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

The Hartford

Multinational Network Manager

New York, NY · On-site

$67K - $129K/yr

Engaging Network Partners in reoccurring stewardship meetings and in person visits to review and ... Provide support for Global Online mailbox management and Multinational billing (premium ...

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 ...

AArete

Manager, Network

Manhattan, NY · On-site

Description Manager, Network AArete is one-of-a-kind when it comes to consulting firm culture. We ... The ideal candidate brings deep payer/provider network expertise, a strong analytical foundation ...

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 ...

City Harvest Inc

Network Relations Manager

Brooklyn, NY · On-site

$66K - $70K/yr

He/she will be responsible for providing optimal customer service to these agencies, ensuring they ... The Network Relations Manager will be in service to these agencies, regularly soliciting feedback ...

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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 9, 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 August 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.

Specialist, Provider Network Administration - Remote

Molina Healthcare

New York, NY • On-site, Remote

$18.04 - $42.20/hr

Full-time

Posted 4 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 198 frontline employees who took The Breakroom Quiz

163rd of 304 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

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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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