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Provider Network Management Jobs in Florida (NOW HIRING)

TEKsystems

Network Manager

Tallahassee, FL · Hybrid

$125K - $130K/yr

... upper management. • Encourages team growth Associated Duties Provides additional support to ... Skills Network engineering, Cisco routers, help desk management, windows environment, microsoft ...

Infojini Inc

Network Analyst

Clearwater, FL · On-site

... manage, and troubleshoot Cisco routers, switches enterprise VPN solutions, and Juniper SRX Firewalls Network cabling Cisco CCNA Certification Highly Desirable Qualifications: Ability to provides ...

Infojini Inc

Network Analyst

Clearwater, FL · On-site

... manage, and troubleshoot Cisco routers, switches enterprise VPN solutions, and Juniper SRX Firewalls Network cabling Cisco CCNA Certification Highly Desirable Qualifications: Ability to provides ...

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All JobsProvider Network Management JobsProvider Network Management Jobs in Florida

Provider Network Management information

See Florida salary details

$16.4K

$79.6K

$121.4K

How much do provider network management jobs pay per year?

As of Aug 9, 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 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 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 August 2026, with employment types broken down into 100% Full Time. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $79,639 per year, or $38.3 per hour.

Provider Network Account Executive I

AmeriHealth Caritas Health Plan

Orlando, FL • On-site

Full-time

Medical, Retirement, PTO

Posted 3 days ago

New

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

127th of 304 rated insurance

Job description

Job Summary:
The primary responsibility of Account Executive is to develop strong relationships with providers to drive for performance, specifically as it relates to core providers as determined by the program who are in fee for service programs and may include PCPs, OB/GYNs, high volume specialists, and FQHCs.
Essential Functions
  • Supports network development and network management strategies
  • Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication
  • Assist in SCA Strategy
  • Responsible for building, nurturing, and maintaining positive working relationships between Plan and its contracted providers
  • Resolve Provider disputes in a timely and compliant manner
  • Servicing assigned provider accounts which may include single or multiple practices in single or multiple locations, integrated delivery systems or other provider organizations
  • Uses data to develop and implement methods to improve relationship
  • Perform site visits as needed
  • Maintains a functional working knowledge of Facets, including the provider database and routinely relays information about additions, deletions or corrections
  • Identifies and maintains strong partnerships with appropriate internal resources and stakeholders
  • General Operational Knowledge related to provider satisfaction, education and communication with a fundamental understanding of operational items such as claims, payment integrity, provider data, credentialing, appeals disputes etc.
  • Maintains in depth understanding of Plan's contracts and provider performance and needs, identifying, and conducting relevant and tailored provider orientation sessions, making educational visits and working to resolve provider issues
  • Assist with recruiting providers based on identified network adequacy gaps (high complexity)
  • Support contracting for multiple product lines, including LTSS, Exchange, DSNP could be asked to complete straightforward FFS contracts
  • Support of VBC relationships and negotiations where needed

Work Arrangement: Remote; Field-Based
  • Remote, field-based position requiring regular travel throughout assigned regions in Florida, including Lake, Orange, Osceola, Seminole, Polk, Pasco, Pinellas, and Hillsborough counties.
  • Conduct provider outreach, relationship management, education, training, onboarding, and on-site provider visits within the designated service areas.
  • Valid driver's license, current automobile insurance, and reliable personal transportation are required.

Education & Experience:
  • High school diploma or GED required; bachelor's degree preferred. Equivalent combination of education and relevant experience will be considered.
  • Minimum of 1-3 years of Provider Services experience working directly with healthcare providers.
  • Demonstrated experience delivering provider education, training, onboarding, and presentations to large groups.
  • Minimum of 3-5 years of experience in the managed care, health insurance, or healthcare industry.
  • Knowledge of and experience supporting Medicare, Medicaid, and/or Affordable Care Act (ACA) Exchange programs preferred.

Preferred Skills:
  • Experience building and maintaining effective provider relationships.
  • Strong presentation, facilitation, and public speaking skills.
  • Ability to educate providers on policies, procedures, regulatory requirements, and operational processes.
  • Excellent communication, organizational, and customer service skills.
  • Proficiency with Microsoft Office applications and provider-facing systems preferred.

Our Comprehensive Benefits Package
We offer flexible work solutions, including remote options and hybrid schedules, competitive pay, paid time off (including holidays and volunteer events), health insurance coverage for you and your dependents starting Day 1, 401(k), tuition reimbursement, and more.
At AmeriHealth Caritas, we're passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact millions of lives through our national footprint of products, services, and award-winning programs. If you want to make a difference, we'd love to hear from you.
Headquartered in Newtown Square, PA, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. Our offerings include integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us atwww.amerihealthcaritas.com

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