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Provider Network Contract Manager Jobs in Fallbrook, CA

Artiva Biotherapeutics

Contract Manager

San Diego, CA · On-site

The Contract Manager, reporting to the Vice President, General Counsel & Corporate Secretary, is ... Serve as a primary point of contact and a partner for business users to provide guidance on the ...

SWARCO McCain, Inc

Contracts Manager

Vista, CA

$120K - $140K/yr

... contract records, and support external legal counsel when legal review is required ... This position does not provide legal advice unless the individual is a licensed attorney, but it ...

SWARCO McCain, Inc

Contracts Manager

Vista, CA

$120K - $140K/yr

... contract records, and support external legal counsel when legal review is required ... This position does not provide legal advice unless the individual is a licensed attorney, but it ...

McCain Inc,

Contracts Manager

Vista, CA · On-site

$120K - $140K/yr

... contract records, and support external legal counsel when legal review is required ... This position does not provide legal advice unless the individual is a licensed attorney, but it ...

BAE Systems

Mgr II- Contracts

San Diego, CA · On-site

$132K - $224K/yr

Our hybrid work environment provides you a chance to change the world while providing flexibility ... networking events, and rotate into different roles with increasing levels of responsibility.

SOLV Energy

Contracts Manager (Remote)

San Diego, CA · On-site +1

$94K - $126K/yr

SOLV Energy is a leading provider of infrastructure services to the power industry, designing ... You will serve as the central hub for EPC commercial contract activity, collaborating with a small ...

Neurocrine Biosciences

Legal Contracts Manager

San Diego, CA · On-site

$94K - $126K/yr

The candidate will support the business by providing training and education on our contract management system and will assist with financial requisitions. The role requires an individual with strong ...

General Atomics

Contracts Manager IV

San Diego, CA · On-site

$125K - $229K/yr

Manage proposal preparation, contract negotiation, contract administration, and customer contact activities to provide for proper contract acquisition and fulfillment in accordance with company ...

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All JobsProvider Network Contract JobsProvider Network Contract Manager JobsProvider Network Contract Manager Jobs in Fallbrook, CA

Provider Network Contract Manager information

See Fallbrook, CA salary details

$23.1K

$111.7K

$170.3K

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

As of Jul 27, 2026, the average yearly pay for provider network contract manager in Fallbrook, CA is $111,698.00, according to ZipRecruiter salary data. Most workers in this role earn between $84,400.00 and $134,200.00 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.
What cities near Fallbrook, CA are hiring for Provider Network Contract Manager jobs? Cities near Fallbrook, CA with the most Provider Network Contract Manager job openings:
Provider Network Contract Manager jobs near you
Director, Provider Network Management

Director, Provider Network Management

The E.W. Scripps Company

San Diego, CA • On-site

$72.71 - $105.41/hr

Full-time

Posted 3 days ago

E.W. Scripps rating

7.9

Company rating: 7.9 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

22nd of 75 rated media

Job description

Location: La Jolla, San Diego
This position is eligible to participate in the Director Incentive Plan.
Founded in 1924, Scripps Health is a $5 billion, private nonprofit health system based in San Diego, founded in 1924 by philanthropist Ellen Browning Scripps. Serving over 600,000 patients annually, it operates five acute-care hospitals, 30 outpatient centers, and a wide physician network of 3,000 affiliated doctors and 17,800 employees. Recognized nationally for excellence, Scripps has earned top rankings from Great Place to Work and Becker's Healthcare and maintains an AA rating with a stable outlook from S&P Global Ratings due to its strong leadership and financial performance.
Why join Scripps Health?
AWARD-WINNING WORKPLACE:
At Scripps Health, your ambition is empowered, and your abilities are appreciated:
  • Nearly a quarter of our employees have been with Scripps Health for over 10 years.
  • Scripps is a Great Place to Work Certified company for 2025.
  • Scripps has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
  • Beckers Healthcare ranked Scripps Health on its 2026 list of 150 top places to work in health care.
  • We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
  • Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
    As Director, Provider Network Management, you will be responsible for creating and maintaining a comprehensive contracted provider network to serve Scripps Health Plan members.
What will you do?
  • Oversee the credentialing, provider database, contracting, and provider relations teams.
  • Lead provider relations functions, including training, problem-solving, and provider satisfaction initiatives for all medical groups, IPAs, institutional providers, and ancillary providers.
  • Be responsible for Customer Service related to both member and provider inquiries.
  • Maintain provider directories for all contracted IPAs and medical groups.
  • Support Scripps' integrated delivery system. Scripps Health Plan operates as both an MSO and a KK-licensed plan for large commercial groups.
  • Manage relationships related to Scripps Health Plan's plan-to-plan risk arrangements with major HMO plans.
Serve in a role that blends financial analysis, contract negotiations, operational efficiency, and system-wide impact, working extensively with Scripps Health Plan Services, stakeholders across the organization, and external providers and vendors.
#LI-JS1
Qualifications
Required Education/Experience/Specialized Skills:
  • At least seven years combined experience in management of provider relations and contracting at the plan, medical group /IPA level of which four years must be in a leadership capacity.
Preferred Education/Experience/Specialized Skills/Certification:
  • Masters degree in healthcare administration or similar
  • Epic Tapestry experience
  • Negotiation skills, creating policies and procedures and leading multiple teams.

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