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Provider Network Manager Jobs in Missouri (NOW HIRING)

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Provider Network Manager information

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$20.6K

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$152.4K

How much do provider network manager jobs pay per year?

As of Aug 22, 2026, the average yearly pay for provider network manager in Missouri is $99,963.00, according to ZipRecruiter salary data. Most workers in this role earn between $75,500.00 and $120,100.00 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 Missouri?

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

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

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

Infographic showing various Provider Network Manager job openings in Missouri as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $99,963 per year, or $48.1 per hour.

Network Engineering Manager

O'Reilly Auto Parts

Springfield, MO • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago


O'Reilly Auto Parts rating

5.3

Company rating: 5.3 out of 10

Based on 1,897 frontline employees who took The Breakroom Quiz

550th of 734 rated retailers


Job description

Job Summary:
The Manager Network Engineering directs the development and ongoing maintenance of critical IT platforms, processes, and network infrastructure. Leads high performing teams that deliver reliable, secure, and scalable solutions. Responsible for overseeing day to day operations, resource allocation, project execution, and performance management. Contributes to strategic IT decisions that align capabilities with long term organizational objectives. Collaborates closely with cross-functional stakeholders to define standards, manage budgets, and drive process improvement. Ensures compliance, security, and regulatory requirements are met. Fosters a culture of innovation, continuous learning, and accountability within the team.
Responsibilities and Duties:
  • Direct and oversee infrastructure developments and maintenance to ensure business requirements can be met.
  • Lead definition of architectural standards for all technology services and components (applications, data, integration, technology, security, business). Present business and IT leaders with signature-ready recommendations for adjusting policies and projects to achieve target business outcomes that capitalize on relevant digital disruptions.
  • Document the most complex "as is" and "to be" processes and describe the changes required to migrate to the "to be" capability to record accurately the change required.
  • Develop a strategic architecture plan, ensuring that data features are prioritized appropriately, estimates are reliable, benefits can be realized, and design activities are proactively monitored and tracked to meet planned time frames and the overall architecture plan.
  • Elicit the most-complex business requirements using a variety of methods, such as interviews, document analysis, workshops, and workflow analysis, to express the requirements in terms of target user roles and goals.
  • Communicate the actions needed to implement the function's strategy and business plan within the team; explain the relationship to the broader organization's mission, vision, and values; motivate people to commit to these and to do extraordinary things to achieve local business goals.
  • Develop straightforward business cases to quantify current costs, justify project investment, and identify the return on investment.
  • Lead in detecting and analyzing security incidents, including attacks, breaches, and identified vulnerabilities, and remediate any security gaps in line with the security incident management procedure.
  • Manage and report on the performance of a substantial, diverse team; set appropriate performance objectives for direct reports or project/account team members and hold individuals accountable for achieving them; take appropriate corrective action where necessary to ensure the achievement of team/personal objectives.
  • Use the organization's formal development framework to identify the team's individual development needs. Plan and implement actions, including continuing professional development specified by professional or regulatory institutions, to build their professional capabilities. Provide informal training or coaching to others throughout the organization in own area of expertise to enable others to improve performance and fulfill personal potential.
  • Develop and/or deliver budget plans with guidance from senior colleagues.

Skills:
Required:
  • Conduct an enterprise readiness assessment to determine the organization's readiness for change.
  • Express user needs in terms of business requirements, identify current capability of the business to deliver, conduct build or buy analyses, and recommend preferred approach.
  • Conduct gap analysis between current and future states to identify components of the overall change strategy.
  • Design architectures, incorporating system/ service requirements.
  • Acquire, organize, protect and process data in order to fulfill business objectives.
  • Review and evaluate recommendations and requirements and to develop appropriate plans or deliver actions required.
  • Develop and execute architectures, policies and practices in order to manage the information lifecycle needs of an organization.
  • Monitor, interpret and understand policies and procedures and ensure their alignment with organizational strategies and work objectives.
  • Determine and analyze trends from data that is collected to assist in compiling reports that will help in decision-making.
  • Proficiently navigate and manage cloud-based infrastructure, including virtual machines, networks, storage, and services.
  • Understand, deploy, and manage cloud-based infrastructure and services.
  • Understand business context, needs, rules, and architecture, as well as organizational structure, cultures, capabilities, and processes to document the current state of processes and the business.
  • Operates as a recognized expert to maintain system/service and information security, integrity, compliance and continuity.
  • Applies comprehensive knowledge / skill, acts with independence and provides guidance and training to others.
  • Adopt solutions to automate and manage multiple applications and functions within an organization.

Preferred:
Education: Master's Degree or Equivalent Level
Experience: Wide and deep experience providing expert competence (10 years to 15 years)
Managerial Experience: Experience of planning, managing and organizing resources within short / medium timescales within the overall policy framework. (6 years to 10 years)
O'Reilly Auto Parts has a proven track record of growth and stability. O'Reilly is full of successful career stories and believes in a strong promote-from-within philosophy, encouraging you to grow your career along with the organization.
Total Compensation Package:
  • Competitive Wages & Paid Time Off
  • Stock Purchase Plan & 401k with Employer Contributions Starting Day One
  • Medical, Dental, & Vision Insurance with Optional Flexible Spending Account (FSA)
  • Team Member Health/Wellbeing Programs
  • Tuition Educational Assistance Programs
  • Opportunities for Career Growth

O'Reilly Auto Parts is an equal opportunity employer. The Company does not discriminate on the basis of race, religion, color, national origin or ancestry (including immigration status or citizenship), sex, sexual orientation, gender identity, pregnancy (including childbirth, lactation, and related medical conditions,) age (40 and over), veteran status, uniformed service member status, physical or mental disability, genetic information (including testing or characteristics) or another protected status as defined by local, state, or federal law, as applicable.
Qualified individuals with a disability may be entitled to reasonable accommodation under the Americans with Disabilities Act. If you require a reasonable accommodation during the application or employment process, please send an email to: rar@oreillyauto.com or call (800) 471-7431 option , and provide your requested accommodation, and position details.

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