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Provider Network Development Jobs in Massachusetts

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Provider Network Development information

See Massachusetts salary details

$34

$53

$68

How much do provider network development jobs pay per hour?

As of Jun 26, 2026, the average hourly pay for provider network development in Massachusetts is $53.22, according to ZipRecruiter salary data. Most workers in this role earn between $40.14 and $68.27 per hour, depending on experience, location, and employer.

What is a Provider Network Development job?

A Provider Network Development job involves building and maintaining relationships with healthcare providers to ensure a strong, cost-effective network for health plans or organizations. Responsibilities typically include negotiating contracts, analyzing network performance, and ensuring compliance with industry standards. The goal is to enhance access to quality care for members while managing costs effectively. This role requires strong relationship management, analytical skills, and knowledge of healthcare regulations and reimbursement structures.

What are some common challenges faced in Provider Network Development roles?

A key challenge in Provider Network Development is balancing the need for a broad, high-quality provider network with the organization's cost and access objectives. Professionals in this role often navigate complex negotiations, changing regulatory environments, and evolving healthcare market dynamics. Additionally, ensuring provider satisfaction while meeting internal performance metrics requires strong relationship management and problem-solving abilities. Overcoming these challenges helps organizations remain competitive while delivering comprehensive care options to members.

What are the key skills and qualifications needed to thrive in the Provider Network Development position, and why are they important?

To thrive in Provider Network Development, you need expertise in healthcare contracting, network management, and provider relations, often supported by a degree in healthcare administration, business, or a related field. Familiarity with contract management systems, claims processing software, and regulatory compliance tools is highly valuable. Superior negotiation, relationship-building, and analytical skills are crucial soft skills for this role. These competencies enable the effective expansion and maintenance of robust provider networks, ensuring quality, cost-effective care for members.

What are the most commonly searched types of Provider Network Development jobs in Massachusetts? The most popular types of Provider Network Development jobs in Massachusetts are:
What are popular job titles related to Provider Network Development jobs in Massachusetts? For Provider Network Development jobs in Massachusetts, the most frequently searched job titles are:
What job categories do people searching Provider Network Development jobs in Massachusetts look for? The top searched job categories for Provider Network Development jobs in Massachusetts are:
Infographic showing various Provider Network Development job openings in Massachusetts as of June 2026, with employment types broken down into 88% Full Time, and 12% Part Time. Highlights an 91% In-person, and 9% Remote job distribution, with an average salary of $110,704 per year, or $53.2 per hour.
Provider Enrollment Specialist

Provider Enrollment Specialist

Catapult Solutions Group

Boston, MA โ€ข On-site

$22.50/hr

Other

Posted 22 days ago


Job description

Provider Enrollment Specialist
Department: Healthcare Operations / Provider Management
Location: Charlestown, MA | Hybrid/On-Site (40 hours/week)
Role Type: 6-Month Contract Position
About Our Client
A leading healthcare provider and managed care organization operating across the Northeast, our client serves hundreds of thousands of members through a comprehensive network of hospitals, clinics, and specialists. Headquartered in Boston with multiple regional centers, they are committed to delivering high-quality, integrated healthcare services and maintaining strong relationships with their extensive provider network. The organization values operational excellence and accurate data management as core pillars of patient access and care quality.
Job Description
As a Provider Enrollment Specialist, you will be the backbone of provider network operations, ensuring that healthcare providers are accurately set up and maintained in our systems so members can access care seamlessly and providers receive timely payment. Every day, you'll work with real provider data, manage complex enrollment processes, and solve data discrepancies that directly impact patient care and provider relationships.
You'll work at the intersection of operations and technology, managing provider records across multiple platforms while collaborating with finance, claims, and provider services teams. Your attention to detail and organizational skills will directly support the health plan's ability to serve its network effectively.
This is an ideal role if you're detail-oriented, enjoy problem-solving in fast-paced healthcare environments, and want to understand how managed care operations work from the inside.
Duties and Responsibilities
  • Accurately set up and maintain provider records in claims processing systems to ensure proper payment and timely claim adjudication.
  • Execute all implementation and enrollment steps required to onboard new providers into the health plan network.
  • Review, validate, and process provider demographic and credentialing data for accuracy and completeness.
  • Identify inaccurate, incomplete, or duplicate provider data and resolve discrepancies in a timely manner.
  • Maintain provider information across provider data management and claims processing platforms (ONYX, FACETS, or similar systems).
  • Communicate effectively with internal teams including Finance, Claims, and Provider Services regarding enrollment status and data issues.
  • Assist with provider data audits, system updates, and ongoing maintenance to ensure data integrity.
  • Manage multiple provider enrollment tasks simultaneously while meeting departmental deadlines and service level agreements.

Required Experience / Skills
  • 2+ years of professional experience in a managed care, healthcare operations, or health plan environment
  • Strong organizational and analytical skills with the ability to manage multiple priorities and deadlines
  • Attention to detail with demonstrated ability to identify and correct errors in data entry and processing
  • Proficiency with Microsoft Office Suite (Word, Excel, Outlook, Access, PowerPoint)
  • Experience with or knowledge of provider data systems such as ONYX, FACETS, or similar platforms (OR strong ability to learn new systems quickly)
  • Excellent written and verbal communication skills to interact with internal stakeholders and external providers
  • Ability to work independently and take ownership of projects while collaborating effectively with team members
  • Flexible and adaptable mindset suited to a fast-paced, evolving healthcare environment

Nice-to-Haves
  • Prior experience with claims processing systems or provider enrollment workflows
  • Familiarity with healthcare compliance requirements (HIPAA, network adequacy, etc.)
  • Experience using data validation tools or performing quality audits
  • Background in provider relations, network development, or healthcare finance
  • Knowledge of ICD, CPT codes, or medical billing basics

Education
  • Bachelor's degree required, OR equivalent combination of professional education, training, and healthcare operations experience

Pay & Benefits Summary
  • Pay Rate: $22.50/hour

Call-to-Action
Ready to support critical healthcare operations? If you have 2+ years of healthcare or managed care experience and strong attention to detail, we want to hear from you. Apply Now to join our team and make a direct impact on provider network operations and patient access.
Keywords
Provider Enrollment | Healthcare Operations | Managed Care | Claims Processing | ONYX | FACETS | Provider Data Management | Data Entry | Healthcare Administration | Medical Records