Provides daily support and coaching to program coordinators and partners. * Utilizes established ... Working knowledge of project management methodologies required. Proficient experience in use of ...
Provides daily support and coaching to program coordinators and partners. * Utilizes established ... Working knowledge of project management methodologies required. Proficient experience in use of ...
Manager, Provider Network Operations
$97K - $131K/yr
Coordinate with Provider Network Operations management to create seamless hand offs related to onboarding, credentialing and recredentialing of providers, contract implementation, Service Level ...
Manager, Provider Network Operations
$97K - $131K/yr
Coordinate with Provider Network Operations management to create seamless hand offs related to onboarding, credentialing and recredentialing of providers, contract implementation, Service Level ...
Senior Specialist, Provider Network Administration (Salesforce)
Long Beach, CA · On-site +1
$40K - $88K/yr
The role partners closely with Network Operations, IT, PMO, Product Owners, Compliance, and business stakeholders to support operational initiatives, identify process improvement opportunities ...
Senior Specialist, Provider Network Administration (Salesforce)
Long Beach, CA · On-site +1
$40K - $88K/yr
The role partners closely with Network Operations, IT, PMO, Product Owners, Compliance, and business stakeholders to support operational initiatives, identify process improvement opportunities ...
Provides daily support and coaching to program coordinators and partners. * Utilizes established ... Working knowledge of project management methodologies required. Proficient experience in use of ...
Provides daily support and coaching to program coordinators and partners. * Utilizes established ... Working knowledge of project management methodologies required. Proficient experience in use of ...
Provides daily support and coaching to program coordinators and partners. * Utilizes established ... Education and Experience Bachelor's degree in Business Administration, Business Management ...
Provides daily support and coaching to program coordinators and partners. * Utilizes established ... Education and Experience Bachelor's degree in Business Administration, Business Management ...
Program Manager II - Provider Network Management
Redding, CA · On-site
$96K - $121K/yr
Provides daily support and coaching to program coordinators and partners. * Utilizes established ... Working knowledge of project management methodologies required. Proficient experience in use of ...
Program Manager II - Provider Network Management
Redding, CA · On-site
$96K - $121K/yr
Provides daily support and coaching to program coordinators and partners. * Utilizes established ... Working knowledge of project management methodologies required. Proficient experience in use of ...
Manager, Provider Network Operations
San Jose, CA · On-site
$133K - $207K/yr
Coordinate with Provider Network Operations management to create seamless hand offs related to onboarding, credentialing and recredentialing of providers, contract implementation, Service Level ...
Manager, Provider Network Operations
San Jose, CA · On-site
$133K - $207K/yr
Coordinate with Provider Network Operations management to create seamless hand offs related to onboarding, credentialing and recredentialing of providers, contract implementation, Service Level ...
... Management is responsible for leading all aspects of Provider Network Management at the ... The successful candidate provides direction and oversight to all provider network development and ...
... Management is responsible for leading all aspects of Provider Network Management at the ... The successful candidate provides direction and oversight to all provider network development and ...
AVP, Contracting & Network Management
Orange, CA · On-site +1
Working at Alignment Health provides an opportunity to do work that really matters, not only ... Reporting to Chief of Contracting and Market Management, The AVP of Contracting & Network ...
AVP, Contracting & Network Management
Orange, CA · On-site +1
Working at Alignment Health provides an opportunity to do work that really matters, not only ... Reporting to Chief of Contracting and Market Management, The AVP of Contracting & Network ...
Working at Alignment Health provides an opportunity to do work that really matters, not only ... Reporting to Chief of Contracting and Market Management, The AVP of Contracting & Network ...
Working at Alignment Health provides an opportunity to do work that really matters, not only ... Reporting to Chief of Contracting and Market Management, The AVP of Contracting & Network ...
Administrator, Provider Network
Montebello, CA · On-site
$68K - $85K/yr
This role supports managed care growth initiatives and organizational goals. Key responsibilities ... The Provider Network Administrator will also assist in tracking progress, enhancing brand ...
Administrator, Provider Network
Montebello, CA · On-site
$68K - $85K/yr
This role supports managed care growth initiatives and organizational goals. Key responsibilities ... The Provider Network Administrator will also assist in tracking progress, enhancing brand ...
Administrator, Provider Network
Montebello, CA · On-site
$68K - $85K/yr
This role supports managed care growth initiatives and organizational goals. Key responsibilities ... The Provider Network Administrator will also assist in tracking progress, enhancing brand ...
Administrator, Provider Network
Montebello, CA · On-site
$68K - $85K/yr
This role supports managed care growth initiatives and organizational goals. Key responsibilities ... The Provider Network Administrator will also assist in tracking progress, enhancing brand ...
Specialist, Provider Network Administration
$18.94 - $36.93/hr
Job Summary Must reside currently in Los Angeles County, CA Provides support for provider network ... Ability to manage multiple priorities and meet deadlines. Effective verbal and written ...
Specialist, Provider Network Administration
$18.94 - $36.93/hr
Job Summary Must reside currently in Los Angeles County, CA Provides support for provider network ... Ability to manage multiple priorities and meet deadlines. Effective verbal and written ...
PROVIDER NETWORK LIAISON
Burlingame, CA · On-site
$95K - $109K/yr
The Provider Network (PN) Liaison, in conjunction with the whole MSO Provider Network team, is ... A self-starter with excellent time management, critical thinking, and great interpersonal skills.
PROVIDER NETWORK LIAISON
Burlingame, CA · On-site
$95K - $109K/yr
The Provider Network (PN) Liaison, in conjunction with the whole MSO Provider Network team, is ... A self-starter with excellent time management, critical thinking, and great interpersonal skills.
PROVIDER NETWORK COORDINATOR
Burlingame, CA · On-site
$39.69 - $45.10/hr
The PNC is responsible managing and maintaining accurate data related to the provider and groups within the MSO provider network. This includes being the main point of contact for all provider ...
PROVIDER NETWORK COORDINATOR
Burlingame, CA · On-site
$39.69 - $45.10/hr
The PNC is responsible managing and maintaining accurate data related to the provider and groups within the MSO provider network. This includes being the main point of contact for all provider ...
Director, Provider Network Operations
Long Beach, CA · On-site
$170K - $255K/yr
Proactively assess and address risks impacting network resiliency, provider accessibility, and ... Requires 6 years of management experience * Lean Six Sigma process improvement certification (Black ...
Director, Provider Network Operations
Long Beach, CA · On-site
$170K - $255K/yr
Proactively assess and address risks impacting network resiliency, provider accessibility, and ... Requires 6 years of management experience * Lean Six Sigma process improvement certification (Black ...
Provider Relations Representative (Remote in AZ - Pima or Pinal)
Pasadena, CA · On-site
$30 - $32/hr
Provide Network Management REPORTS TO: Sr. Provider Network Administrator JOB SUMMARY: Maintains a successful working relationship between Imperial Health Plans, network providers, and partner health ...
Quick apply
Provider Relations Representative (Remote in AZ - Pima or Pinal)
Pasadena, CA · On-site
$30 - $32/hr
Provide Network Management REPORTS TO: Sr. Provider Network Administrator JOB SUMMARY: Maintains a successful working relationship between Imperial Health Plans, network providers, and partner health ...
Provider Relations Representative (Remote in AZ - Pima or Pinal)
Pasadena, CA · On-site
$30 - $32/hr
Provide Network Management REPORTS TO: Sr. Provider Network Administrator JOB SUMMARY: Maintains a successful working relationship between Imperial Health Plans, network providers, and partner health ...
Quick apply
Provider Relations Representative (Remote in AZ - Pima or Pinal)
Pasadena, CA · On-site
$30 - $32/hr
Provide Network Management REPORTS TO: Sr. Provider Network Administrator JOB SUMMARY: Maintains a successful working relationship between Imperial Health Plans, network providers, and partner health ...
Provider Network Specialist (San Fernando Valley)
El Monte, CA · On-site
$70K - $80K/yr
The Provider Network Specialist supports the operational execution and day-to-day management of the provider network across the Los Angeles market. This role is responsible for coordinating provider ...
Provider Network Specialist (San Fernando Valley)
El Monte, CA · On-site
$70K - $80K/yr
The Provider Network Specialist supports the operational execution and day-to-day management of the provider network across the Los Angeles market. This role is responsible for coordinating provider ...
Provider Network Specialist (San Fernando Valley)
El Monte, CA · Hybrid
$70K - $80K/yr
The Provider Network Specialist supports the operational execution and day-to-day management of the provider network across the Los Angeles market. This role is responsible for coordinating provider ...
Provider Network Specialist (San Fernando Valley)
El Monte, CA · Hybrid
$70K - $80K/yr
The Provider Network Specialist supports the operational execution and day-to-day management of the provider network across the Los Angeles market. This role is responsible for coordinating provider ...
Provider Network Management information
See California salary details
$21.7K - $34.3K
0% of jobs
$34.3K - $46.9K
0% of jobs
$46.9K - $59.5K
5% of jobs
$59.5K - $72.1K
11% of jobs
$82.2K is the 25th percentile. Wages below this are outliers.
$72.1K - $84.7K
12% of jobs
$84.7K - $97.3K
15% of jobs
The median wage is $104.6K / yr.
$97.3K - $109.9K
14% of jobs
$109.9K - $122.6K
17% of jobs
$124.7K is the 75th percentile. Wages above this are outliers.
$122.6K - $135.2K
14% of jobs
$135.2K - $147.8K
6% of jobs
$147.8K - $160.4K
7% of jobs
$21.7K
$105.2K
$160.4K
How much do provider network management jobs pay per year?
What is provider network management?
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 does a provider network management do?
What are the key skills and qualifications needed to thrive in provider network management?
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 provider network management?
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.

Full-time
Re-posted 10 days ago
Job description
To develop, implement, improve, and manage assigned programs. In addition to the Program Manager I duties, the Program Manager II has a higher level of experience, more autonomy, exercises independent judgement, and conducts business analysis and program analytics. Programs are ongoing, which may include aligned projects and requires strategic planning and continuous improvement efforts after program startup. Participates in the design, implementation, and/or expansion of strategic programs and departmental initiatives. Develops and delivers program goals, measures, and reports.
Responsibilities- Manages the day to day duties of assigned program(s); including data entry, tracking, and reporting.
- Reviews program data accuracy, completeness, and required submissions.
- Guides program staff in successful implementation of program activities.
- Works with Supervisor to manage program budget(s).
- Monitors system level reports developed for programs. Summarizes observations and conclusions to make recommendations to leadership.
- Identifies and resolves program issues and concerns in a timely manner with minimal support and recommends solutions to leadership for final decision as necessary.
- Attends program meetings and follows-up with stakeholders on outstanding deliverables and action items.
- Plans, coordinates and facilitates events, conferences, and webinars, as needed.
- Develops and publishes agendas, meeting minutes, and necessary documentation.
- Facilitates and leads both internal and external meetings.
- Develops and publishes communication/updates to program stakeholders.
- Oversees the development of stakeholder reports on defined schedule.
- Communicates program outcomes and potential risks to all levels of leadership.
- Leads program evaluation and continuous improvement.
- Oversees the successful implementation of new and assigned programs and their associated processes.
- Develops and implements strategies to engage stakeholders.
- May supervise and provide guidance to staff as assigned.
- Provides daily support and coaching to program coordinators and partners.
- Utilizes established software, tools, and resources needed for program execution and oversight.
- Utilizes online collaboration applications.
- Leads user demos, trainings and setup as needed
- Maintains documentation per department specifications.
- Other duties as assigned.
Education and Experience
Bachelor's degree in Business Administration, Business Management, Computer Science or relevant field and at least two years of relevant program management experience required. In lieu of degree, a minimum of four (4) years of relevant experience to include a minimum of two (2) years program management experience will be considered.
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Special Skills, Licenses and Certifications
Strong communication skills, both verbal and written, to interpret and articulate program requirements to involved stakeholders. Exceptional interpersonal and customer service skills. Ability to establish and maintain effective working relationships across all levels within the organization. Detail-oriented. Strong organization skills with ability to prioritize assignments and manage time effectively. Strong decision making, problem solving, critical thinking skills. Able to work under pressure and meet critical deadlines in a fast-moving environment. Adaptable to a continuous changing environment. Working knowledge of project management methodologies required. Proficient experience in use of various computer system software including Windows, Microsoft Word, Excel, Outlook, Visio, and PowerPoint. Valid California driver's license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business.
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Performance Based Competencies
Knowledge of business practices and protocols with ability to access data and information using automated systems. Ability to participate in team based projects. Strong organizational skills with ability to prioritize assignments and maintain effective filing systems and meet deadlines. Strong attention to detail; critical thinking/listening and communication skills.
Work Environment And Physical Demands
More than 50% of work time is spent using a computer. Ability to lift, carry, or move objects of varying size, weighting up to 25 lbs. Must be able to work in a fast-paced environment and maintain courtesy and composure when dealing with internal and external customers. Ability to function effectively with frequent interruptions and direction from multiple team members.
All HealthPlan employees are expected to:
- Provide the highest possible level of service to clients;
- Promote teamwork and cooperative effort among employees;
- Maintain safe practices; and
- Abide by the HealthPlan's policies and procedures, as they may from time to time be updated.
HIRING RANGE
$96,970.04Â - $121,212.56
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
Employment Type: FULL_TIMEAbout Partnership HealthPlan of California
Sourced by ZipRecruiter
Industry
Insurance services
Company size
501 - 1,000 Employees
Headquarters location
Fairfield, CA, US
Year founded
1994