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Provider Network Development Jobs in Massachusetts

Point32Health

Provider Account Manager II

Canton, MA · On-site

... network, acting as the primary point of contact for the assigned providers. This role will provide ... Conducts operational trendspotting and makes recommendations for process development, enhancement ...

Point32health

Provider Account Manager II

Canton, MA

... network, acting as the primary point of contact for the assigned providers. This role will provide ... Conducts operational trendspotting and makes recommendations for process development, enhancement ...

Fallon Health

Product Manager IV

Worcester, MA · On-site

The Product Manager IV contributes to the development and execution of product strategy and ensures ... Provider Network Management, and Customer Service, as well as with external agencies, vendors ...

Fallon Health

Product Manager IV

Worcester, MA · On-site

The Product Manager IV contributes to the development and execution of product strategy and ensures ... Provider Network Management, and Customer Service, as well as with external agencies, vendors ...

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$34

$53

$68

How much do provider network development jobs pay per hour?

As of May 30, 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 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 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 job makes $10,000 a month without a degree?

In provider network development, professionals can earn $10,000 or more monthly through roles such as senior network managers or business development specialists, often requiring strong industry knowledge, negotiation skills, and experience rather than formal degrees. High earnings are typically associated with senior positions, certifications, and proven performance in building and maintaining provider networks. These roles may involve working in healthcare organizations, insurance companies, or consulting firms, with schedules that can be flexible or demanding depending on responsibilities.
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Provider Network Development jobs near you
Senior Provider Network Contracting (Connecticut)

Senior Provider Network Contracting (Connecticut)

CVS Health

Framingham, MA

$67.90K - $182.55K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted yesterday

CVS Health rating

5.7

Company rating: 5.7 out of 10

Based on 4,220 frontline employees who took The Breakroom Quiz

81st of 97 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary Negotiates, executes, and analyzes contracts with larger and more complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. Handles dispute resolution and settlement negotiations, ensuring compliance with company standards and regulatory requirements. Leverages extensive negotiation skills and working knowledge of provider financial issues to optimize contracts, and collaborates with large hospitals and health systems to achieve successful contracting outcomes, all while supporting cost-saving initiatives and the growth of the provider network.

  • Negotiates, executes, and conducts high-level review and analysis of contracts with larger and more complex group/system providers while ensuring contracts align with company standards and goals related to accessibility, quality, and financial performance.

  • Manages and facilitates dispute resolution processes to address issues arising from provider contracts, ensuring equitable solutions.

  • Leads contract settlement negotiations, striving to reach mutually beneficial agreements with providers that maintain and enhance the provider network.

  • Implements strategies to enhance and expand the provider network, while ensuring it meets accessibility and quality standards.

  • Aligns provider contracts with financial goals and cost-saving initiatives, ensuring that contracts support the company's financial objectives.

  • Conducts comprehensive reviews and analyses of provider contracts, identifying areas for improvement and optimization.

  • Ensures that all provider contracts adhere to regulatory requirements, maintaining compliance with healthcare regulations.

  • Utilizes working knowledge of provider financial issues and competitor strategies to inform negotiation and contracting decisions.

  • Facilitates leadership, guidance, and mentorship to a team of professionals by setting strategic objectives, monitoring team performance, providing training and development opportunities, and fostering a collaborative and innovative work environment.

Required Qualifications

  • A minimum 7 years of experience contracting with providers within the healthcare industry.

  • A minimum 5 years of direct hospital contracting experience.

  • Experience with Commercial and Medicare lines of business.

  • Adept at problem solving and decision making skills, based on data and trends.

  • Adept at collaboration and teamwork

  • Addition skills include agrowth mindset (agility and developing yourself and others) skills;execution and delivery (planning, delivering, and supporting) skills;business intelligence andcommunication skills across multiple levels of leadership.

  • Ability to travel within assigned territory if needed

Preferred Qualifications

  • Strong understanding of the Connecticut market, including local payer and provider dynamics.

  • Hands-on experience with value-based contracting and alternative payment arrangements.

Education

  • Bachelor's degree or a combination of professional work experience and education.

Pay Range

The typical pay range for this role is:

$67,900.00 - $182,549.00


This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 06/20/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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