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Provider Network Management Jobs in Oregon (NOW HIRING)

State of Oregon

Enterprise Network Manager

Salem, OR · On-site

$97.28 - $150.40/hr

As the Enterprise Network Manager, you will provide strategic leadership for the Enterprise Network Team, ensuring 24/7 system availability and optimal performance for Oregon's enterprise network ...

State of Oregon

Enterprise Network Manager

Salem, OR · On-site

$8.7K - $13K/mo

Your Role as Enterprise Network Manager As the Enterprise Network Manager, you will provide strategic leadership for the Enterprise Network Team, ensuring 24/7 system availability and optimal ...

HSI

Network Access Control Manager

Eugene, OR · On-site

Support the ongoing evolution, administration, and optimization of Network Access Control (NAC) and Identity & Access Management (IAM) capabilities. * Manage daily support tickets and provide hands ...

New

HSI

Network Access Control Manager

Eugene, OR · On-site

Support the ongoing evolution, administration, and optimization of Network Access Control (NAC) and Identity & Access Management (IAM) capabilities. * Manage daily support tickets and provide hands ...

HSI

Network Access Control Manager

Eugene, OR

Support the ongoing evolution, administration, and optimization of Network Access Control (NAC) and Identity & Access Management (IAM) capabilities. * Manage daily support tickets and provide hands ...

HSI

Network Access Control Manager

Eugene, OR · On-site

$120 - $160/hr

Support the ongoing evolution, administration, and optimization of Network Access Control (NAC) and Identity & Access Management (IAM) capabilities. * Manage daily support tickets and provide hands ...

New

Five9

Network Engineer II

OR · On-site +1

You will lead projects, own end-to-end troubleshooting, drive automation strategy, and provide ... Manage and operate data-center fabric services across hybrid and multi-cloud environments - on ...

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Provider Network Management information

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 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 August 2026, with employment types broken down into 100% Full Time. Highlights an 94% In-person, and 6% Remote job distribution.

SHP Provider Contract Consultant

Samaritan Health Services

Corvallis, OR • Remote

Full-time

Re-posted 10 days ago

Samaritan Health Services rating

7.5

Company rating: 7.5 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

234th of 887 rated healthcare providers

Job description

  • This is a remote position in which we are able to employ in the following states: Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin
  •  
  • JOB SUMMARY/PURPOSE
    • Responsible for the negotiation, development, implementation, and ongoing management of provider, hospital, and ancillary contracts across Medicaid, Medicare Advantage, and Commercial lines of business. Develops contracting strategies aligned with organizational financial, network adequacy, quality, and regulatory objectives. Leads complex negotiations, performs financial and reimbursement analysis, ensures regulatory compliance, and partners cross-functionally to support value-based payment initiatives and total cost of care management. Exercises independent judgment within established authority limits.
  • DEPARTMENT DESCRIPTION

    • Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage and Commercial Large Group plans. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.

  • EXPERIENCE/EDUCATION/QUALIFICATIONS
    • Bachelor’s degree in Business Administration, Healthcare Administration, Finance, or a related field, or equivalent related experience required.
    • Three (3) years of progressive experience in provider contracting, network management, or managed care operations required.
    • Experience negotiating hospital and/or professional agreements required.
    • Experience in the following preferred:
      • Medicaid, Medicare Advantage, and Commercial lines of business.
      • Value-based payment models and risk-based contracting.
      • Contract lifecycle management systems.
      • Claims configuration and payment operations.
      • Supporting network adequacy reporting.
      • Delegation oversight and compliance auditing processes.
  • KNOWLEDGE/SKILLS/ABILITIES
    • Strong understanding of CMS and state regulatory requirements. Knowledge of healthcare reimbursement methodologies (Medicare-based, DRG, OPPS, capitation, case rates, VBP). Knowledge of claims configuration and payment operations. Understanding of delegation oversight and compliance auditing processes.
    • Strong financial modeling and analytical skills (advanced Excel proficiency).
    • Ability to manage multiple negotiations simultaneously. Negotiation and conflict resolution expertise.
    • Strong written and verbal communication skills. Ability to interpret complex legal and reimbursement language.
    • Strategic thinking with strong business acumen.
    • Ability to work independently with minimal supervision.
  • PHYSICAL DEMANDS

    • Rarely
      (1 - 10% of the time)

      Occasionally
      (11 - 33% of the time)

      Frequently
      (34 - 66% of the time)

      Continually
      (67 – 100% of the time)

      CLIMB - STAIRS

      LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs

      LIFT (Knee to chest: 24"-54") 0 – 20 Lbs

      LIFT (Waist to Eye: up to 54") 0 - 20 Lbs

      CARRY 1-handed, 0 - 20 pounds

      BEND FORWARD at waist

      KNEEL (on knees)

      STAND

      WALK – LEVEL SURFACE

      ROTATE TRUNK Standing

      REACH - Upward

      PUSH (0 - 20 pounds force)

      PULL (0 - 20 pounds force)

      SIT

      CARRY 2-handed, 0 - 20 pounds

      ROTATE TRUNK Sitting

      REACH - Forward

      MANUAL DEXTERITY Hands/wrists

      FINGER DEXTERITY

      PINCH Fingers

      GRASP Hand/Fist

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