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Provider Network Manager Jobs in Michigan (NOW HIRING)

CVS Health

MI · On-site

$54K - $159K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Aetna is seeking a Pharmacy Network Manager to support the Director of Network Pharmacy in ensuring ... provide actionable insights to stakeholders. * 2-3 years of experience applying pharmacy ...

Stellantis

Network Regional Manager

Auburn Hills, MI · On-site

The Network Regional Manager plays a critical role in shaping the retail network by evaluating ... Provide insight into dealer candidate effectiveness based on interpretation of application ...

Stellantis

Network Regional Manager

Auburn Hills, MI · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Network Regional Manager plays a critical role in shaping the retail network by evaluating ... Provide insight into dealer candidate effectiveness based on interpretation of application ...

CVS Health

MI · On-site

$100K - $231K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Advises senior management and stakeholders on provider network performance, patient expectations and outcomes, and key financial metrics and targets. * Designs key strategies for retail network ...

KLA-Belgium

IT Network Manager - Endpoint Security

Ann Arbor, MI · On-site

$114.10 - $194/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

## Network Security Manager - Endpoint OpsApplylocations: Ann Arbor, MItime type: Full timeposted on ... providers to accelerate the delivery of tomorrow's electronic devices. Life here is exciting and ...

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Showing results 21-40

All JobsProvider Network JobsProvider Network Manager JobsProvider Network Manager Jobs in Michigan

Provider Network Manager information

See Michigan salary details

$19.2K

$92.9K

$141.6K

How much do provider network manager jobs pay per year?

As of Aug 14, 2026, the average yearly pay for provider network manager in Michigan is $92,886.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,200.00 and $111,600.00 per year, depending on experience, location, and employer.

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 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 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.

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 most commonly searched types of Provider Network jobs in Michigan?

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

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

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

Provider Network Manager jobs near you
Infographic showing various Provider Network Manager job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 12% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $92,886 per year, or $44.7 per hour.

Provider Practice Performance Advisor

AmeriHealth Caritas Health Plan

Southfield, MI • On-site

Full-time

Re-posted 2 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

128th of 307 rated insurance

Job description

Role Overview: The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and quality outcomes. This role analyzes provider performance data, identifies improvement opportunities, and partners with providers and internal teams to drive improvements in quality, cost, and overall care delivery.
Work Arrangements:
  • Remote - The associate can be located anywhere in Michigan (MI).
  • 50% travel is required to the provider's location and attend office meetings at our Southfield, MI location.

Responsibilities:
  • Produce all quality and performance-related reporting, establishing opportunities and strategies regularly in preparation for the Joint Operating Committee (JOC).
  • Present information to the provider, colleagues, and the executive team in a clear, concise manager
  • Analyze claims data, utilization trends, and patient outcomes to support performance optimization
  • Support provider engagement related to Healthcare Effectiveness Data and Information Set (HEDIS), Total Cost of Care (TCOC), and other performance-based programs
  • Partner with Quality, Provider Network, and Account Executive teams to align strategies and improve provider performance
  • Participate in provider meetings to review gaps in care and develop action plans in collaboration with Provider Network Management (PNM) and Chief Medical Officer (CMO) teams
  • Lead and support performance improvement initiatives and projects aligned with corporate strategy and best practices
  • Identify opportunities using data and collaborate with internal teams to develop and implement targeted intervention strategies
  • Track, monitor, and report on provider action plans and outcomes to measure the effectiveness of initiatives
  • Support network and quality strategy execution across markets
  • Maintain strong cross-functional collaboration with Provider Network Operations (PNO), PNM, and Quality teams to achieve performance goals
  • May assist with member outreach efforts and coordination of care-related activities

Education & Experience:
  • Bachelor's degree in healthcare administration or related field required
  • 3 years of Account Executive experience or provider engagement experience, demonstrating knowledge of TCOC and Medical Loss Ratio (MLR) analysis, is required.
  • Experience in a variety of provider reimbursement methodologies, including value-based or risk-based contracting
  • Understand quality and provider performance reporting, including HEDIS and other quality measures.

Licensure:
  • Valid driver's license, transportation, and insurance required:

Skills & Abilities:
  • Strong understanding of healthcare regulations, reimbursement models, and quality metrics, specifically in HEDIS and STARS
  • Ability to analyze and interpret complex healthcare data and translate insights into actionable strategies
  • Knowledge of provider operations, including claims coding, payment integrity, credentialing, appeals, and disputes
  • Experience working with value-based care programs and performance measures
  • Excellent communication and collaboration skills with the ability to engage providers and cross-functional teams
  • Strong analytical, problem-solving, and reporting capabilities
  • Ability to manage multiple priorities and drive performance improvement initiatives

What AmeriHealth Caritas employees say

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