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Provider Network Manager Jobs in Utah (NOW HIRING)

Southern Utah University

Network Engineer

Cedar City, UT · On-site

$66K - $70K/yr

Manage the training and supervision of student employees and provide direction for general network maintenance. * Other duties as assigned. Education & Experience Minimum Qualifications * 4 Year ...

C3EL

JRSS Network Technician

Hill Air Force Base, UT

$21.50 - $27.75/hr

This position provides technical expertise for critical network infrastructure. Our customer is the ... Perform a variety of change management tasks which include hardware replacement, software ...

C3EL

JRSS Network Technician

Hill Air Force Base, UT

$21.50 - $27.75/hr

This position provides technical expertise for critical network infrastructure. Our customer is the ... Perform a variety of change management tasks which include hardware replacement, software ...

KēSTA I.T.

Sr. Network Architect

Draper, UT · On-site

$120K - $150K/yr

Provide architectural guidance across IT initiatives and service lifecycle processes * Collaborate ... Exposure to AIOps or AI-driven network management platforms * ITIL 4 certification (Foundation or ...

JT4 LLC

Network Engineer

Salt Lake City, UT

Manage Wireless & RF Communications: Provide RF communications engineering and integration for DoD wireless network configurations, including point-to-point, point-to-multipoint, and MANET radio ...

JT4, LLC

Network Engineer

Magna, UT · On-site

Manage Wireless & RF Communications: Provide RF communications engineering and integration for DoD wireless network configurations, including point-to-point, point-to-multipoint, and MANET radio ...

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Provider Network Manager information

See Utah salary details

$20K

$97K

$147.9K

How much do provider network manager jobs pay per year?

As of May 30, 2026, the average yearly pay for provider network manager in Utah is $97,018.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,300.00 and $116,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Provider Network Manager, and why are they important?

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 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 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 are popular job titles related to Provider Network Manager jobs in Utah? For Provider Network Manager jobs in Utah, the most frequently searched job titles are:
What job categories do people searching Provider Network Manager jobs in Utah look for? The top searched job categories for Provider Network Manager jobs in Utah are:
What cities in Utah are hiring for Provider Network Manager jobs? Cities in Utah with the most Provider Network Manager job openings:
Provider Network Manager jobs near you
Infographic showing various Provider Network Manager job openings in Utah as of May 2026, with employment types broken down into 1% As Needed, 61% Full Time, 36% Part Time, and 2% Contract. Highlights an 75% Physical, 2% Hybrid, and 23% Remote job distribution, with an average salary of $97,018 per year, or $46.6 per hour.
Specialist, Provider Network Administration

Specialist, Provider Network Administration

Molina Healthcare

Orem, UT • On-site

$18.04 - $35.17/hr

Full-time

Posted 14 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 191 frontline employees who took The Breakroom Quiz

146th of 259 rated insurance

Job description

JOB DESCRIPTION 

Job Summary

Provides support for provider network administration activities.  Responsible for accurate and timely validation and maintenance of critical provider information on all claims and provider databases, and ensures adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
 

Essential Job Duties

Receives information from outside parties for update of provider-related information in applicable computer system(s). 
Reviews/analyzes data by applying job knowledge to ensure appropriate information has been provided.
Maintains department quality standards for provider demographic data with affiliation and fee schedule attachment.
Ensures accurate entries of information into health plan systems.
Audits loaded provider records for quality and financial accuracy, and provides documented feedback.
Assists in resolution of configuration issues with applicable teams.
Provides support for provider network administration projects.
 

Required Qualifications

At least 3 years of health care experience, to include experience in claims, provider services, provider network operations, and/or hospital/physician billing, or equivalent combination of relevant education and experience.
Claims processing experience, including coordination of benefits, subrogation, and/or eligibility criteria.
Attention to detail, and ability to facilitate accurate data entry/review.
Data entry/processing skills.
Customer service skills.
Ability to manage multiple priorities and meet deadlines.    
Effective verbal and written communication skills. 
Microsoft Office suite and applicable software programs proficiency.
 

Preferred Qualifications

Experience with medical terminology, Current Procedural Terminology (CPT), International Classification of Diseases (ICD-9, ICD-10) codes, etc. 
Intermediate Microsoft Excel skills.
 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $18.04 - $35.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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