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Provider Network Management Jobs in Michigan (NOW HIRING)

OnPoint

Provider Network Manager

Allegan, MI · Hybrid

$70K - $97K/yr

... and management of OnPoint's contracted provider network, oversight of the organizational ... implementation of self-determined arrangements including the management of contractual ...

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Provider Network Management information

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 Michigan? The most popular types of Provider Network Management jobs in Michigan are:
What are popular job titles related to Provider Network Management jobs in Michigan? For Provider Network Management jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Provider Network Management jobs in Michigan look for? The top searched job categories for Provider Network Management jobs in Michigan are:
Provider Network Management jobs near you
Infographic showing various Provider Network Management job openings in Michigan as of July 2026, with employment types broken down into 87% Full Time, and 13% Contract. Highlights an 100% In-person job distribution.
Provider Network Manager

Provider Network Manager

OnPoint

Allegan, MI • Hybrid

$70K - $97K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

Job description

The role of OnPoint’s Provider Network Manager is to provide oversight and management of OnPoint’s contracted provider network, oversight of the organizational implementation of self-determined arrangements including the management of contractual relationships with financial management service providers, and the oversight of county of financial responsibility arrangements. The Provider Network Manager will coordinate the development of provider contracts with the Lakeshore Regional Entity. The Provider Network Manager will assist OnPoint executive leadership with the management of OnPoint’s network adequacy via development and maintenance of relationships with providers.

Pay Range:  

Salary: $70,428.80 - $97,198.40 annually

Benefits:

401(a) retirement: employer matching
  • 457 retirement
  • Paid holidays
Benefits effective date of hire:
  • Medical insurance
  • Dental insurance
  • Vision Coverage
  • Employer funding of Health Savings Account (up to elected deductible amount)
Employer Paid benefits:
  • Disability insurance
  • Life insurance (up to $50,000)
  • Paid Time Off

Flexible Work Conditions:     

  • Work at home, and in the office.   

Qualifications:   

  • Master’s degree required with Public Administration or Human Services field.

  • Independent worker with experience in dealing with people, businesses, and human services agencies.

  • 5 years experience with person-centered planning, self-determination, budget management, and a working knowledge of general business standards and practices.

  • Demonstrated ability to understand and apply Medicaid requirements and assist in providing training to service providers.

   Essential Functions:

*Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

  • Leads the development and/or revision of OnPoint’s contract management system in conjunction with other key organizational stakeholders with contract management responsibilities.

  • Oversees the development of assigned contracts in accordance with the organizational contract management system. The Provider Network Manager is responsible for the supervision of OnPoint’s Contract Specialist who assures that the OnPoint contracted providers are in compliance with their contract and the requirements set forth by regional, state, and federal guidelines.

  • Responsible for the development and maintenance of the OnPoint Provider Manual.

  • Responsible for the oversight of quality service provision within OnPoint’s contracted provider network including supervision of OnPoint’s Provider Network Quality Specialist.

  • Conducts research, analyzes data, and disseminates results on assigned administrative and programmatic topics.

  • Participates on committees and teams as requested or assigned within OnPoint and within the region.

  • Works with key internal and internal stakeholders including individuals served to expand the provider network and offer more choice and greater control to individuals served by OnPoint.

  • Oversees organizational implementation of self-determination including supervision of OnPoint’s Self Determination Coordinator. Responsible for assuring that OnPoint’s self-determined arrangements are compliant with requirements from the PIHP and MDHHS.

  • Oversees organizational County of Financial Responsibility (“COFR”) agreements and works closely with the OnPoint finance team and other Community Mental Health Service providers to assure timely and fiscally responsible execution of COFR agreements.

  • Oversees organizational credentialing of external providers to assure compliance with regional, state, and federal requirements.

  • Other duties as assigned

Equipment/Technology:    

  • Basic iPhone Knowledge  
  • Office 365 Skills  
  • Electronic Medical Record system

EEO Statement:

OnPoint is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetic information, protected veteran status, sexual orientation, gender identity or expression, pregnancy, height, weight, or marital status, or any other characteristic protected by federal, state or local laws. 

Additional Information:

  • Must be eligible to work in the U.S. without sponsorship
  • Valid driver’s license may be required for local travel

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