Everything in bold was added by the hiring manager** Position Purpose: Perform duties to act as a ... network and assist with claim resolution. Serve as primary contact for providers and act as a ...
Everything in bold was added by the hiring manager** Position Purpose: Perform duties to act as a ... network and assist with claim resolution. Serve as primary contact for providers and act as a ...
Ongoing monthly review of CAQH Summary reports to identify any listings related to FrontPath providers. · Maintains an accurate and up-to-date provider database for use in network management, claims ...
Quick apply
Ongoing monthly review of CAQH Summary reports to identify any listings related to FrontPath providers. · Maintains an accurate and up-to-date provider database for use in network management, claims ...
Ongoing monthly review of CAQH Summary reports to identify any listings related to FrontPath providers. · Maintains an accurate and up-to-date provider database for use in network management, claims ...
Quick apply
Ongoing monthly review of CAQH Summary reports to identify any listings related to FrontPath providers. · Maintains an accurate and up-to-date provider database for use in network management, claims ...
Ongoing monthly review of CAQH Summary reports to identify any listings related to FrontPath providers. · Maintains an accurate and up-to-date provider database for use in network management, claims ...
Quick apply
Ongoing monthly review of CAQH Summary reports to identify any listings related to FrontPath providers. · Maintains an accurate and up-to-date provider database for use in network management, claims ...
Network Engineer
Beavercreek, OH · On-site
$92K - $166K/yr
Perform vulnerability remediation, patch management support, and security compliance activitiesin accordance withgovernment policies and standards. * Analyze network performance data and provide ...
Network Engineer
Beavercreek, OH · On-site
$92K - $166K/yr
Perform vulnerability remediation, patch management support, and security compliance activitiesin accordance withgovernment policies and standards. * Analyze network performance data and provide ...
Network Engineer
Beavercreek, OH · On-site
$92K - $166K/yr
Perform vulnerability remediation, patch management support, and security compliance activities in accordance with government policies and standards. * Analyze network performance data and provide ...
Network Engineer
Beavercreek, OH · On-site
$92K - $166K/yr
Perform vulnerability remediation, patch management support, and security compliance activities in accordance with government policies and standards. * Analyze network performance data and provide ...
Network Engineer II
Cincinnati, OH · On-site
Deploys and maintains the management, installation, and support of the company's local area ... We provide training, highly competitive salary, full benefits package, and an excellent opportunity ...
Network Engineer II
Cincinnati, OH · On-site
Deploys and maintains the management, installation, and support of the company's local area ... We provide training, highly competitive salary, full benefits package, and an excellent opportunity ...
Deploys and maintains the management, installation, and support of the company's local area ... We provide training, highly competitive salary, full benefits package, and an excellent opportunity ...
Deploys and maintains the management, installation, and support of the company's local area ... We provide training, highly competitive salary, full benefits package, and an excellent opportunity ...
Network Engineer II
Cincinnati, OH · On-site
Deploys and maintains the management, installation, and support of the company's local area ... We provide training, highly competitive salary, full benefits package, and an excellent opportunity ...
Network Engineer II
Cincinnati, OH · On-site
Deploys and maintains the management, installation, and support of the company's local area ... We provide training, highly competitive salary, full benefits package, and an excellent opportunity ...
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
Network Engineer
New Albany, OH · On-site
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
Network Engineer
New Albany, OH · On-site
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
Network Technician
$22 - $28.25/hr
Artech provides technical expertise to fill gaps in clients' immediate skill-sets availability ... Maintains and utilizes network management applications to identify network faults, to ensure the ...
Network Technician
$22 - $28.25/hr
Artech provides technical expertise to fill gaps in clients' immediate skill-sets availability ... Maintains and utilizes network management applications to identify network faults, to ensure the ...
Network Engineer - NAO
$90K - $110K/yr
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
Quick apply
Network Engineer - NAO
$90K - $110K/yr
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
Network Engineer - NAO
New Albany, OH · On-site
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
Network Engineer - NAO
New Albany, OH · On-site
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
Senior Network Engineer
$97K - $133K/yr
Network Security Management - The process of providing complete visibility into the network and generating data for assets (asset groupings and classifications), firewalls, applications, ports ...
Senior Network Engineer
$97K - $133K/yr
Network Security Management - The process of providing complete visibility into the network and generating data for assets (asset groupings and classifications), firewalls, applications, ports ...
Network Technician
$22.50 - $29/hr
Artech provides technical expertise to fill gaps in clients' immediate skill-sets availability ... Maintains and utilizes network management applications to identify network faults, to ensure the ...
Network Technician
$22.50 - $29/hr
Artech provides technical expertise to fill gaps in clients' immediate skill-sets availability ... Maintains and utilizes network management applications to identify network faults, to ensure the ...
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Dayton, OH · On-site
$63 - $84.25/hr
You would interact with commercial vendors to include hardware, software and cloud providers in the ... Ansible, Wireshark, Network Management Systems, Network configuration management, sflow/NetFlow ...
Network Architect
Dayton, OH · On-site
$63 - $84.25/hr
You would interact with commercial vendors to include hardware, software and cloud providers in the ... Ansible, Wireshark, Network Management Systems, Network configuration management, sflow/NetFlow ...
Network Engineer III
Dayton, OH · On-site
The Network Engineer III is responsible for evaluating, supporting, implementing and monitoring ... Manage relationships and SLAs with co-location providers and circuit/carrier vendors, including ...
Network Engineer III
Dayton, OH · On-site
The Network Engineer III is responsible for evaluating, supporting, implementing and monitoring ... Manage relationships and SLAs with co-location providers and circuit/carrier vendors, including ...
Senior Analyst US Healthcare Payer Domain
Mason, OH · On-site
$100K - $140K/yr
... o Provider & network management o Care management workflows o Claims adjudication and payment systems • Experience collaborating with data, integration, and downstream systems Salary Range: $100 ...
Senior Analyst US Healthcare Payer Domain
Mason, OH · On-site
$100K - $140K/yr
... o Provider & network management o Care management workflows o Claims adjudication and payment systems • Experience collaborating with data, integration, and downstream systems Salary Range: $100 ...
Lead Ohio Department of Medicaid (ODM) contractual requirements, such Network Development Management Plan (NDMP), Network adequacy, Provider Engagement and Education. Oversight of Provider ...
Lead Ohio Department of Medicaid (ODM) contractual requirements, such Network Development Management Plan (NDMP), Network adequacy, Provider Engagement and Education. Oversight of Provider ...
Provider Network Management information
See Ohio salary details
$20.9K - $33.1K
0% of jobs
$33.1K - $45.2K
0% of jobs
$45.2K - $57.3K
5% of jobs
$57.3K - $69.5K
11% of jobs
$79.1K is the 25th percentile. Wages below this are outliers.
$69.5K - $81.6K
12% of jobs
$81.6K - $93.8K
15% of jobs
The median wage is $100.8K / yr.
$93.8K - $105.9K
14% of jobs
$105.9K - $118.1K
17% of jobs
$120.2K is the 75th percentile. Wages above this are outliers.
$118.1K - $130.2K
14% of jobs
$130.2K - $142.3K
6% of jobs
$142.3K - $154.5K
7% of jobs
$20.9K
$101.3K
$154.5K
How much do provider network management jobs pay per year?
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.

Full-time
Medical, Retirement
Posted 15 days ago
Job description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
This person will be a primary contact for providers. They will schedule, organize and facilitate collaborative JOC meetings as needed. They will perform provider orientations for individual providers and large provider groups. They will also provide ongoing education for these providers. They will travel to provider's offices, so they must have a driver's license.
**Everything in bold was added by the hiring manager**
Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate. Perform training, orientation and coaching for performance improvement within the network and assist with claim resolution.
Serve as primary contact for providers and act as a liaison between the home and community based services providers and the health plan
Conduct monthly face-to-face meetings with the provider account representatives documenting discussions, issues, attendees, action items, and research claims issues on-site, where possible, and route to the appropriate party for resolute
Schedule, organize and facilitate collaborative JOC meetings as needed.
Receive and effectively respond to external provider related issues
Provide education on health plan's innovative contracting strategies
Initiate data entry of provider-related demographic information changes and oversee testing and completion of change requests for the network
Investigate, resolve and communicate provider claim issues and changes
Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation, MMP updates and related topics
Perform provider orientations for individuals, large diverse provider groups and ongoing provider education for same, including writing and updating orientation materials which you will present.
Ability to travel
Requirements:
- bachelor's degree or equivalent experience
- Ohio driver's license
- 1+ years of provider relations or contracting experience
- familiarity with JOC meetings (Joint operating committee meetings) - ability to schedule and organize (these are meetings between providers and the health plan to educate providers and inform them of changes, etc)
- experience acting as a liaison between health plans and providers (can come from the provider side)
Hours for this Position:
M-F 8-5
Advantages of this Opportunity:
- Competitive salary
- Fun and positive work environment
- Room for growth
- Medical benefits 1st of the month after hire
- 401k Matching
Interested in being considered?
If you are interested in being considered for the position, please contact Ashley Greene at 407-478-0332 ext 169.
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003