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Provider Network Manager Jobs in Portland, OR (NOW HIRING)

Collabera

Project Manager - Network

Portland, OR

$48.75 - $62.25/hr

Collabera recognizes true potential of human capital and provides people the right opportunities ... Project Manager - Network Duration: 3+ month Requirements: Formal Project Management Execute ...

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All JobsProvider Network JobsProvider Network Manager JobsProvider Network Manager Jobs in Portland, OR

Provider Network Manager information

See Portland, OR salary details

$23.1K

$112K

$170.8K

How much do provider network manager jobs pay per year?

As of Jul 27, 2026, the average yearly pay for provider network manager in Portland, OR is $112,004.00, according to ZipRecruiter salary data. Most workers in this role earn between $84,600.00 and $134,500.00 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 is the highest paying job in healthcare management?

In healthcare management, the highest paying roles are typically executive positions such as Chief Executive Officer (CEO) or Chief Operating Officer (COO) of healthcare organizations, with salaries often exceeding $150,000 annually. These roles require extensive experience, leadership skills, and often advanced degrees like an MBA or healthcare administration certification.

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 jobs in the US pay 300,000 a year?

Provider Network Managers in healthcare organizations can earn $300,000 or more annually, especially with extensive experience, certifications, and leadership responsibilities. High-level executive roles such as Chief Medical Officers or healthcare executives also frequently reach or exceed this salary level. These positions often require strong negotiation skills, industry knowledge, and strategic planning abilities.

What does a provider network manager do?

A provider network manager oversees the relationships between healthcare providers and an organization, ensuring network adequacy, compliance, and quality standards. They coordinate provider contracts, monitor network performance, and work to optimize provider participation, often using data analysis and negotiation skills.

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 is a network manager's salary?

A Provider Network Manager's salary typically ranges from $70,000 to $120,000 annually, depending on experience, location, and the size of the organization. They often require strong negotiation, healthcare industry knowledge, and certification in network management or related fields.
What are the most commonly searched types of Provider Network jobs in Portland, OR? The most popular types of Provider Network jobs in Portland, OR are:
What cities near Portland, OR are hiring for Provider Network Manager jobs? Cities near Portland, OR with the most Provider Network Manager job openings:
Provider Network Manager jobs near you
Infographic showing various Provider Network Manager job openings in Portland, OR as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $112,004 per year, or $53.8 per hour.
Director, Provider Network Operations

Director, Provider Network Operations

PacificSource

Portland, OR • On-site

Full-time

Posted 6 hours ago

PacificSource rating

6.3

Company rating: 6.3 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

273rd of 299 rated insurance

Job description

Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
This position is accountable for the Provider Network department's core operational, data, and systems functions. This role will oversee Provider Network divisions including Provider Relations, Provider Data Management, Credentialing, and provider platform interoperability. This position leads both department-specific and cross departmental planning and execution efforts, to maintain high levels of performance in enterprise level and Provider Network level key performance indicators. This position is responsible for all lines of business (Medicaid, Medicare, Commercial) and leads in strong alignment with the company's strategic plan, vision, and values.
Essential Responsibilities:
  • Guide strategic initiatives for the Provider Network Operations division, including network setup and maintenance, provider data integrity, provider education and service, contract implementation performance, provider-related claims, provider setup and audits, corrective action plan assessment and closure, and provider directory accuracy improvements.
  • Collaborate with Provider Reimbursement Insights and Analytics Team to ensure success in meeting objectives. Develop, direct and execute efforts to meet Credentialing division objectives, ensuring compliance and operational excellence.
  • Develop and execute strategies for provider education and relationship management to enhance provider collaboration, engagement, and satisfaction within the Provider Relations Team.
  • Lead initiatives to ensure seamless integration and ongoing operational effectiveness of provider network platforms with legacy and emerging systems. Fostering partnerships with software vendors and internal stakeholders to optimize the interoperability of tools and streamline network operations
  • Collaborate with IT teams and operational leaders to identify interoperability gaps and develop solutions to enhance system compatibility.
  • Ensure integrated systems support compliance with state, federal, and NCQA standards, as well as organizational policies.
  • Develop automated workflows and processes that ensure accurate synchronization of data across all platforms and departments. Guiding efforts to improve functionality via the deployment of LEAN methodologies and resources.
  • Strengthen relationship management frameworks to ensure consistent communication and support for provider partners.
  • Actively participate in department strategic planning, execution, resource allocation, and performance monitoring. Work with executive leadership to ensure processes, technology, and people resources are in place to achieve success in both key performance metrics and efficiency/stewardship targets.
  • Oversee and guide provider collaborative efforts in coordination with other key departments and leaders.
  • Guide division functional leaders to develop business plans that ensure successful initiatives have a positive impact on the member, provider partners and PacificSource.
  • Strengthen relationship management frameworks to ensure consistent communication and support for provider partners.
  • Design and deliver provider education programs to ensure understanding of network policies, reimbursement processes, and regulatory requirements.
  • Regularly assess provider feedback and implement enhancements to address pain points and improve relationships.
  • In partnership with Operations, IT, Health Services, Analytics, Finance and other departments, collaborate to maximize the alignment and value of various initiatives.
  • Oversee the planning of annual IT work plans, initiative work plans, financial budgets, and resource needs for the role of supervisory departments.
  • Develop and implement coaching and training programs with division leaders to foster team growth. Oversee resources and prioritization of those resources as new competencies are needed when the company grows and expands into new markets.
  • Responsible for hiring, staff development, coaching, and performance reviews. Provide feedback, including regular one-on-one meetings and performance evaluations for direct reports.
  • Responsible for overall employee engagement enhancement within Provider Network to include implementation of education/programs and other desired cultural enhancements.
  • Oversee division budgets and spending. Monitor spending versus the planned budget throughout the year and assess appropriate corrective actions as needed.
  • Actively participate in Manager/Supervisor meetings, PRISM walks, internal committees and other key department activities and disseminate information as appropriate.

Supporting Responsibilities:
  • Assess new and innovative provider payment methodologies for approval and implementation.
  • Meet department and company performance and attendance expectations.
  • Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
  • Perform other duties as assigned.

SUCCESS PROFILE
Work Experience: Minimum of 8 years in healthcare operations required. Management experience required. Must have expertise in provider reimbursement methodologies, provider relations, data management and compliance, along with experience developing, communicating, and executing strategy in a matrixed organizational structure.
Education, Certificates, Licenses: Bachelor's degree in business, health care administration, finance, or related field required. Candidates with an associate's degree and 2 years of relevant experience, or a high school diploma and 4 years of relevant experience, in addition to the required minimum years of work experience will also be considered.
Knowledge: Ability to develop and execute strategy Advanced knowledge of provider reimbursement and reimbursement methodologies, provider relations, or provider partnership activities in relevant markets and geography. Ability to lead people in a matrixed organization structure and build high performing teams. Proven collaborative interaction experience with provider leaders.
Competencies
Authenticity
Building Organizational Talent
Coaching and Developing Others
Compelling Communication
Customer Focus
Empowerment/Delegation
Emotional Intelligence
Leading Change
Managing Conflict
Operational Decision Making
Passion for Results
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 15% of the time.
Skills:
Accountable leadership, Business & financial acumen, Empowerment, Influential Communications, Situational Leadership, Strategic Planning
Compensation Disclaimer
The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range.
Base Range:
$108,468.62 - $184,396.64
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
  • We are committed to doing the right thing.
  • We are one team working toward a common goal.
  • We are each responsible for customer service.
  • We practice open communication at all levels of the company to foster individual, team and company growth.
  • We actively participate in efforts to improve our many communities-internally and externally.
  • We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
  • We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

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