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Provider Network Development Jobs in Tennessee (NOW HIRING)

Abilis Health Plan

Provider Network Manager

Nashville, TN · On-site +1

$70K - $80K/yr

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;

Abilis Health Plan

Provider Network Manager

Memphis, TN · On-site +1

$70K - $80K/yr

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;

Oracle

Director, Network Development

Nashville, TN · On-site

We are seeking an experienced Network Development Leader to lead a high-performing engineering team ... Range and benefit information provided in this posting are specific to the stated locations only US:

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How much do provider network development jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for provider network development in Tennessee is $44.23, according to ZipRecruiter salary data. Most workers in this role earn between $33.37 and $56.73 per hour, depending on experience, location, and employer.

What is a provider network development?

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 provider network development, 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 are the most commonly searched types of Provider Network Development jobs in Tennessee?

The most popular types of Provider Network Development jobs in Tennessee are:

What are popular job titles related to Provider Network Development jobs in Tennessee?

For Provider Network Development jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Provider Network Development jobs in Tennessee look for?

The top searched job categories for Provider Network Development jobs in Tennessee are:

Provider Network Development jobs near you
Infographic showing various Provider Network Development job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $92,001 per year, or $44.2 per hour.

Provider Network Manager

Abilis Health Plan

Nashville, TN • On-site, Remote

$70K - $80K/yr

Full-time

Medical

Posted 7 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 BusinessAbilis 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 RangeUSD $70,000.00 - $80,000.00 / YearEmployment Type: FULL_TIME

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