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Provider Network Management information

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$21.7K

$105.2K

$160.4K

How much do provider network management jobs pay per year?

As of Jul 26, 2026, the average yearly pay for provider network management in California is $105,174.00, according to ZipRecruiter salary data. Most workers in this role earn between $79,400.00 and $126,300.00 per year, depending on experience, location, and employer.

What is a Provider Network Management job?

A Provider Network Management job involves building, maintaining, and optimizing a healthcare provider network. Professionals in this role negotiate contracts, ensure provider compliance with regulations, and manage relationships with healthcare providers to maintain quality care and cost efficiency. They also analyze network performance, address gaps in coverage, and facilitate collaboration between insurers and providers. The goal is to ensure patients have access to high-quality care while keeping costs sustainable for healthcare organizations.

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

To excel in Provider Network Management, candidates typically need expertise in healthcare administration, contract negotiation, analytics, and a degree in a related field such as health services administration or business. Familiarity with network management platforms, claims processing systems, provider directories, and knowledge of regulations like HIPAA are highly valuable, as are certifications such as CPC or CPHQ. Strong relationship-building, problem-solving, and communication skills set top performers apart in facilitating partnerships between providers and healthcare payers. These abilities are essential to maintain robust provider networks, ensure compliance, and deliver quality healthcare services efficiently.

What are the typical daily responsibilities in a Provider Network Management role?

In a Provider Network Management role, your day might include negotiating and administering contracts with healthcare providers, analyzing network performance metrics, and resolving provider issues or escalations. You’ll often collaborate with cross-functional teams such as claims, credentialing, and member services to ensure seamless network operations. Building and maintaining strong relationships with providers to address their needs, review compliance, and monitor service quality is a core part of the job. This position typically involves a mix of desk work, meetings, and occasional travel to visit provider offices or attend industry events.

What are the most commonly searched types of Provider Network Management jobs in California? The most popular types of Provider Network Management jobs in California are:
What are popular job titles related to Provider Network Management jobs in California? For Provider Network Management jobs in California, the most frequently searched job titles are:
What job categories do people searching Provider Network Management jobs in California look for? The top searched job categories for Provider Network Management jobs in California are:
What cities in California are hiring for Provider Network Management jobs? Cities in California with the most Provider Network Management job openings:
Provider Network Management jobs near you
Infographic showing various Provider Network Management job openings in California as of July 2026, with employment types broken down into 81% Full Time, 15% Part Time, 1% Temporary, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $105,174 per year, or $50.6 per hour.
Provider Network Manager

Provider Network Manager

Independent Living Systems

Glendale, CA • On-site

$105K - $125K/yr

Full-time

Posted 8 days ago

Independent Living Systems rating

6.5

Company rating: 6.5 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

We are seeking a Provider Network Manager to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Provider Network Manager supports the organization’s provider engagement, provider performance improvement, and network oversight activities related to contracted and subcontracted providers. This role is responsible for managing provider relationships, coordinating provider relations initiatives, supporting provider performance monitoring, facilitating communication between providers and internal operational teams, and promoting continuous improvement across the provider network. The Provider Network Manager is accountable for maintaining ongoing engagement with assigned providers, ensuring providers understand organizational expectations, performance standards, compliance requirements, and operational workflows. Through regular provider outreach and onsite visits—with top-performing, high-volume, strategically significant, or priority providers visited at least quarterly—the Manager fosters strong partnerships and drives operational excellence. Utilizing provider scorecards as a key performance management tool, the Manager evaluates provider performance, identifies opportunities for improvement, recognizes excellence, and supports targeted education and training initiatives. Working collaboratively with providers, the Manager develops action plans, addresses performance gaps, resolves operational issues, promotes best practices, and advances quality outcomes, operational efficiency, compliance, and member satisfaction. This position serves as a strategic provider relationship and performance management role focused on engagement, support, education, operational coordination, and continuous improvement rather than sales or purely administrative provider servicing functions.

Minimum Qualifications:

  • Bachelor’s degree in healthcare administration, business or a related field.
  • Requires 3 years of progressive experience in provider relations, healthcare operations, managed care, provider network operations, care coordination, or related healthcare environment.
  • Experience supporting provider engagement, provider operations, network management, or provider oversight activities.
  • Strong knowledge of healthcare operations, provider network management, healthcare regulations, and provider workflows.
  • Strong organizational, problem-solving, and relationship management skills.
  • Experience working with healthcare operational data, provider tracking systems, and reporting tools.
  • Proficiency with Microsoft Office applications, especially Excel and PowerPoint.
  • Excellent communication skills, both written and verbal, with the ability to effectively train and advise staff at all levels.
  • Requires strong problem-solving and customer service skills.
  • Must be a CA Resident and must reside in CA while employed.
  • Current and valid California (CA) Driver’s License.
  • Must use personal vehicle and current vehicle registration required.
  • Proof of auto insurance required, must maintain CA minimum insurance coverage.
  • CPR Certification required.

Preferred Qualifications:

  • Master’s degree in Healthcare Administration, Business Administration, or a related discipline.
  • Experience working within managed care organizations or health insurance companies.
  • Familiarity with healthcare compliance standards such as HIPAA and CMS regulations.
  • Certification in healthcare management or provider network contracting (e.g., CPHQ, CPMSM).
  • Demonstrated success in managing large or complex provider networks.

Responsibilities:

  • Demonstrates commitment to Our Mission and models ILS Experience Standards of Excellence.
  • Support the implementation, management, and continuous improvement of provider engagement, provider performance, and provider satisfaction initiatives to strengthen provider partnerships and support organizational goals.
  • Serve as the primary liaison between the organization and contracted providers regarding operational processes, performance expectations, service delivery requirements, and issue resolution.
  • Coordinate provider onboarding, orientation, training, and ongoing education activities to ensure understanding of organizational requirements, workflows, documentation standards, compliance expectations, and performance objectives.
  • Facilitate timely resolution of provider inquiries, complaints, service concerns, and operational issues, including tracking escalations, action plans, and resolution outcomes.
  • Develop, maintain, and distribute provider communications, educational materials, operational resources, and provider-facing tools related to policy updates, program requirements, and organizational initiatives.
  • Collaborate with internal departments, including Operations, Quality, Compliance, Credentialing, Care Management, Claims, and Provider Network teams, to support effective provider operations and service delivery.
  • Monitor, analyze, and maintain provider-related operational data, performance metrics, engagement activities, and trend reports to support decision-making and performance improvement efforts.
  • Assist in the preparation and support of provider audits, delegated oversight activities, compliance reviews, corrective action plans, and operational improvement initiatives in accordance with applicable regulatory and contractual requirements.
  • Participate in the development, implementation, and revision of provider-related workflows, policies, procedures, operational documentation, and process improvement initiatives to enhance efficiency and effectiveness.
  • Promote a culture of collaboration, accountability, continuous improvement, and member-centered service by fostering positive provider relationships and supporting organizational and provider network objectives.
  • Performs other duties as required or assigned.


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