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Provider Network Manager Jobs in Georgia (NOW HIRING)

GDIT

Network Engineer Lead

Fort Stewart, GA · On-site

$76K - $89K/yr

Yes NETWORK ENGINEER LEAD XVIII ABC Hub and Spoke MTCs provide individual and collective training ... Serves as site lead on SolarWinds management and tool usage for network performance and ...

Verida Inc

Operations Director (WI)

Villa Rica, GA · On-site

... provider network development and management, compliance, reconciliation, quality assurance, risk management, information technology, training, and business office functions. Drives operational ...

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Provider Network Manager information

See Georgia salary details

$18.6K

$90K

$137.2K

How much do provider network manager jobs pay per year?

As of Sep 2, 2026, the average yearly pay for provider network manager in Georgia is $89,986.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $108,100.00 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 Georgia?

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

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

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

Provider Network Manager jobs near you
Infographic showing various Provider Network Manager job openings in Georgia as of August 2026, with employment types broken down into 80% Full Time, 11% Part Time, 6% Contract, and 3% Nights. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $89,986 per year, or $43.3 per hour.

Senior Specialist, Issue Management

Oscar Health

Atlanta, GA • Remote

$67K - $89K/yr

Full-time

PTO

Re-posted 11 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

263rd of 315 rated insurance

Job description

Hi, we're Oscar. We're hiring a Senior Specialist, Issue Management to join our Network Operations team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.

About the role:

The Senior Specialist, Issue Management supports the design, optimization, and implementation of processes and improvements to provider operations in support of achieving organizational goals. The Senior Specialist is responsible for day to day oversight of our most critical bottlenecks in Operations being resolved. The lead will implement lean, repeatable and scalable tools and techniques and independently represent the team within the broader organization.

You will report into the Senior Manager, Provider Data Operations

Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $67,813 - $89,004 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • With support from leadership, help identify risks; respond to and resolve issues/errors/escalations through investigation to inform insights for short/medium/long-term technology-enabled processes and solutions
  • Coordinate projects and processes to help ensure key milestones and service levels are met
  • Partner with leadership to strategize, implement, and manage arrangements aimed at lowering overall cost or improving outcomes
  • Partner with cross-functional teams to ensure action plans align with continuous improvement goals, and participate in collaboration with peers and cross-functional stakeholders
  • Support the management, stewardship, and analysis of data to support compliant and performant business operations
  • Provide recommendations that ensure financial discipline and quality
  • Support identifying and implementing process improvement initiatives, as well as mindset shifts, to optimize operational efficiency and achieve performance targets
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 1+ years of professional experience in payer or provider operations, provider network management, healthcare operations, or a related field
  • 1+ years of experience using data and metrics to drive improvements
  • 1+ years of experience in process improvement and workflow design
  • 1+ years of experience in developing and presenting information and recommendations aimed at Senior Leadership

Bonus points:

  • ACA marketplace, provider network, claims, healthcare quality, or provider data experience
  • Management consulting experience
  • Training or experience applying Continuous Process Improvement or Lean Six Sigma principles
  • Experience with project coordination or management in a matrixed organization
  • Experience supporting RFP development and implementation of software or service solutions

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