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Provider Network Manager Jobs (NOW HIRING)

Astrana Health, Inc.

Provider Network Manager

El Monte, CA · On-site

$75K - $88K/yr

Provider Network Manager Department: Market Ops - APC Employment Type: Full Time Location: 9700 Flair Drive, El Monte, CA 91731 Reporting To: Armando Barragan Compensation: $75,000 - $88,000 / year ...

Astrana Health

Provider Network Manager

El Monte, CA · Hybrid

$80K - $90K/yr

The Provider Network Manager is responsible for managing and optimizing assigned segments of the provider network to ensure adequate access, strong provider performance, and alignment with ...

Elevance Health

Provider Network Manager

Topeka, KS · Hybrid

JR193682 Provider Network Manager The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing. Location:

Elevance Health

Provider Network Manager

Leawood, KS · Hybrid

JR193682 Provider Network Manager The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing. Location:

Elevance Health

Provider Network Manager-CO

Denver, CO · On-site

$74K - $112K/yr

Provider Network Manager-CO Provider Network Manager Location: Denver, CO. This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing ...

Elevance Health

Provider Network Manager-CO

Denver, CO

$74K - $112K/yr

Provider Network Manager-CO Provider Network Manager Location: Denver, CO. This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing ...

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 ...

New

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 ...

New

Elevance Health

Provider Network Manager-CO

Denver, CO · On-site

$74K - $112K/yr

Provider Network Manager Location: Denver, CO. This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support ...

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Provider Network Manager information

See salary details

$22K

$106.6K

$162.5K

How much do provider network manager jobs pay per year?

As of Jun 20, 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 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 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.
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:
Provider Network Manager jobs near you
Infographic showing various Provider Network Manager job openings in the United States as of June 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 75% Full Time, 16% Part Time, 1% Temporary, and 6% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $106,570 per year, or $51.2 per hour.

Provider Network Manager

Astrana Health, Inc.

El Monte, CA • On-site

$75K - $88K/yr

Full-time

Posted 4 days ago

Job description

Provider Network Manager
Department: Market Ops - APC
Employment Type: Full Time
Location: 9700 Flair Drive, El Monte, CA 91731
Reporting To: Armando Barragan
Compensation: $75,000 - $88,000 / year
Description
About the Role:
The Provider Network Manager is responsible for managing and optimizing assigned segments of the provider network to ensure adequate access, strong provider performance, and alignment with organizational quality, financial, and growth objectives. This role serves as a key operational and relationship manager for physicians, IPAs, hospitals, and ancillary providers and acts as a primary point of contact for network-related issues within the assigned market. This position does not have direct reports but plays a critical role in influencing outcomes through collaboration with internal partners and external provider organizations.
What You'll Do
Provider Network Management & Optimization
  • Manage day-to-day performance and relationships for assigned providers, IPAs, hospitals, and specialty networks
  • Monitor network adequacy, access standards, panel capacity, and geographic coverage to support membership growth and retention
  • Identify network gaps, capacity constraints, and performance risks; recommend corrective actions to leadership

Provider Performance & Quality Support
  • Support provider performance related to quality measures, utilization, and value-based care initiatives
  • Collaborate with Quality, Medical Management, and Analytics teams to reinforce quality programs, incentive alignment, and performance improvement efforts
  • Assist in driving improvement in key metrics such as HEDIS, STARS, utilization management, and member experience

Contract & Network Operations Support
  • Partner with Contracting and Credentialing teams to support provider onboarding, terminations, network expansions, and contract implementation
  • Ensure accurate provider data, network directories, and system configuration in collaboration with operations teams
  • Support execution of provider incentive programs and contract-related initiatives

Provider Relations & Issue Resolution
  • Serve as a primary escalation point for provider network issues, including access, operational challenges, and performance concerns
  • Facilitate effective communication between providers and internal teams to resolve issues efficiently and maintain strong provider relationships
  • Support preparation and participation in Joint Operating Committee (JOC) meetings and provider governance forums

Regulatory & Compliance Support
  • Ensure network management activities comply with health plan requirements and state and federal regulations (e.g., DMHC, CMS)
  • Support audits, regulatory submissions, and delegated risk requirements related to network operations
  • Maintain documentation and reporting to support compliance and operational readiness

Cross-Functional Collaboration
  • Partner closely with internal stakeholders including Medical Management, Quality, Claims, DSS/Analytics, Finance, Customer Service, and Government Programs
  • Support implementation of network policies, workflows, and process improvements
  • Provide market and provider insights to inform broader network strategy and leadership decision-making Performs other duties as assigned by the department leaders
  • Other duties as assigned

Qualifications
  • Bachelor's degree in Healthcare Administration, Business, Public Health, or a related field
  • At least 5 years of experience in provider network management, provider relations, or managed care operations
  • Have experience working with physician networks, IPAs, hospitals, or health plans
  • Strong understanding of managed care, delegated risk models, and provider network operations

You're great for the role if:
  • Have experience working with delegated risk or value-based care models
  • Experience in California managed care markets
  • Familiarity with DMHC access standards, CMS requirements, and delegated risk oversight
  • Advanced degree (MBA, MHA, MPH) a plus

Environmental Job Requirements and Working Conditions
  • Our organization follows a regional/hybrid work structure where the expectation is to work both in office and visiting provider offices on a weekly basis. The office is located at 9700 Flair Drive, El Monte, CA 91731.
  • The total compensation target pay range for this role is: $75,000 - $88,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action Employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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