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Provider Network Manager Jobs in Kentucky (NOW HIRING)

Abilis Health Plan

Provider Network Manager

Louisville, KY · On-site +1

$70K - $80K/yr

The Provider Network Manager serves as a primary contact for contracted providers, conducts provider education and outreach, identifies and addresses network opportunities, and supports provider ...

Abilis Health Plan

Provider Network Manager

Lexington, KY · On-site +1

$70K - $80K/yr

The Provider Network Manager serves as a primary contact for contracted providers, conducts provider education and outreach, identifies and addresses network opportunities, and supports provider ...

BrightSpring

Provider Network Manager

Louisville, KY

$80K/yr

The Provider Network Manager serves as a primary contact for contracted providers, conducts provider education and outreach, identifies and addresses network opportunities, and supports provider ...

Memspa

$100 - $125/hr

In conjunction with the Director of Educational Technology, the Network Manager will learn the needs of the district to provide network integrity and great customer service. Responsibilities * Align ...

Elevance Health

$125 - $150/hr

Provider Network Management Director-Colorado Anticipated End Date: 9/12/2026 Location: Denver ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...

NationsBenefits, LLC

$60 - $80/hr

We partner with managed care organizations to provide innovative healthcare solutions that drive ... Recruitment and Network Expansion * Build and expand a national network of specialty medical ...

AltaMed Health Services Corporation

$60 - $80/hr

This role supports managed care growth initiatives and organizational goals. Key responsibilities ... The Provider Network Administrator will also assist in tracking progress, enhancing brand ...

Koitecc Solutions

$100 - $125/hr

The Network Manager serves as the College's primary network infrastructure professional ... This position provides operational leadership and technical expertise to ensure the reliability ...

Devoted

$80 - $100/hr

MUST BE LOCATED IN NYCNetwork Performance Manager As a Network Performance Manager, you will drive provider performance across the New York market, partnering directly with providers to improve cost ...

New

integratedliving Australia Ltd

$80 - $100/hr

Reporting to the Provider Network Authority Officer, the manager sets direction and standards for the contracting team, resolves complex or escalated contract and compliance matters, and serves as a ...

Bryan College Of Health Sciences

$100 - $125/hr

Ensures network service programs and vendor relationships are designed and managed in accordance ... Experience with provider credentialing or group purchasing programs preferred. Experience working ...

Zero

$100 - $125/hr

Qualifications: * 3-5 years of experience in sales, business development, account management, or a similar role, in the healthcare * 3-5 years negotiating provider/payer contracts * Preferred ...

CVS Health Corporation

$100 - $125/hr

As part of the Network Contract Validation team, you will be responsible for reviewing, auditing ... Project Management * Basic understanding of Provider Contracting * Experience with EXCEL and ...

New

Trial Library, Inc.

$125 - $150/hr

The Provider Engagement Lead owns new business growth for Trial Library's provider network. This is ... Disciplined CRM user (Salesforce preferred) * Deep experience with physicians/clinical leaders ...

Oscar Health Insurance

$125 - $150/hr

Manager, Network Contracting (Northeast Region) New York, New York, United States Hi We're Oscar ... This role leverages negotiation skills and working knowledge of provider financial issues to ...

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All JobsProvider Network JobsProvider Network Manager JobsProvider Network Manager Jobs in Kentucky

Provider Network Manager information

See Kentucky salary details

$19.1K

$92.6K

$141.1K

How much do provider network manager jobs pay per year?

As of Sep 7, 2026, the average yearly pay for provider network manager in Kentucky is $92,559.00, according to ZipRecruiter salary data. Most workers in this role earn between $69,900.00 and $111,200.00 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 Kentucky?

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

Provider Network Manager jobs near you
Infographic showing various Provider Network Manager job openings in Kentucky as of August 2026, with employment types broken down into 84% Full Time, 14% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $92,559 per year, or $44.5 per hour.

Provider Network Manager

BrightSpring Health Services

Louisville, KY

$70K - $85K/yr

Full-time

Medical

Posted 19 days ago

BrightSpring Health Services rating

4.9

Company rating: 4.9 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

224th of 247 rated social care providers

Job description

Overview

The Provider Network Manager is responsible for maintaining and enhancing provider networks within an assigned territory through provider relations, network development, and routine contracting activities. The Provider Network Manager serves as a primary contact for contracted providers, conducts provider education and outreach, identifies and addresses network opportunities, and supports provider recruitment efforts. The position also monitors market changes and network performance to ensure adequate provider coverage and compliance with CMS network adequacy standards and all applicable regulatory requirements.


Responsibilities

  • Manage provider relationships within assigned markets, serving as a primary point of contact for contracted providers and addressing network-related issues and inquiries.
  • Perform routine provider contracting and recruitment activities to support network growth, address coverage gaps, and maintain adequate provider access.
  • Conduct provider education and outreach activities to promote provider engagement, communication, and understanding of health plan requirements and initiatives.
  • Monitor and report market and provider changes that may impact network performance, access, or compliance within assigned territories.
  • Collaborate with internal departments to resolve provider issues, support operational initiatives, and improve network effectiveness.
  • Promote a positive and collaborative work environment that supports continuous improvement and organizational success.
  • Complete all assigned corporate responsibilities, including compliance training and other organizational requirements.

Qualifications

  • Associate’s Degree or equivalent work experience.
  • Five (5)+ years of experience in managed care, provider network development, provider relations, contracting, or a related healthcare field.
  • Prior experience with Medicare Advantage plans required; Institutional Special Needs Plan (I-SNP) experience preferred.
  • Experience building and maintaining provider relationships, conducting provider education, and supporting provider engagement initiatives.
  • Reliable transportation.
  • Current automobile insurance which meets company policy requirements.
  • Familiarity with health plan operations, including benefits, claims review and resolution, eligibility, provider data management, and network operations.
  • Knowledge of CMS network adequacy standards, provider recruitment, and regulatory compliance requirements preferred.
  • Strong organizational, presentation, and time management abilities.
  • Effective communication skills.
  • Working knowledge of Medicare payment methodologies.
  • Ability to follow instructions and work independently to achieve goals and complete assignments.
  • Proven success working collaboratively in a team environment.
  • Proficient in Microsoft Office Suite and other relevant computer applications.
  • Self-motivated, dependable, team-oriented, and goal-oriented.
  • Skilled at managing multiple priorities effectively.
  • Travel up to 25%

What BrightSpring Health Services employees say

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