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Provider Network Manager Jobs in Leander, TX (NOW HIRING)

Qualia

Bank Partner Network Manager

Austin, TX · On-site

Bank Partner Network Manager At Qualia, we've built the leading B2B real estate technology that ... Demonstrated capacity to provide sound strategic judgment, coupled with a consistent eagerness to ...

Qualia

Bank Partner Network Manager

Austin, TX · On-site +1

WHAT YOU'LL WORK ON The Bank Partner Network Manager will be a key participant in driving the ... Demonstrated capacity to provide sound strategic judgment, coupled with a consistent eagerness to ...

Qualia

Bank Partner Network Manager

Austin, TX · On-site

WHAT YOU'LL WORK ON The Bank Partner Network Manager will be a key participant in driving the ... Demonstrated capacity to provide sound strategic judgment, coupled with a consistent eagerness to ...

Menlo Ventures

Bank Partner Network Manager

Austin, TX · On-site

$110 - $160/hr

WHAT YOU'LL WORK ON The Bank Partner Network Manager will be a key participant in driving the ... Demonstrated capacity to provide sound strategic judgment, coupled with a consistent eagerness to ...

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All JobsProvider Network JobsProvider Network Manager JobsProvider Network Manager Jobs in Leander, TX

Provider Network Manager information

See Leander, TX salary details

$21K

$101.8K

$155.3K

How much do provider network manager jobs pay per year?

As of Sep 4, 2026, the average yearly pay for provider network manager in Leander, TX is $101,828.00, according to ZipRecruiter salary data. Most workers in this role earn between $76,900.00 and $122,300.00 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 Leander, TX?

The most popular types of Provider Network jobs in Leander, TX are:

What cities near Leander, TX are hiring for Provider Network Manager jobs?

Cities near Leander, TX with the most Provider Network Manager job openings:

Provider Network Manager jobs near you
Infographic showing various Provider Network Manager job openings in Leander, TX as of August 2026, with employment types broken down into 86% Full Time, 13% Part Time, and 1% Contract. Highlights an 80% Physical, 2% Hybrid, and 18% Remote job distribution, with an average salary of $101,828 per year, or $49 per hour.

IPA, Network Provider Specialist [DALLAS]

Nutex Holdco LLC

Austin, TX • On-site

$70 - $100/hr

Other

Medical, Retirement

Posted 16 days ago

Key responsibilities

  • Conduct site visits to service providers to resolve issues, educate staff and providers on policies, and collect credentialing information.

  • Complete new provider orientation and conduct provider group meetings to review data and outcomes.

  • Provide oversight on inquiries and claims issues, follow up with providers to ensure problems are resolved, and support regional network improvement targets.

Job description

IPA, Network Provider Specialist [DALLAS]The IPA Provider Network Specialist manages the physician network by developing and maintaining the assigned IPA/Medical Group. This individual provides service and education to network physicians/providers and achieves company targets by implementing network improvement plans. The representative offers professional work and is responsible for performing activities pertaining to IPA Provider Network Specialist. This job includes traveling to provider offices and working under general supervision. Positions at this level are assigned a broad range of duties in the occupation. The representative uses judgment in selecting appropriate guidelines and applying general policies and procedures.JOB TYPE: Full-time; On the RoadRESPONSIBILITIESCompletes new provider orientation for all applicable product lines.Conducts provider group meetings to review monthly/quarterly data and outcomes.Responsible for meeting minutes and follow-up on 'TO DO' items identified at meetings.Conduct site visits to service providers, resolve issues, educate staff and providers on policies, and collect credentialing information.Conduct site visits to service providers and educate staff and providers on submitting Risk Adjustment Factor Data and HEDIS information.Maintains relationships with contracted HMOs to implement amendments to DOFR, delegation, policy, and procedures.Returns all routine calls from providers within 24 hours to establish consistent and robust relationships with provider offices.Provide oversight on inquiries and claims issues and follow up with providers to ensure problems have been resolved.Maintains provider office tools, including provider manual.Supports regional Network Improvement Plan targets by providing utilization reports, ER contingencies, Frequent Flier Reports, and other analytics available to improve /maintain regions.Identifies network gaps and completes contracts for PCP, Specialist, and Ancillary networks with in-depth knowledge of different fee schedules (Medicare/Medical/ASP/AWP).Identifies new cost-saving possibilities through working with various committees, such as UM and Claims.Understands and explains risk contracts (shared risk/entire risk).Strategizes for membership growth and retention.Provide training, mentoring, and guidance to new representatives.Works on special projects as assigned or directed.QUALIFICATIONSKnowledge of MS Office: Word, Excel, PowerPoint, Access Database.Knowledge of MS Provider relations/customer service strategies.Knowledge of MSO-VL and MMSE programs and services: Authorizations, Claims, Credentialing encounters, RAF, Star Ratings, IS/IR, etc.Knowledge of Network development strategies and Provider Relations experience or similar background.Knowledge of current MSO-VL and MMSE geo-access requirements.Effective and efficient oral and written communication skills.Knowledge of County provider demographics.Skills in negotiating contract language and rate structures.Skills to provide training and technical assistance to contracted providers.Skills to evaluate and assess provider network to determine gaps and services needed.Skills to identify and develop new providers to ensure accessibility.Skills to monitor contract performance through site visits and data analysis.Skills to facilitate contracted provider meetings.Ability to represent the department or division professionally.Ability to establish and maintain effective working relationships with contracted and potential providers.Ability to resolve provider inquiries or requests promptly.REQUIREMENTSBachelor's Degree in Marketing or Business AdministrationMinimum of 2 years experience in Network Management within a managed care environment, health plan, or significant medical group administration.BENEFITS:401(k) matchingDental insuranceFlexible spending accountHealth insuranceLife insurancePaid time offVision insurance #J-18808-Ljbffr

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