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Provider Network Management Jobs in Washington (NOW HIRING)

Southeastrans, Inc.

Regional Director - DC

Washington, DC · On-site

$140 - $180/hr

... provider network management and development, compliance, reconciliation, quality control, risk management, information technology, training, and business office oversight. The Regional Director holds ...

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Provider Network Management information

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$24.9K

$120.7K

$184K

How much do provider network management jobs pay per year?

As of Aug 16, 2026, the average yearly pay for provider network management in Washington is $120,700.00, according to ZipRecruiter salary data. Most workers in this role earn between $91,200.00 and $145,000.00 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 Washington?

The most popular types of Provider Network Management jobs in Washington are:

What are popular job titles related to Provider Network Management jobs in Washington?

For Provider Network Management jobs in Washington, the most frequently searched job titles are:

What job categories do people searching Provider Network Management jobs in Washington look for?

The top searched job categories for Provider Network Management jobs in Washington are:

Provider Network Management jobs near you
Infographic showing various Provider Network Management job openings in Washington 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 $120,700 per year, or $58 per hour.

Regional Director - DC

Southeastrans, Inc.

Washington, DC • On-site

$140 - $180/hr

Other

Posted 11 days ago

Job description

Regional Director - DC

Full Time FM Official Manager Washington, DC, US

LOCATION: ON-SITE REQUIRED IN DISTRICT OF COLUMBIA SUMMARY

Responsible for the operational management of all business activities related to Nonemergency Transportation (NET) contracted services, including oversight of all internal functions, call center operations, provider network management and development, compliance, reconciliation, quality control, risk management, information technology, training, and business office oversight. The Regional Director holds overall responsibility for contract performance and ensures compliance with contractual requirements and uninterrupted service to beneficiaries.

ESSENTIAL FUNCTIONS
  • Plan, develop, and implement strategy for operational management of regional office in accordance with corporate objectives dictated by President and Chief Operations Officer.
  • Establish and maintain appropriate systems for monitoring, measuring, and reporting operational performance.
  • Recruit, select, manage and develop staff.
  • Manage and control departmental expenditures within approved budgets.
  • Establish and implement operational policies and procedures to ensure compliance with corporate objectives and contractual requirements.
  • Maintain awareness and knowledge of contemporary transportation management theories and concepts.
  • Conduct management level meetings to ensure effective organizational communication and performance.
  • Direct and/or delegate all business function management tasks and ensure appropriate and timely outcomes, including analyzing data on provider performance, trip completion rates, cancellation rates, complaints and other metrics to identify issues and formulate solutions.
  • Always ensure contractual compliance, including meeting service level agreements and key performance indicators related to reporting, call center metrics, and other contract requirements.
  • Coordinate complete and accurate communication with principal stakeholders including regional agencies and/or contractors, providers, members, corporate advisory board, and NET providers.
  • Work with internal business partners to understand and analyze complaints and grievances, key performance indicators and other data and proactively develop continuous quality improvement initiatives to enhance customer service and client satisfaction.
  • Provide oversight of call center operations to ensure quality interactions with clients, members and providers and enhance overall operational effectiveness.
  • Maintain a complete understanding of status of provider network status and awareness of ongoing activities in the Provider Relations department. Work with the Vice President of Operations as needed to identify concerns and understand proposed solutions.
  • Perform other duties as assigned.
REQUIRED SKILLS AND ABILITIES
  • Proven track record as an effective team leader.
  • Effective communicator with good written and verbal communication skills and with proven leadership skills and abilities.
  • Demonstrated success in contract management and an ability to analyze, prioritize, and control complex business activities and transactions.
  • Experience directing staff in the day-to-day operations of office.
  • Experience managing and evaluating workflow and reporting processes.
  • Previous experience in operations management.
PREFERRED SKILLS

Professional experience and understanding of NET service delivery and previous experience in human services transportation, including provider network management and logistics coordination.

QUALIFICATION
  • Bachelor’s degree in Business Administration from accredited College or University in Public Administration, Health Administration, Social Work, Education or a related field. Equivalent experience with noted progressive responsibilities may be considered.
  • 5+ years’ experience in Executive and/or Operational Management.

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

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