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Provider Network Coordinator Jobs (NOW HIRING)

Provider Network Manager

Memphis, TN · On-site +1

$70K - $80K/yr

The Provider Network Manager serves as a primary contact for contracted providers, conducts ... needs and provide preventive, coordinated, and quality healthcare. With a dedicated nurse ...

The Provider Network Manager serves as a primary contact for contracted providers, conducts ... needs and provide preventive, coordinated, and quality healthcare. With a dedicated nurse ...

$18 - $24/hr

REHAB NETWORK COORD I Schedule: Full Time Pay Range: $18.00 - $24.00 / Hourly Shift: Day shift ... As a key point of contact for patients, providers, and clinical staff, you will play a critical ...

Rehab Network Coord I

Concord, MA · On-site

$18 - $24/hr

REHAB NETWORK COORD I Schedule: Full Time Pay Range: $18.00 - $24.00 / Hourly Shift: Day shift ... As a key point of contact for patients, providers, and clinical staff, you will play a critical ...

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Provider Network Coordinator information

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$35K

$58.2K

$76K

How much do provider network coordinator jobs pay per year?

As of Sep 12, 2026, the average yearly pay for provider network coordinator in the United States is $58,220.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $68,500.00 per year, depending on experience, location, and employer.

What is a provider network coordinator?

A Provider Network Coordinator is a professional who manages relationships between healthcare providers and insurance companies or managed care organizations. They are responsible for recruiting new providers, maintaining provider data, ensuring contract compliance, and resolving issues that may arise between providers and the network. Their work helps ensure that patients have access to a broad network of qualified healthcare professionals while maintaining quality standards and cost-effectiveness for the organization.

What are some common challenges a provider network coordinator faces when managing relationships with healthcare providers?

Provider Network Coordinators often encounter challenges such as balancing the needs of the healthcare organization with those of contracted providers, ensuring compliance with regulatory requirements, and keeping network information up to date. They may also deal with high volumes of credentialing paperwork and navigate communication barriers between providers and internal departments. Effective organizational skills and proactive communication are key to overcoming these challenges and maintaining strong provider relationships.

What are the key skills and qualifications needed to thrive as a provider network coordinator, and why are they important?

To thrive as a Provider Network Coordinator, you need strong organizational skills, knowledge of healthcare regulations, and experience in provider relations, often backed by a degree in healthcare administration or a related field. Familiarity with provider network management software, claims processing systems, and credentialing databases is typically required. Excellent communication, negotiation, and problem-solving abilities set top performers apart in this role. These competencies are crucial for maintaining robust provider networks and ensuring efficient, compliant healthcare service delivery.

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

AspectProvider Network CoordinatorProvider Relations Specialist
CredentialsHealthcare administration, insurance knowledgeHealthcare or insurance background, communication skills
Work EnvironmentHealthcare organizations, insurance companiesHealthcare providers, insurance firms
Employer & IndustryHealth plans, managed care organizationsHospitals, clinics, insurance providers
Primary FocusManaging provider networks, credentialingBuilding provider relationships, communication

The Provider Network Coordinator primarily manages provider networks and credentialing processes, ensuring network adequacy. In contrast, the Provider Relations Specialist focuses on building and maintaining relationships with healthcare providers through communication and support. Both roles are essential in healthcare organizations but differ in their core responsibilities and focus areas.

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What are the most commonly searched types of Provider Network jobs?

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Infographic showing various Provider Network Coordinator job openings in the United States as of September 2026, with employment types broken down into 1% Internship, 1% As Needed, 80% Full Time, 11% Part Time, and 7% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $58,220 per year, or $28 per hour.

Provider Network Manager

Louisville, KY • On-site, Remote

$70K/yr

Full-time

Medical

Posted 24 days ago


Job description

Our Company
Abilis Health Plan
Overview
The Provider Network Manager is responsible for maintaining and enhancing provider networks within an assigned territory through provider relations, network development, and routine contracting activities. The Provider Network Manager serves as a primary contact for contracted providers, conducts provider education and outreach, identifies and addresses network opportunities, and supports provider recruitment efforts. The position also monitors market changes and network performance to ensure adequate provider coverage and compliance with CMS network adequacy standards and all applicable regulatory requirements.
Responsibilities
  • Manage provider relationships within assigned markets, serving as a primary point of contact for contracted providers and addressing network-related issues and inquiries.
  • Perform routine provider contracting and recruitment activities to support network growth, address coverage gaps, and maintain adequate provider access.
  • Conduct provider education and outreach activities to promote provider engagement, communication, and understanding of health plan requirements and initiatives.
  • Monitor and report market and provider changes that may impact network performance, access, or compliance within assigned territories.
  • Collaborate with internal departments to resolve provider issues, support operational initiatives, and improve network effectiveness.
  • Promote a positive and collaborative work environment that supports continuous improvement and organizational success.
  • Complete all assigned corporate responsibilities, including compliance training and other organizational requirements.

Qualifications
  • Associate's Degree or equivalent work experience.
  • Five (5)+ years of experience in managed care, provider network development, provider relations, contracting, or a related healthcare field.
  • Prior experience with Medicare Advantage plans required; Institutional Special Needs Plan (I-SNP) experience preferred.
  • Experience building and maintaining provider relationships, conducting provider education, and supporting provider engagement initiatives.
  • Reliable transportation.
  • Current automobile insurance which meets company policy requirements.
  • Familiarity with health plan operations, including benefits, claims review and resolution, eligibility, provider data management, and network operations.
  • Knowledge of CMS network adequacy standards, provider recruitment, and regulatory compliance requirements preferred.
  • Strong organizational, presentation, and time management abilities.
  • Effective communication skills.
  • Working knowledge of Medicare payment methodologies.
  • Ability to follow instructions and work independently to achieve goals and complete assignments.
  • Proven success working collaboratively in a team environment.
  • Proficient in Microsoft Office Suite and other relevant computer applications.
  • Self-motivated, dependable, team-oriented, and goal-oriented.
  • Skilled at managing multiple priorities effectively.
  • Travel up to 25%

About our Line of Business
Abilis Health Plan, an affiliate of BrightSpring Health Services, is a Medicare Advantage Plan covering all the benefits of Original Medicare (Parts A and B) with prescription drug coverage (Part D). The Abilis Health Plan is a unique plan allowing members to enroll year-round. The plan focuses on members who meet residential requirements in participating nursing facilities. An interdisciplinary team of clinicians and innovative services allow us to meet each member's clinical needs and provide preventive, coordinated, and quality healthcare. With a dedicated nurse practitioner leading a personalized care plan, we strive to improve the health of the communities in which we serve. For more information, please visit www.abilishealth.com. Follow us on LinkedIn.
Salary Range
USD $70,000.00 - $80,000.00 / Year