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Provider Network Management Jobs in Oregon (NOW HIRING)

BetterHelp

OR

As the Manager, Lifecycle Marketing for the Provider Network at BetterHelp, you'll join a diverse ... The ideal candidate has deep CRM and lifecycle expertise, strong analytical skills, and experience ...

AllOne Health, Inc.

Provider Recruiter - Remote

Knowledge of healthcare regulations and provider network requirements. * Previous full cycle recruiting experience. * Proficiency in contract negotiation and compliance. * Ability to manage multiple ...

Collabera

Network Engineer

Prineville, OR · On-site

... Vendor Management Programs. Collabera recognizes true potential of human capital and provides ... Troubleshoot network hardware and software, working with 3rd party hardware vendors and suppliers ...

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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 popular job titles related to Provider Network Management jobs in Oregon? For Provider Network Management jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Provider Network Management jobs in Oregon look for? The top searched job categories for Provider Network Management jobs in Oregon are:
Provider Network Management jobs near you
Infographic showing various Provider Network Management job openings in Oregon as of July 2026, with employment types broken down into 100% Full Time. Highlights an 80% In-person, and 20% Remote job distribution.

Provider Network Specialist

Cascade Comprehensive Care Inc

Klamath Falls, OR • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago

Job description

SUMMARY

The Provider Network Specialist provides operational support for provider network management and credentialing functions. This position serves as a resource for provider onboarding, credentialing coordination, provider data maintenance, provider communications, reporting support, and provider network administration activities. The Provider Network Specialist works collaboratively with internal departments, providers, medical groups and administrative staff to ensure accurate provider information, timely credentialing and recredentialing activities, compliance with organizational requirements, and a positive provider experience by performing the following duties.

  • Supports provider onboarding, credentialing, and recredentialing activities to ensure providers meet participation requirements and maintain compliance.
  • Maintains accurate provider demographic and directory information to support regulatory compliance and member access to care.
  • Assists with provider relations activities, including provider outreach, education, communications, issue resolution, and onboarding support.
  • Supports provider network monitoring activities, including access and availability reviews, ADA accommodation tracking, secret shopper reviews, and provider data validation.
  • Coordinates administrative activities for provider network management and credentialing, including report preparation, Provider Network Management Committee support, document management, and project tracking.
  • Serves as administrative support contact for provider and clinic inquiries related to network participation, directory information and provider relations.
  • Assists with provider onboarding activities, including collection and tracking of required documentation.
  • Conducts routine provider outreach to verify provider information, office hours, capacity, ADA accommodations, and other network data.
  • Assists with provider recruitment activities by coordinating outreach efforts, tracking opportunities, and maintaining recruitment records.
  • Supports provider education initiatives through preparation and distribution of provider communications, training materials and updates.
  • Maintains provider contract warehouse and other related documentation.
  • Assists with preparation of provider network adequacy, access, and availability metrics to assist with monitoring procedures.
  • Provides administrative support for the credentialing and recredentialing process.
  • Conducts outreach to providers, clinics, and office staff regarding missing or incomplete credentialing documentation when necessary.
  • Performs data entry and updates provider information within credentialing and provider management systems.
  • Responds to routine credentialing inquiries.
  • Maintains confidentiality and complies with HIPAA rules and regulations.
  • Maintains punctual, regular, and predictable attendance.
  • Works collaboratively in a team environment with a spirit of cooperation.
  • Displays excellent communication skills including presentation, persuasion, and negotiation skills required in working with members and coworkers, including the ability to communicate effectively and remain calm and courteous under pressure.
  • Respectfully takes direction from manager.

EDUCATION and/or EXPERIENCE

Associate's degree or equivalent from two-year college or university; and two to three years related experience and/or training; or equivalent combination of education and experience.

COMPUTER SKILLS

Job requires specialized computer skills. Must be adept at using various applications including database, spreadsheet, report writing, project management, graphics, word processing, presentation creation/editing, communicate by e-mail and use scheduling software.

We provide a competitive salary and excellent benefits, including vacation, medical, dental and vision insurance, and 401(k) pension plan. To apply for this position, please submit a cover letter and resume. We are an Equal Opportunity Employer.



Background Check & Drug Screen Required