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Provider Network Manager Jobs in Merrick, NY (NOW HIRING)

Mace

IT Network Manager

New York, NY · Hybrid

$150K/yr

Manage remote access solutions and network security tools (e.g., Cisco Umbrella). * Monitor and ... Proven experience providing Tier 2 help desk support and troubleshooting. * Strong organizational ...

MUFG

Network Infrastructure, Director

New York, NY · Hybrid

A member of our recruitment team will provide more details. SUMMARY: The role is a senior network infrastructure leadership position responsible for managing a highly dynamic environment with global ...

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All JobsProvider Network JobsProvider Network Manager JobsProvider Network Manager Jobs in Merrick, NY

Provider Network Manager information

See Merrick, NY salary details

$22.5K

$109.1K

$166.4K

How much do provider network manager jobs pay per year?

As of Aug 3, 2026, the average yearly pay for provider network manager in Merrick, NY is $109,122.00, according to ZipRecruiter salary data. Most workers in this role earn between $82,400.00 and $131,100.00 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 cities near Merrick, NY are hiring for Provider Network Manager jobs? Cities near Merrick, NY with the most Provider Network Manager job openings:
Provider Network Manager jobs near you
Infographic showing various Provider Network Manager job openings in Merrick, NY as of July 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 70% In-person, 20% Hybrid, and 10% Remote job distribution, with an average salary of $109,122 per year, or $52.5 per hour.

SVP, Network & Provider Management

Oscar Health

New York, NY • Hybrid

$319K - $419K/yr

Other

PTO

Re-posted 11 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

251st of 301 rated insurance

Job description

Hi, we're Oscar. We're hiring a SVP, Network & Provider Management to join our Insurance team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.

About the role:

The SVP, Network & Provider Management leader is a key player in Oscar's mission to enhance the quality and accessibility of care for members while supporting the organization's strategic goals. This role is directly responsible for crafting the overall network strategy, analyzing network adequacy and performance, articulating the engagement and experience standards for Oscar's providers, providing the necessary tooling to manage network build and maintenance while ensuring compliance with regulatory requirements. This role supports the development and management of Oscar Health Insurance's provider networks and contract negotiations, and leads a variety of network operations. This leader is key to ensuring Oscar meets its company goals and while providing network insights to support the line of business strategies.

You will report into the EVP. President of Oscar Insurance

Work Location: This position is based in our New York office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid

Pay Transparency: The base pay for this role is: $319,608 - $419,107 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities:

  • Support Market leaders with network tooling, adequacy standards and contracting strategies
  • Develop long-term strategies for network growth and optimization, addressing gaps in service coverage, and ensuring that the network adapts to changing healthcare trends and member needs.
  • Utilize market trends and data to inform network strategy and identify opportunities for growth and improvement
  • Ensure the development and maintenance of a comprehensive provider network, including hospitals, physicians, and ancillary providers.
  • Demonstrating shared leadership in the overall insurance business by balancing the need to provide a broad network of services with controlling costs for both the company and policyholders through strong unit cost guidelines and contracting parameters.
  • Monitor network adequacy and compliance with regulatory requirements.
  • Monitor and evaluate network performance, addressing gaps and opportunities for improvement.
  • Provide central management of contract inventory, renewals and amendments, ensuring all agreements are up-to-date and compliant with organizational policies and regulations.
  • Provide guidance and support in contract negotiations and network management.
  • Lead a variety of provider operations such as credentialing, contract configuration and provider data management
  • Ensure a cohesive provider experience through leadership of provider success, provider communications, and provider marketing.  This includes partnering with Provider Relations and other operational areas such as Claims.
  • Collaborate with other departments, such as sales, marketing, and operations, to align network strategy with organizational goals.
  • Partner with technology to develop necessary tools and processes to manage Oscar's networks.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 20+ years experience in provider contracting, network management, or a related field within the healthcare or health insurance industry.
  • 10+ years experience leading in matrixed organizations
  • 10+ years experience building systems and processes to support provider network operations, from the ground up

Bonus points:

  • Experience partnering with technology teams to optimize and evolve operational programs
  • Demonstrated success in growing provider networks

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