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Provider Network Management Jobs (NOW HIRING)

Elevance Health

Provider Network Manager

Topeka, KS · Hybrid

Provider network management experience. * Behavioral health experience preferred. * Knowledge of value-based care and Kansas market preferred. * Data analysis and reporting experience. * Medicaid ...

Elevance Health

Provider Network Manager

Topeka, KS · Hybrid

Provider network management experience. * Behavioral health experience preferred. * Knowledge of value-based care and Kansas market preferred. * Data analysis and reporting experience. * Medicaid ...

Elevance Health

Provider Network Manager

Leawood, KS · Hybrid

Provider network management experience. * Behavioral health experience preferred. * Knowledge of value-based care and Kansas market preferred. * Data analysis and reporting experience. * Medicaid ...

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How much do provider network management jobs pay per year?

As of Jun 30, 2026, the average yearly pay for provider network management in the United States is $106,570.00, according to ZipRecruiter salary data. Most workers in this role earn between $80,500.00 and $128,000.00 per year, depending on experience, location, and employer.

What is network management in healthcare?

In healthcare, provider network management involves coordinating and maintaining relationships with healthcare providers to ensure access to quality care for members. It includes tasks such as credentialing, contracting, and monitoring provider performance, often using specialized software and data analysis. Effective network management helps control costs and improve patient outcomes.

What is the highest paying job in healthcare management?

In healthcare management, executive roles such as Chief Executive Officer (CEO), Chief Operating Officer (COO), and Chief Financial Officer (CFO) tend to be the highest paying positions, often earning six-figure salaries. These roles require extensive experience, leadership skills, and often advanced degrees like an MBA or healthcare administration certification.

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 does a provider network manager do?

A provider network manager oversees the relationships between healthcare providers and insurance companies, ensuring the network has adequate and quality providers. They coordinate provider contracts, monitor network performance, and ensure compliance with industry regulations, often using network management tools and data analysis. Strong communication and negotiation skills are essential for this role.

What is a network manager's salary?

A network manager's salary typically ranges from $80,000 to $130,000 annually, depending on experience, location, and the size of the organization. They often require strong technical skills in network infrastructure and certifications such as Cisco or CompTIA. Salaries can vary based on industry and level of responsibility.
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Provider Network Management jobs near you
Vice President Provider Network Management

Vice President Provider Network Management

AmeriHealth Caritas Health Plan

Indianapolis, IN • On-site

Full-time

Posted 19 days ago

Key responsibilities

  • Lead provider network management activities including contracting, network development, and optimization across markets and lines of business.

  • Monitor and ensure network adequacy, compliance, and performance by addressing gaps and opportunities for improvement.

  • Collaborate with internal teams and market leaders to align provider network strategy with organizational goals and regulatory requirements.

AmeriHealth Caritas rating

8.5

Company rating: 8.5 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

85th of 277 rated insurance

Job description

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We're looking for the next generation of health care leaders.
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Job Summary
The Vice President, Provider Network Management serves as the enterprise leader for provider contracting and network management activities across markets and lines of business and is a key leader in shaping provider network strategy. This role is responsible for ensuring the development, optimization, and maintenance of compliant, high-performing provider networks that meet access, adequacy, quality, and service requirements for members. The Vice President partners closely with market and corporate leadership to establish network strategy, contracting approaches, operational controls, and provider engagement models that support organizational growth and performance objectives. This role also leads cross-functional collaboration with business development, pricing, actuarial, operations, provider relations, claims, sales, marketing, and technology teams to ensure provider network strategy is aligned with business needs and regulatory requirements. This leader will also be responsible for leading the Indiana provider network strategy.
The Vice President is expected to lead multiple functions, manage network management resources, and act as a senior decision-maker for contracting and network-related activities. The role requires close coordination across business domains and strong oversight of staff productivity, provider relationships, and contracting outcomes.
Essential Functions:
  • Support market leaders with network tooling, adequacy standards, and contracting strategies.
  • Lead the Indiana provider network strategy, including network expansion, optimization, and market-specific contracting priorities.
  • Develop long-term strategies for network growth and optimization, addressing gaps in service coverage and ensuring the network adapts to changing healthcare trends and member needs.
  • Utilize market trends and data to inform network strategy and identify opportunities for growth and improvement.
  • Ensure the development and maintenance of a comprehensive provider network, including hospitals, physicians, and ancillary providers.
  • Demonstrate shared leadership in the overall insurance business by balancing the need to provide a broad network of services with controlling costs for both the company and members through strong unit cost guidelines and contracting parameters.
  • Monitor network adequacy and compliance with all applicable regulatory and accreditation requirements.
  • Monitor and evaluate network performance, addressing gaps and opportunities for improvement.
  • Provide central management of contract inventory, renewals, and amendments, ensuring all agreements are current and compliant with organizational policies and regulations.
  • Provide guidance and support in contract negotiations and network management activities across markets.
  • Lead provider operations functions such as credentialing, contract configuration, and provider data management.
  • Ensure a cohesive provider experience through leadership of provider success, provider communications, and provider marketing, including partnership with Provider Relations, Claims, and other operational areas.
  • Collaborate with business development, sales, marketing, operations, pricing, actuarial, value-based performance, legal, and market leadership to align network strategy with organizational goals and market needs.
  • Partner with technology teams to develop and enhance tools, workflows, and processes required to support provider network management and operations.
  • Lead all aspects of the contracting process from strategy through execution across lines of business.
  • Establish and maintain contract templates, operational controls, and governance practices consistent with organizational and legal requirements.
  • Ensure compliance with all applicable federal and state laws, regulations, and internal policies.

Education/Experience:
  • ☒Bachelor's Degree.
  • Master's Degree preferred.
  • 15 or more years of network management experience15 or more years of network management experience.

Other Skills:
  • Experience partnering with technology teams to optimize and evolve operational programs.
  • Demonstrated success in growing and optimizing provider networks.
  • Experience leading enterprise or multi-market provider contracting strategies.
  • Strong understanding of federal and state-specific contracting requirements and network adequacy expectations.

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