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Provider Network Management Jobs in California (NOW HIRING)

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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 Aug 7, 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 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?

A provider network management professional oversees the relationships between healthcare providers and insurance companies, ensuring that providers meet contractual and quality standards. They coordinate provider enrollment, monitor network performance, and resolve issues to maintain a reliable network for members.

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.

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 August 2026, with employment types broken down into 100% Full Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $105,174 per year, or $50.6 per hour.

Provider Network Specialist (San Fernando Valley)

Astrana Health, Inc.

Northridge, CA • Hybrid

$70K - $80K/yr

Full-time

Re-posted 21 days ago

Job description

Description
About the Role: 
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 lifecycle activities, supporting network performance initiatives, and serving as a key operational liaison between providers and internal departments. The Provider Network Specialist plays a critical role in ensuring provider data accuracy, network access, compliance, and provider satisfaction while supporting membership growth and quality outcomes. 

What You'll Do
Provider Lifecycle & Network Operations 
  • Support provider onboarding, terminations, and updates in coordination with Contracting, Credentialing, and Network Operations 
  • Maintain accurate provider demographic, specialty, and participation data across internal systems and health plan files 
  • Assist with network configuration, provider assignments, and panel management activities 
  • Monitor onboarding timelines and follow up on outstanding requirements 
Provider Support & Issue Resolution 
  • Serve as a point of contact for provider operational questions related to network participation, assignments, and system setup 
  • Research and resolve provider issues related to data accuracy, claims routing, eligibility, and access 
  • Escalate complex or systemic issues to the Sr. Manager, Provider Network as appropriate 
Network Performance & Access Support 
  • Assist in monitoring network adequacy, access standards, and provider coverage requirements 
  • Support initiatives to improve member access, reduce provider friction, and enhance network stability 
  • Support implementation of network changes driven by growth initiatives, acquisitions, or health plan requirements 
Provider Performance & Quality Support 
  • Support provider performance related to quality measures, utilization, and value-based care initiatives 
  • Collaborate with Quality, Medical Management, and Analytics teams to reinforce quality programs, incentive alignment, and performance improvement efforts 
  • Assist in driving improvement in key metrics such as HEDIS, STARS, utilization management, and member experience 
Compliance & Regulatory Support 
  • Ensure provider data and network activities comply with applicable federal, state, and health plan requirements (CMS, DMHC, DHS) 
  • Support provider directory accuracy efforts and regulatory audits 
  • Assist with documentation, reporting, and corrective action support related to delegated functions Cross-Functional Collaboration 
  • Work closely with Provider Relations, Contracting, Credentialing, Claims, Quality, Medical Management, and Customer Service teams 
  • Ensure timely and accurate communication across departments to support provider and member experience 
  • Support standardized workflows, policies, and best operational practices 
Reporting & Administrative Support 
  • Assist with preparation of network reports, dashboards, and performance metrics 
  • Track and follow up on provider-related action items and operational deliverables 
  • Maintain documentation and records to support operational and audit readiness
  • Other duties as assigned

Qualifications
  • Bachelor’s degree in Healthcare Administration, Business, or related field (or equivalent experience)
  • At least 3 years of experience in provider network operations, managed care, credentialing, or healthcare administration 
  • Experience working with provider data, healthcare systems, and operational workflows 
  • Strong attention to detail and organizational skills 
You're great for the role if:
  • Experience in California managed care or IPA environments 
  • Familiarity with CMS and DMHC requirements related to provider networks and directories 
  • Experience supporting network expansion or provider onboarding initiatives 

Environmental Job Requirements and Working Conditions
  • Our organization follows a regional/hybrid work structure where the expectation is to work both in office and visiting provider offices on a weekly basis. The office is located at 9700 Flair Drive, El Monte, CA 91731.
  • The provider territory for this position is the San Fernando Valley.
  • The total compensation target pay range for this role is: $70,304  - $80,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action Employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.