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Provider Network Management Jobs in Florida (NOW HIRING)

Phsorg

$53K - $82K/yr

Provider Network Management Relations Executive Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Provider Network Management Relations Executive to join our team. Type ...

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Provider Network Management information

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$16.4K

$79.6K

$121.4K

How much do provider network management jobs pay per year?

As of Jul 19, 2026, the average yearly pay for provider network management in Florida is $79,639.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,200.00 and $95,700.00 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 Florida? The most popular types of Provider Network Management jobs in Florida are:
What are popular job titles related to Provider Network Management jobs in Florida? For Provider Network Management jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Provider Network Management jobs in Florida look for? The top searched job categories for Provider Network Management jobs in Florida are:
What cities in Florida are hiring for Provider Network Management jobs? Cities in Florida with the most Provider Network Management job openings:
Provider Network Management jobs near you
Infographic showing various Provider Network Management job openings in Florida as of July 2026, with employment types broken down into 96% Full Time, 2% Part Time, and 2% Contract. Highlights an 91% In-person, 2% Hybrid, and 7% Remote job distribution, with an average salary of $79,639 per year, or $38.3 per hour.

Provider Network Management Relations Executive

Phsorg

$53K - $82K/yr

Full-time

Medical, Dental, Vision, Life

Re-posted 8 days ago

Job description

Location Address:

9521 San Mateo NE Albuquerque, NM 87113-2237

Compensation Pay Range:

Minimum Offer $53,768.00 Maximum Offer $82,076.80 Now Hiring: Provider Network Management Relations Executive

Summary:

Build your Career. Make a Difference. Presbyterian is hiring a skilled Provider Network Management Relations Executive to join our team. Type of Opportunity: Full time Job Exempt: Yes Job is based: Reverend Hugh Cooper Administrative Center Work Shift: Weekday Schedule Monday-Friday (United States of America)

Responsibilities:

Job Description

Presbyterian Healthcare is seeking a Provider Network Management Relations Executive.

Provides oversight of network strategies and relationship development activities for assigned providers including individualized planning, training and development of providers to align with Presbyterian s clinical quality initiatives. Will provide the framework for physician/provider performance reporting that will assist providers with objective and quantitative analysis of clinical quality performance measures. The Network Relations Service Executive is a professional accountable for proactively identifying issues, resolving disputes, and coordinating resolutions. Accountable for resolving complex problems, fielding general questions, and acting as a liaison between the provider of service and the health plan.

Some key responsibilities include:

  • Collaborates and maintains relationships with providers and staff throughout Presbyterian to ensure an exceptional provider experience.

  • Develops and maintains cooperative working relationships between PHP, institutional provider and individual providers.

  • Provides education on quality initiatives, managed care, capitation, products, policies and procedures, reimbursement issues, referral/authorization process, etc.

  • Responsible for ensuring provider data integrity and accuracy by ensuring PIF s are completed timely and accurately and through a comprehensive review and validation of provider directory data.

  • Responsible for post payment validation of assigned providers to ensure accuracy of payment to the contract and corresponding fee schedules.

  • Resolves provider issues - claims, health services, finance, etc.

  • Stimulates and fosters professional development of the Network Relations Service Associates.

  • Supports Network Contracting strategies in an effort to preserve a robust provider network.

  • Serves as primary liaison between the provider and the health plan.

  • Maintains a general knowledge of health plan reimbursement methodologies.

  • Conducts provider visits based on established departmental goals, which will require 50-65% field contact.

  • Engages and supports leadership and peers by promoting and participating in department initiatives and being accountable for achieving business objectives

Qualifications:

  • Three years experience in provider relations, provider contracting, claims processing, or customer service in a healthcare organization. Strong working knowledge of risk sharing programs and different reimbursement methodologies i.e. capitation, DRG, Relative Value Systems, etc. Must demonstrate strong verbal, written communication, and presentation skills with strong interpersonal and negotiations skills and ability to interface with providers. Must also possess strong facilitation, organizational, and personal computing skills

  • Education:
    Essential:
    High School Diploma or GED

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.


Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.


Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.


About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

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