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Provider Network Manager Jobs (NOW HIRING)

Elevance Health

Provider Network Manager

Mesa, AZ · Hybrid

Provider Network Manager Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in Arizona and willing to travel throughout the state. This field-based role ...

Elevance Health

Provider Network Manager

Phoenix, AZ · Hybrid

Provider Network Manager Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in Arizona and willing to travel throughout the state. This field-based role ...

Elevance Health

Provider Network Manager

Avondale, AZ · Hybrid

Provider Network Manager Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in Arizona and willing to travel throughout the state. This field-based role ...

Elevance Health

Provider Network Manager

Peoria, AZ · Hybrid

Provider Network Manager Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in Arizona and willing to travel throughout the state. This field-based role ...

Elevance Health

Provider Network Manager

Tempe, AZ · Hybrid

Provider Network Manager Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in Arizona and willing to travel throughout the state. This field-based role ...

Elevance Health

Provider Network Manager

Chandler, AZ · On-site

Provider Network Manager Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in Arizona and willing to travel throughout the state. This field-based role ...

Elevance Health

Provider Network Manager

Tempe, AZ · Hybrid

Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in Arizona and willing to travel throughout the state. This field-based role enables associates to ...

Elevance Health

Provider Network Manager

Peoria, AZ · Hybrid

Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in Arizona and willing to travel throughout the state. This field-based role enables associates to ...

Elevance Health

Provider Network Manager

Chandler, AZ · Hybrid

Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in Arizona and willing to travel throughout the state. This field-based role enables associates to ...

Elevance Health

Provider Network Manager

Tucson, AZ · Hybrid

Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in Arizona and willing to travel throughout the state. This field-based role enables associates to ...

Elevance Health

Provider Network Manager

Mesa, AZ · Hybrid

Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in Arizona and willing to travel throughout the state. This field-based role enables associates to ...

Elevance Health

Provider Network Manager

Peoria, AZ · Hybrid

Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in Arizona and willing to travel throughout the state. This field-based role enables associates to ...

Elevance Health

Provider Network Manager

Phoenix, AZ · Hybrid

Provider Network Manager Location: Arizona Position Territory: Ideal candidates will be based in Arizona and willing to travel throughout the state. This field-based role enables associates to ...

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$22K

$106.6K

$162.5K

How much do provider network manager jobs pay per year?

As of May 28, 2026, the average yearly pay for provider network manager 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 are the key skills and qualifications needed to thrive as a Provider Network Manager, and why are they important?

To thrive as a Provider Network Manager, you need expertise in healthcare network development, contract negotiation, and knowledge of insurance regulations, often supported by a bachelor's degree in business, healthcare administration, or a related field. Familiarity with network management software, claims processing systems, and regulatory compliance platforms is typically required. Strong interpersonal skills, analytical thinking, and effective communication are crucial for building relationships and resolving issues with providers. These skills ensure efficient network operations, regulatory adherence, and the delivery of high-quality, cost-effective healthcare services.

What are some common challenges faced by Provider Network Managers when negotiating contracts with healthcare providers?

Provider Network Managers often encounter challenges such as balancing competitive reimbursement rates with cost containment goals, navigating complex regulatory requirements, and addressing provider concerns regarding network participation. They must also ensure that contracts align with organizational standards while maintaining positive relationships with providers. Effective communication, negotiation skills, and a solid understanding of both payer and provider perspectives are crucial for overcoming these obstacles and building a robust network.

What is a Provider Network Manager?

A Provider Network Manager is a professional responsible for developing, maintaining, and optimizing relationships with healthcare providers within a health insurance organization's network. They negotiate contracts, ensure provider compliance with policies, and work to expand or improve the network to meet the needs of members. Their role often involves analyzing network performance, resolving issues between providers and the insurer, and ensuring the network meets regulatory requirements. Provider Network Managers play a crucial part in ensuring quality, accessible, and cost-effective care for insured individuals.

What is the difference between Provider Network Manager vs Provider Relations Specialist?

AspectProvider Network ManagerProvider Relations Specialist
CredentialsTypically requires a bachelor's degree in healthcare administration, business, or related field; certifications like CPC or CHC are commonOften requires similar credentials, with a focus on communication or healthcare certifications
Work EnvironmentWorks in healthcare organizations, insurance companies, or managed care settings, managing networks and contractsWorks in provider offices or insurance companies, focusing on building and maintaining provider relationships
Employer & Industry UsageCommonly employed by health plans, insurance companies, and healthcare networksEmployed by insurance companies, healthcare providers, and managed care organizations

The Provider Network Manager and Provider Relations Specialist roles share overlapping credentials and work environments within healthcare and insurance industries. While the Provider Network Manager focuses on managing provider networks and contracts, the Provider Relations Specialist emphasizes building provider relationships and communication. Both roles are essential for effective healthcare delivery and insurance operations, often working closely together to ensure provider satisfaction and network efficiency.

More about Provider Network Manager jobs
What cities are hiring for Provider Network Manager jobs? Cities with the most Provider Network Manager job openings:
What are the most commonly searched types of Provider Network jobs? The most popular types of Provider Network jobs are:
Who are the top companies hiring for Provider Network Manager jobs? The top employers for Provider Network Manager jobs are:
What states have the most Provider Network Manager jobs? States with the most job openings for Provider Network Manager jobs include:
What job categories do people searching Provider Network Manager jobs look for? The top searched job categories for Provider Network Manager jobs are:
Provider Network Manager jobs near you
Infographic showing various Provider Network Manager job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 60% Full Time, 36% Part Time, and 3% Contract. Highlights an 75% Physical, 2% Hybrid, and 23% Remote job distribution, with an average salary of $106,570 per year, or $51.2 per hour.

Provider Network Manager

Community Health Plan of Imperial Valley

Imperial, CA • On-site

$85K - $115K/yr

Full-time

Medical, Retirement, PTO

Posted 23 days ago

Job description

About Us
Community Health Plan of Imperial Valley (CHPIV) is Imperial County's Medi-Cal managed care plan. We are a locally managed public health care plan committed to working with members, providers, and the residents of Imperial County.
Position Overview
Our team is growing, and we're looking for a Provider Network Manager to manage the strategic development and operations of CHPIV's directly contracted Medicare and Medi-Cal provider network. You will be responsible for developing, managing and servicing a network of individually contracted providers and Independent Physician Associations, including network adequacy, provider recruitment and contracting, performance monitoring, and maintaining strong relationships with providers to facilitate high-quality patient care.
Key Responsibilities
  • Provider Network Development: Identify gaps in the network, recruit new providers, and expand access to primary care, specialists, ancillary providers and facilities
  • Contract Negotiation: Negotiate favorable contract terms, reimbursement rates, service level agreements, and amendments for traditional and non-traditional providers
  • Provider Relationship Management: Maintain strong relationships with Independent Physician Associations (IPAs), hospitals, and other contracted providers, handling inquiries, escalations, and performance issues. Prepare agenda and lead quarterly joint operating committee meetings with IPAs, hospitals, and primary care providers, as needed.
  • Network Adequacy & Performance Improvement: Analyze provider performance, network coverage, and regulatory compliance. Educate and manage provider and IPA performance on STARS measures and risk adjustment coding documentation.
  • Onboarding & Training: Facilitate provider enrollment, credentialing, orientation, and ongoing education to ensure compliance with plan policies
  • Regulatory Compliance: Ensure adherence to healthcare regulations and program requirements, including CMS, Medicaid/Medicare standards,
  • Cross Collaboration: Work with outsourced vendors and internal subject matter experts to monitor and improve processes related to claims processing, utilization management, finance, and data file exchange.
  • Reporting & Analysis: Prepare performance reports, analyze network data, and provide strategic recommendations to leadership and other stakeholders.

Qualifications
  • Education: Bachelor's degree in healthcare administration, Business Administration, Public Health, or a related field. Master's preferred.
  • Experience: 5-8 years in provider relations, network management, or managed care; experience with Medicare/MAPD, Medicaid, or integrated delivery systems preferred.

What We Offer
  • Competitive salary of $85,000-$115,000/ year
  • Comprehensive benefits package that pays 85% of the cost of your family's healthcare
  • A 401 (k) with a generous match
  • Paid time off and holidays
  • Opportunities for growth and professional development
  • A chance to make a real difference in the health of your community

Apply