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Provider Network Manager Jobs in Maryland (NOW HIRING)

NTT DATA Services

Network Manager

Annapolis, MD · On-site +1

The Network Manager serves as the primary technical authority responsible for the architecture ... Provide end-to-end oversight for all WAN, LAN, MAN, firewall, and transport network components.

NTT DATA Services

Network Manager

Annapolis, MD · On-site +1

The Network Manager serves as the primary technical authority responsible for the architecture ... Provide end-to-end oversight for all WAN, LAN, MAN, firewall, and transport network components.

NTT DATA Services

Network Manager

Annapolis, MD · On-site

The Network Manager serves as the primary technical authority responsible for the architecture ... Provide end-to-end oversight for all WAN, LAN, MAN, firewall, and transport network components.

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All JobsProvider Network JobsProvider Network Manager JobsProvider Network Manager Jobs in Maryland

Provider Network Manager information

See Maryland salary details

$21.4K

$103.4K

$157.7K

How much do provider network manager jobs pay per year?

As of Aug 21, 2026, the average yearly pay for provider network manager in Maryland is $103,430.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,100.00 and $124,200.00 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 Maryland?

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

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

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

Provider Network Manager jobs near you
Infographic showing various Provider Network Manager job openings in Maryland as of August 2026, with employment types broken down into 86% Full Time, 13% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $103,430 per year, or $49.7 per hour.

Provider Network Specialist

Maryland Care Management, Inc

Linthicum Heights, MD • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Job description

Description:


Summary:

Assesses network access and generates reports, including Geo Access, for provider network analysis and planning. Identifies recruitment opportunities and assists in the analysis and development of cost-effective, contractual agreements with healthcare providers and institutions that can be administered efficiently and that follow state and federal regulatory requirements.


About Maryland Care Management, Inc. (MCMI)

Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.


Why join us?

MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans.

Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives.



What You'll Do:

  • Evaluates current contracts, and applies managed care reimbursement principles (capitation, per diems, creative reimbursement, etc.) to identify cost savings, while maintaining quality.
  • Researches current and new contract operational procedures; coordinates with appropriate departments, to streamline processes wherever possible.
  • Coordinates implementation of new contracts with departments involved.
  • Coordinates internal review and determine/evaluate administrative feasibility throughout the continuum of the contracting process.
  • Initiates contract flow process; ensures appropriate signatures, and data entry to system.
  • Acts as team lead and trainer for Provider Data Coordinators.
  • Ensures appropriate legal / regulatory review of contracts prior to execution.
  • Monitors provider availability and accessibility to ensure provider network coverage.
  • Creates and reviews Geo Access reports and makes recommendations for future provider network build-out.
  • Assists with onsite contractual reviews; ensures 100% accuracy and timeliness of information/modification data entry in provider files of Geo Access system.
  • Assists with training of providers regarding MPC processes and benefits; conducts follow-up training to ensure policy compliance and education continuity; disseminates written correspondence as necessary to address issues, problems, and new information, as needed.
Requirements:

Knowledge and Skills:

  • The ability to review and comprehend contracts and services.
  • The ability to present information effectively in one-on-one and small group settings to providers and employees.
  • The ability to use advanced reason to define problems, collect data, establish fact, draw valid conclusions, and design, implement, and manage appropriate action plans.
  • Advanced and meticulous organization and coordination.
  • Must be able to successfully utilize geographic accessibility data, and Microsoft Office Suite and common computer and office hardware.


Education and Work Experience:

  • Bachelor’s degree in business, health, management systems or closely related field is preferred, although an equivalent combination of formal education and experience may substitute for a degree.
  • Experience with large provider organizations, ancillary and hospital providers, clinical terminology.
  • Working experience with Geo Access or equivalent system is required.


EEOC Statement:

Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment.

As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive.

We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population.


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