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Provider Network Manager Jobs in Ohio (NOW HIRING)

The Network Engineer III is responsible for evaluating, supporting, implementing and monitoring ... Manage relationships and SLAs with co-location providers and circuit/carrier vendors, including ...

Logistics - Coordinator

Columbus, OH · On-site

$18.75 - $25/hr

Brokerage & Carrier Management * Carrier Sourcing & Negotiation: Source capacity from our highly vetted provider network and negotiate competitive rates to maximize margin while ensuring service ...

Telecom Network Engineer

Columbus, OH · On-site

$80K - $95K/yr

... management processes by preparing implementation steps, executing approved changes, and providing ... network specifications, and enterprise policy. Preferred Qualifications: * Possess excellent ...

Telecom Network Engineer

Columbus, OH · On-site

$80K - $95K/yr

... management processes by preparing implementation steps, executing approved changes, and providing ... network specifications, and enterprise policy. Preferred Qualifications: * Possess excellent ...

New

Logistics - Coordinator

Columbus, OH · On-site

$18.75 - $25/hr

Brokerage & Carrier Management * Carrier Sourcing & Negotiation: Source capacity from our highly vetted provider network and negotiate competitive rates to maximize margin while ensuring service ...

Be Seen First

Network/Server Engineer

Avon Lake, OH · On-site

$40K - $60K/yr

Provide technical assistance to manage client infrastructure by providing diagnostics, trouble-shooting, and technical documentation Requirements * Previous experience in Networking, Server, and/or ...

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Network/Server Engineer

Avon Lake, OH · On-site

$40K - $60K/yr

Provide technical assistance to manage client infrastructure by providing diagnostics, trouble-shooting, and technical documentation Requirements * Previous experience in Networking, Server, and/or ...

Manage and mentor a globally distributed team of ~7 network engineers across regions and time zones ... Provide daytoday technical guidance, coaching, and career development. * Balance delivery ...

Showing results 41-60

Provider Network Manager information

See Ohio salary details

$20.9K

$101.3K

$154.5K

How much do provider network manager jobs pay per year?

As of Aug 10, 2026, the average yearly pay for provider network manager in Ohio is $101,315.00, according to ZipRecruiter salary data. Most workers in this role earn between $76,500.00 and $121,700.00 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 Ohio? The most popular types of Provider Network jobs in Ohio are:
What cities in Ohio are hiring for Provider Network Manager jobs? Cities in Ohio with the most Provider Network Manager job openings:
Infographic showing various Provider Network Manager job openings in Ohio as of August 2026, with employment types broken down into 80% Full Time, 19% Part Time, and 1% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $101,315 per year, or $48.7 per hour.

Senior Analyst US Healthcare Payer Domain

Tata Consultancy Service Limited

Mason, OH • On-site

$100K - $140K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 20 days ago


Job description

Must Have Technical/Functional Skills
We are seeking a highly experienced Senior Analyst with strong expertise in the US Healthcare Payer domain. The candidate will play a critical role in analyzing payer-side business processes including claims, enrollment, membership, and benefits, while collaborating with business and technology teams to deliver scalable healthcare solutions.
Must-Have Technical / Functional Skills
Domain Expertise
• Strong experience in US Healthcare Payer domain(8 years)
• Deep understanding of:
o Claims processing lifecycle
o Enrollment & Membership
o Benefits configuration
o Billing and provider interactions
Healthcare Data & Standards
• Knowledge of:
o EDI Transactions (837, 835, 834)
o HL7 (good to have)
o FHIR standards (good to have)
• Understanding of HIPAA compliance requirements
Functional Expertise
• Strong experience in:
o Requirement gathering and documentation
o Business process analysis
o Agile methodologies (Scrum/SAFe)
• Experience with tools:
o JIRA / Rally / ALM
• Basic SQL for data validation and analysis
Preferred Skills
• Exposure to Medicare, Medicaid, and Commercial plans
• Experience with:
o Provider & network management
o Care management workflows
o Claims adjudication and payment systems
• Experience collaborating with data, integration, and downstream systems
Salary Range: $100,000- $140,000 a year
TCS Employee Benefits Summary:
Discretionary Annual Incentive.
Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.
Family Support: Maternal & Parental Leaves.
Insurance Options: Auto & Home Insurance, Identity Theft Protection.
Convenience & Professional Growth: Commuter Benefits & Certification & amp; Training Reimbursement.
Time Off: Vacation, Time Off, Sick Leave & Holidays.
Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.
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