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Provider Network Manager Jobs (NOW HIRING)

UHS

Sr. Provider Network Manager

Reno, NV

The Sr. Manager of Provider Network leads and manages provider contracting and network developments consistent with the strategic goals of Prominence Health Plan & is responsible for ensuring the ...

UHS

Sr. Provider Network Manager

Reno, NV · On-site

$94K - $125K/yr

The Sr. Manager of Provider Network leads and manages provider contracting and network developments consistent with the strategic goals of Prominence Health Plan & is responsible for ensuring the ...

UHS

Sr. Provider Network Manager

Reno, NV

The Sr. Manager of Provider Network leads and manages provider contracting and network developments consistent with the strategic goals of Prominence Health Plan & is responsible for ensuring the ...

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$106.6K

$162.5K

How much do provider network manager jobs pay per year?

As of Jul 11, 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 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 the highest paying job in healthcare management?

In healthcare management, the highest paying roles are typically executive positions such as Chief Executive Officer (CEO) or Chief Operating Officer (COO) of healthcare organizations, with salaries often exceeding $150,000 annually. These roles require extensive experience, leadership skills, and often advanced degrees like an MBA or healthcare administration certification.

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 jobs in the US pay 300,000 a year?

Provider Network Managers in healthcare organizations can earn $300,000 or more annually, especially with extensive experience, certifications, and leadership responsibilities. High-level executive roles such as Chief Medical Officers or healthcare executives also frequently reach or exceed this salary level. These positions often require strong negotiation skills, industry knowledge, and strategic planning abilities.

What does a provider network manager do?

A provider network manager oversees the relationships between healthcare providers and an organization, ensuring network adequacy, compliance, and quality standards. They coordinate provider contracts, monitor network performance, and work to optimize provider participation, often using data analysis and negotiation skills.

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.

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 a network manager's salary?

A Provider Network Manager's salary typically ranges from $70,000 to $120,000 annually, depending on experience, location, and the size of the organization. They often require strong negotiation, healthcare industry knowledge, and certification in network management or related fields.
More about Provider Network Manager jobs
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Provider Network Manager jobs near you
Provider Network Manager

Provider Network Manager

Independent Living Systems

Glendale, CA • On-site

$105K - $125K/yr

Full-time

Posted 24 days ago

Independent Living Systems rating

6.5

Company rating: 6.5 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

We are seeking a Provider Network Manager to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Provider Network Manager supports the organization’s provider engagement, provider performance improvement, and network oversight activities related to contracted and subcontracted providers. This role is responsible for managing provider relationships, coordinating provider relations initiatives, supporting provider performance monitoring, facilitating communication between providers and internal operational teams, and promoting continuous improvement across the provider network. The Provider Network Manager is accountable for maintaining ongoing engagement with assigned providers, ensuring providers understand organizational expectations, performance standards, compliance requirements, and operational workflows. Through regular provider outreach and onsite visits—with top-performing, high-volume, strategically significant, or priority providers visited at least quarterly—the Manager fosters strong partnerships and drives operational excellence. Utilizing provider scorecards as a key performance management tool, the Manager evaluates provider performance, identifies opportunities for improvement, recognizes excellence, and supports targeted education and training initiatives. Working collaboratively with providers, the Manager develops action plans, addresses performance gaps, resolves operational issues, promotes best practices, and advances quality outcomes, operational efficiency, compliance, and member satisfaction. This position serves as a strategic provider relationship and performance management role focused on engagement, support, education, operational coordination, and continuous improvement rather than sales or purely administrative provider servicing functions.

Minimum Qualifications:

  • Bachelor’s degree in healthcare administration, business or a related field.
  • Requires 3 years of progressive experience in provider relations, healthcare operations, managed care, provider network operations, care coordination, or related healthcare environment.
  • Experience supporting provider engagement, provider operations, network management, or provider oversight activities.
  • Strong knowledge of healthcare operations, provider network management, healthcare regulations, and provider workflows.
  • Strong organizational, problem-solving, and relationship management skills.
  • Experience working with healthcare operational data, provider tracking systems, and reporting tools.
  • Proficiency with Microsoft Office applications, especially Excel and PowerPoint.
  • Excellent communication skills, both written and verbal, with the ability to effectively train and advise staff at all levels.
  • Requires strong problem-solving and customer service skills.
  • Must be a CA Resident and must reside in CA while employed.
  • Current and valid California (CA) Driver’s License.
  • Must use personal vehicle and current vehicle registration required.
  • Proof of auto insurance required, must maintain CA minimum insurance coverage.
  • CPR Certification required.

Preferred Qualifications:

  • Master’s degree in Healthcare Administration, Business Administration, or a related discipline.
  • Experience working within managed care organizations or health insurance companies.
  • Familiarity with healthcare compliance standards such as HIPAA and CMS regulations.
  • Certification in healthcare management or provider network contracting (e.g., CPHQ, CPMSM).
  • Demonstrated success in managing large or complex provider networks.

Responsibilities:

  • Demonstrates commitment to Our Mission and models ILS Experience Standards of Excellence.
  • Support the implementation, management, and continuous improvement of provider engagement, provider performance, and provider satisfaction initiatives to strengthen provider partnerships and support organizational goals.
  • Serve as the primary liaison between the organization and contracted providers regarding operational processes, performance expectations, service delivery requirements, and issue resolution.
  • Coordinate provider onboarding, orientation, training, and ongoing education activities to ensure understanding of organizational requirements, workflows, documentation standards, compliance expectations, and performance objectives.
  • Facilitate timely resolution of provider inquiries, complaints, service concerns, and operational issues, including tracking escalations, action plans, and resolution outcomes.
  • Develop, maintain, and distribute provider communications, educational materials, operational resources, and provider-facing tools related to policy updates, program requirements, and organizational initiatives.
  • Collaborate with internal departments, including Operations, Quality, Compliance, Credentialing, Care Management, Claims, and Provider Network teams, to support effective provider operations and service delivery.
  • Monitor, analyze, and maintain provider-related operational data, performance metrics, engagement activities, and trend reports to support decision-making and performance improvement efforts.
  • Assist in the preparation and support of provider audits, delegated oversight activities, compliance reviews, corrective action plans, and operational improvement initiatives in accordance with applicable regulatory and contractual requirements.
  • Participate in the development, implementation, and revision of provider-related workflows, policies, procedures, operational documentation, and process improvement initiatives to enhance efficiency and effectiveness.
  • Promote a culture of collaboration, accountability, continuous improvement, and member-centered service by fostering positive provider relationships and supporting organizational and provider network objectives.
  • Performs other duties as required or assigned.


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