to nursing home care and – through an interdisciplinary care team (IDT) of physicians, nurse practitioners, nurses, social workers, therapists, van drivers, and aides – coordinates and provides preventive, primary, acute, and long-term care services, so older individuals can continue living in the community.
Why You'll Love it Here:
  • Purpose
  • Professional Development
  • Paid Holidays
  • PTO and SIck Time
  • Internal opportunities for growth
  • Team Support
  • Competitive Pay
  • Medical, Dental, Vision Insurance
  • Life insurance
  • 403(b) Retirement Savings
  • Employee Assistance
  • And MORE!
Why You’ll Love Working Here

  • Meaningful work with a purpose

  • Professional development opportunities

  • Paid holidays + generous PTO

  • Flexible, team-oriented culture

  • Competitive pay amp; great benefits: Medical, Dental, Vision, Life Insurance, Telemedicine

  • 403(b) retirement savings plan

Primary Purpose
Responsible for managing provider network operations, including provider contracting, credentialing, compliance, and relationship management. Ensures a high-quality, compliant provider network that supports participant care and aligns with Federal, State, and organizational requirements.

Key Responsibilities
  • Develop, negotiate, and manage provider contracts and network relationships.
  • Ensure provider network adequacy, credentialing compliance, and adherence to CMS and MDHHS requirements.
  • Monitor provider performance, conduct audits, and manage corrective action plans.
  • Educate and onboard providers regarding organizational policies, procedures, and the PACE model of care.
  • Maintain provider network data, contract documentation, and related policies and procedures.
  • Collaborate with internal departments and external partners to support service delivery, quality outcomes, and value-based care initiatives.
  • Resolve provider and contract-related issues while maintaining high customer service standards.
  • Participate in quality improvement, compliance reviews, and regulatory audits.
Leadership Responsibilities
Provides functional leadership for Provider Network and Contract operations. Serves as the primary coordinator for provider contracting, compliance, and credentialing activities while working closely with the Contract Coordinator and cross-functional teams.
Qualifications
  • Bachelor’s degree in business administration, Healthcare Administration, or other applicable experience degree required
  • 3 to 5 years of contracting / insurance / healthcare experience
  • Strong working knowledge of Medicare and Medicaid billing requirements
  • Knowledge of PACE and Medicare Advantage Plans preferred
Additional Requirements
  • Must be fully vaccinated or willing to become vaccinated against:
    Influenza, MMR, Varicella, Tdap/Td, COVID-19, and Hepatitis B
  • Must meet CMS competency standards prior to working independently
  • Comfortable working in varied home environments and all weather conditions

Join Us!

If you’re ready to do meaningful work in a place where you feel you truly belong, where partnership drives every interaction, and where excellence and ownership guide how we care for our participants and one another, we invite you to apply. Senior Care Partners PACE is proud to be an Equal Employment Opportunity employer.

Apply