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Provider Network Manager Jobs in California (NOW HIRING)

MONTERRA CREDIT UNION

Network Manager

Redwood City, CA

$133K - $156K/yr

Monterra Credit Union also does not provide work visa sponsorship. POSITION SUMMARY The Network Team Manager works closely with the VP, IS to align network solutions with Credit Union goals. This ...

SAN MATEO CREDIT UNION

Network Manager

Redwood City, CA · On-site

$133K - $156K/yr

Monterra Credit Union also does not provide work visa sponsorship. POSITION SUMMARY The Network Team Manager works closely with the VP, IS to align network solutions with Credit Union goals. This ...

The Hartford

Multinational Network Manager

Brea, CA · On-site

$67K - $129K/yr

Engaging Network Partners in reoccurring stewardship meetings and in person visits to review and ... Provide support for Global Online mailbox management and Multinational billing (premium ...

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All JobsProvider Network JobsProvider Network Manager JobsProvider Network Manager Jobs in California

Provider Network Manager information

See California salary details

$21.7K

$105.2K

$160.4K

How much do provider network manager jobs pay per year?

As of Aug 17, 2026, the average yearly pay for provider network manager in California is $105,174.00, according to ZipRecruiter salary data. Most workers in this role earn between $79,400.00 and $126,300.00 per year, depending on experience, location, and employer.

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 are the key skills and qualifications needed to thrive as a provider network manager?

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 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.

Is provider network manager a stressful job?

Provider network managers often face stress due to managing provider relationships, ensuring network compliance, and meeting organizational goals. The role requires strong organizational skills and the ability to handle multiple priorities, which can contribute to a high-pressure environment.

What does a provider network manager do?

A provider network manager oversees the relationships between healthcare providers and an organization, ensuring network adequacy, contract negotiations, and compliance with regulations. They analyze provider data, coordinate with internal teams, and may use network management tools to optimize provider access and quality of care.

What are the most commonly searched types of Provider Network jobs in California?

The most popular types of Provider Network jobs in California are:

What cities in California are hiring for Provider Network Manager jobs?

Cities in California with the most Provider Network Manager job openings:

Provider Network Manager jobs near you
Infographic showing various Provider Network Manager job openings in California as of August 2026, with employment types broken down into 90% Full Time, 9% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $105,174 per year, or $50.6 per hour.

Director, Provider Network Management

The E.W. Scripps Company

San Diego, CA • On-site

$72.71 - $105.41/hr

Full-time

Re-posted 25 days ago

E.W. Scripps rating

7.9

Company rating: 7.9 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

24th of 76 rated media

Job description

Location: La Jolla, San Diego
This position is eligible to participate in the Director Incentive Plan.
Founded in 1924, Scripps Health is a $5 billion, private nonprofit health system based in San Diego, founded in 1924 by philanthropist Ellen Browning Scripps. Serving over 600,000 patients annually, it operates five acute-care hospitals, 30 outpatient centers, and a wide physician network of 3,000 affiliated doctors and 17,800 employees. Recognized nationally for excellence, Scripps has earned top rankings from Great Place to Work and Becker's Healthcare and maintains an AA rating with a stable outlook from S&P Global Ratings due to its strong leadership and financial performance.
Why join Scripps Health?
AWARD-WINNING WORKPLACE:
At Scripps Health, your ambition is empowered, and your abilities are appreciated:
  • Nearly a quarter of our employees have been with Scripps Health for over 10 years.
  • Scripps is a Great Place to Work Certified company for 2025.
  • Scripps has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
  • Beckers Healthcare ranked Scripps Health on its 2026 list of 150 top places to work in health care.
  • We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
  • Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
    As Director, Provider Network Management, you will be responsible for creating and maintaining a comprehensive contracted provider network to serve Scripps Health Plan members.
What will you do?
  • Oversee the credentialing, provider database, contracting, and provider relations teams.
  • Lead provider relations functions, including training, problem-solving, and provider satisfaction initiatives for all medical groups, IPAs, institutional providers, and ancillary providers.
  • Be responsible for Customer Service related to both member and provider inquiries.
  • Maintain provider directories for all contracted IPAs and medical groups.
  • Support Scripps' integrated delivery system. Scripps Health Plan operates as both an MSO and a KK-licensed plan for large commercial groups.
  • Manage relationships related to Scripps Health Plan's plan-to-plan risk arrangements with major HMO plans.
Serve in a role that blends financial analysis, contract negotiations, operational efficiency, and system-wide impact, working extensively with Scripps Health Plan Services, stakeholders across the organization, and external providers and vendors.
#LI-JS1
Qualifications
Required Education/Experience/Specialized Skills:
  • At least seven years combined experience in management of provider relations and contracting at the plan, medical group /IPA level of which four years must be in a leadership capacity.
Preferred Education/Experience/Specialized Skills/Certification:
  • Masters degree in healthcare administration or similar
  • Epic Tapestry experience
  • Negotiation skills, creating policies and procedures and leading multiple teams.

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