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Provider Network Evaluator Jobs (NOW HIRING)

PacificSource

NY · On-site

$125 - $150/hr

Provide feedback, including regular one‑on‑one meetings and performance evaluations for direct reports. * Responsible for overall employee engagement enhancement within Provider Network to ...

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Provider Network Evaluator information

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$29.5K

$65.5K

$106.5K

How much do provider network evaluator jobs pay per year?

As of Sep 9, 2026, the average yearly pay for provider network evaluator in the United States is $65,471.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,500.00 and $79,500.00 per year, depending on experience, location, and employer.

What is a provider network evaluator?

Provider Network Evaluators are professionals who assess and monitor the quality, efficiency, and adequacy of healthcare provider networks for insurance companies or healthcare organizations. Their work involves analyzing provider performance, ensuring compliance with regulations, and identifying network gaps or opportunities for improvement. They play a crucial role in making sure patients have access to high-quality and cost-effective care within their health plans.

What skills and qualifications are needed to be a provider network evaluator?

To thrive as a Provider Network Evaluator, you need a solid understanding of healthcare networks, data analysis, and contract evaluation, often supported by a degree in healthcare administration or a related field. Familiarity with claims processing systems, provider databases, and data analytics tools like Excel or SQL is typically required. Strong attention to detail, analytical thinking, and effective communication are standout soft skills for this role. These abilities are crucial for ensuring network adequacy, compliance, and optimal provider performance in the healthcare system.

What challenges do provider network evaluators face when assessing healthcare networks?

Provider Network Evaluators often encounter challenges such as ensuring network adequacy while balancing cost-effectiveness, staying updated with regulatory requirements, and analyzing large volumes of provider data for accuracy. Additionally, they must communicate findings and recommendations to both internal teams and external partners, which requires strong analytical and interpersonal skills. Navigating complex relationships between providers, payers, and regulatory bodies is also a key aspect of the role.

What cities are hiring for Provider Network Evaluator jobs?

Cities with the most Provider Network Evaluator job openings:

What states have the most Provider Network Evaluator jobs?

States with the most job openings for Provider Network Evaluator jobs include:

What are popular job titles related to Provider Network Evaluator jobs?

For Provider Network Evaluator jobs, the most frequently searched job titles are:

Infographic showing various Provider Network Evaluator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 11% Part Time, and 6% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $65,471 per year, or $31.5 per hour.

Principal Network Evaluator 4 with TS/SCI + Poly

Fort George G Meade, MD • On-site

Aperio Global
Guided Missile and Space Vehicle Manufacturing • 1 - 10 employees
Learn more about Aperio Globalexternal

Full-time

Re-posted 3 days ago

Job description

Aperio Global is seeking a Principal Network Evaluator to support an exciting Computer Network Defense mission. Evaluator will work closely with Government stakeholders to identify vulnerabilities, investigate cyber threats, conduct network defense operations, and provide actionable recommendations that strengthen enterprise security and mission capabilities.

Mission Focus: Conduct proactive computer network defense activities by analyzing systems and networks to identify vulnerabilities, detect network intrusions, monitor security events, assess attack surfaces, and develop operational courses of action to mitigate cyber threats.

Technical Proficiency: Perform vulnerability assessments using industry-standard tools and techniques, analyze network traffic and audit logs, conduct packet analysis, research emerging technologies and vulnerabilities, support digital forensics and exploitation activities, document analytic findings, and produce comprehensive reports and recommendations for Government stakeholders.

Qualifications: Bachelor's degree plus 11-years of relevant experience, or equivalent. Experience with computer network defense, vulnerability assessment, incident response, packet analysis, network protocols, SIEM technologies, and cybersecurity analysis. Strong networking knowledge and analytical and problem-solving skills. Experience researching system vulnerabilities and developing mitigation strategies. Practical experience with Splunk and Elastic.

Security Clearance: Active TS/SCI with Polygraph required.

Nice to Have: 

Experience with Wireshark, tcpdump, or similar network analysis and SIEM tools. Knowledge of digital forensics, intrusion detection systems, vulnerability scanning technologies, MITRE ATT&CK, NIST cybersecurity frameworks, and scripting languages. Relevant cybersecurity certifications (Security+, CySA+, GCIH, GCIA, GCFA, CISSP, or equivalent).

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