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Provider Network Manager Jobs in Massachusetts (NOW HIRING)

The Provider Network Manager, MA ('PNM') will primarily be responsible for affiliate primary care provider / practice performance in our Massachusetts affiliate network's VBC contracts. Additionally ...

Network Manager

Boston, MA ยท On-site

$110K - $158K/yr

Additionally, the Network Manager may provide guidance and oversight to a limited number of direct reports including Engineers and Architects, fostering collaboration and development within the team ...

Additionally, the Network Manager may provide guidance and oversight to a limited number of direct reports including Engineers and Architects, fostering collaboration and development within the team ...

Manager, Networking

Boston, MA ยท On-site

$152K - $180K/yr

Strong vendor management skills, with experience selecting, negotiating, and overseeing third-party providers for network services. * Excellent communication and cross-functional collaboration skills ...

The Network Navigator will work with Utilization Management, case management, and provider/facility-based discharge planners to ensure access and guidance to in-network facilities and providers to ...

The Network Navigator will work with Utilization Management, case management, and provider/facility-based discharge planners to ensure access and guidance to in-network facilities and providers to ...

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Showing results 1-20

Provider Network Manager information

See Massachusetts salary details

$24K

$116.4K

$177.5K

How much do provider network manager jobs pay per year?

As of Aug 29, 2026, the average yearly pay for provider network manager in Massachusetts is $116,387.00, according to ZipRecruiter salary data. Most workers in this role earn between $87,900.00 and $139,800.00 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 Massachusetts?

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

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

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

Infographic showing various Provider Network Manager job openings in Massachusetts 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 $116,387 per year, or $56 per hour.

Provider Network Manager

Bookmark Medical

Westwood, MA โ€ข On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago


Job description

Provider-Centered. Patient-Focused. Built for What Healthcare Should Be.


At Bookmark Medical, we are building a healthcare experience rooted in trust, teamwork, compassion, and continuous progress. We believe the best care happens when providers and care teams have the support, technology, and resources they need to focus on what matters most—patients.


Our mission is simple: improve lives through high-quality continuous care. Through connected care teams, innovative tools, and collaborative culture, we are creating a healthcare experience where patients are known, supported, and never have to start over. 


Whether you are caring directly for patients, supporting operations, or helping grow our organization, you will join a team that values your expertise, encourages your growth, and empowers you to make a meaningful impact every day.

 

If you are looking for more than just a job, if you are looking for a purpose-driven career where your work truly matters, we would love to meet you.


The Provider Network Manager, MA (‘PNM’) will primarily be responsible for affiliate primary care provider / practice performance in our Massachusetts affiliate network’s VBC contracts. Additionally, the PNM will oversee affiliate provider relations, which includes developing and maintaining retention strategies for Bookmark Medical in our Massachusetts market. 


This position will provide the leadership and expertise needed to develop and implement a tactical plan to support the strategic, operational, financial, and clinical objectives of Bookmark Medical in Massachusetts. This responsibility will be accomplished in partnership with the VP of Network Development and Strategy, Bookmark Medical Network Leadership, and other key internal stakeholders.


This is a senior role with meaningful opportunity to impact a successful fast-growing primary care affiliate network that values innovation, creativity, and results.

 

What You Will Do:

  • Regularly engage primary care providers / practices, share specific performance data points, and document obstacles / needs within our affiliate provider network
  • Review and report out trended performance, making sure improvement is being made against KPI targets in Bookmark’s VBC contracts
  • Collaborate with clinical, quality, and risk adjustment leaders to develop strategies and actions to improve provider group/ network performance, as needed
  • Advise market leadership and VP of Network Development and Strategy of providers who are at risk of leaving the network and develop plans to retain high performing provider groups
  • Continually assess the viability and strengths of the physician network, and identify areas of opportunity, or risk
  • Build a culture of accountability and clinical excellence with affiliate providers through strategic coordination and retention of the necessary administrative team, provider team, and staff to achieve Bookmark’s affiliate network goals and objectives
  • Maintain comprehensive knowledge on all affiliate providers within assigned region, including key information such as group membership, recent performance trends, and historical contextual elements

Specialized Knowledge and Skills:

  • Understanding of the outpatient health care delivery setting; primary care specific knowledge is a plus
  • Understanding of value-based care payment / reimbursement models is preferred
  • Experience working with physician practices and a demonstrated understanding of practice operations 
  • Strong communication skills; ability to interact with clinical care team and physicians/providers in appropriate manner
  • Excellent organizational capabilities and strong attention to detail
  • Leadership skills, ability to influence, form consensus and drive an agenda
  • Ability to present information to small and, at times large audiences
  • Knowledge of fraud and abuse regulations, health care reimbursement systems, third party payer guidelines, and general coding practices

 

Education

  • Bachelor’s degree in relevant field preferred 
  • In lieu of a Bachelor’s degree, 5+ years of relevant experience will be considered

 

Why You Will Love Working Here

Benefits include:

  • Medical, dental, and vision coverage
  • Company funded HSA + exclusive healthcare discounts
  • 401(k) with company match 
  • Company paid life insurance
  • Flexible time off + Vacation Exchange Program

 

What We Value

Trust. Ownership (Together). Compassion. Relentless Progress. These values shape how we show up for patients — and for each other.


Bookmark Medical is committed to a workplace that supports and sustains inclusion and belonging. Bookmark Medical does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, physical or mental disability, pregnancy, childbirth or related medical conditions, military service obligations, citizenship, sexual orientation, genetic information, or any other characteristic protected by applicable local, state, or federal law.