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Provider Network Manager Jobs in Raleigh, NC (NOW HIRING)

Bandwidth

Sr. IP Network Engineer

Raleigh, NC · On-site

$101K - $138K/yr

... service provider routing protocols. What You'll Do: * Design and operate VxLAN/EVPN-based ... Manage and maintain Palo Alto firewall infrastructure, including zone-based policy design, Panorama ...

Bandwidth

Sr. IP Network Engineer

Raleigh, NC · On-site

$101K - $138K/yr

... service provider routing protocols. What You'll Do: * Design and operate VxLAN/EVPN-based ... Manage and maintain Palo Alto firewall infrastructure, including zone-based policy design, Panorama ...

Bandwidth

Sr. IP Network Engineer

Raleigh, NC

$101K - $138K/yr

... service provider routing protocols. What You'll Do: * Design and operate VxLAN/EVPN-based ... Manage and maintain Palo Alto firewall infrastructure, including zone-based policy design, Panorama ...

Surazal Systems

Network Engineer Tier 1 & 2

Cary, NC · On-site

This position will provide opportunities to grow in all areas of IT Network Management. The Network Technician will be responsible for on-site customer support, including Microsoft Server 2003, 2008 ...

HCLTech

Network Patch Management Analyst

Cary, NC · On-site

Job Role: Network Patch Management Analyst Location: Cary NC or Jacksonville FL (Onsite) Type ... ITIL 4 Foundation Disclaimer HCL is an equal opportunity employer, committed to providing equal ...

Cim

Director of Network Operations

Raleigh, NC · On-site

$150 - $230/hr

This position leads the optimization of network infrastructure, provider support services, care management and referral technologies, performance reporting, and strategic initiatives that advance ...

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Provider Network Manager information

See Raleigh, NC salary details

$21.4K

$103.6K

$158K

How much do provider network manager jobs pay per year?

As of Aug 26, 2026, the average yearly pay for provider network manager in Raleigh, NC is $103,588.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,200.00 and $124,400.00 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 Raleigh, NC?

The most popular types of Provider Network jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Provider Network Manager jobs?

Cities near Raleigh, NC with the most Provider Network Manager job openings:

Provider Network Manager jobs near you
Infographic showing various Provider Network Manager job openings in Raleigh, NC as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $103,594 per year, or $49.8 per hour.

Administrative Director - Physician & Provider Network Management

Duke Health

Durham, NC • On-site

Full-time

Posted 7 days ago

Duke Health rating

7.3

Company rating: 7.3 out of 10

Based on 255 frontline employees who took The Breakroom Quiz

305th of 893 rated healthcare providers

Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Duke Health Integrated Practice

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.


JOB LOCATION

DHIP Administrative Offices RTP - 4825 Creekstone Dr

JOB SUMMARY

We are seeking an Administrative Director for Physician & Provider Network management reporting to the DHIP Vice President for Growth and Network Development and partnering closely with the DHIP Chief Financial Officer, Community Chief Medical Officer, and VP of Operations, the Director, Physician & Provider Network Management serves as the single point of accountability for the business and network relationship between Duke Health and an assigned portfolio of community physicians and advanced practice providers (APPs).

Organized by specialty and region, the Administrative Director provides concierge-level support to clinicians and is accountable for clinician performance, engagement, retention, and productivity across the network portfolio. This role manages the network arrangements that connect clinicians to Duke Health-employed agreements, internal MOUs, external Professional Services Agreements (PSAs), and joint ventures-and does not oversee clinic site operations. It translates operational, financial, and human-capital strategy into measurable clinician- and network-level outcomes.

Core accountabilities include provider compensation plan management and incentive administration, practice- and provider-level financial performance, recruitment execution and ramp-to-productivity, contract review and renegotiation, financial oversight across all arrangements, and stabilization of acquisitions into network management. The Administrative Director partners with the community division chief for physician oversight and leads or supports strategic initiatives such as the APP transformation. Success requires the ability to manage complex business, financial, and human-capital matters and to communicate effectively with DHIP senior leadership, physicians, APPs, and staff in a highly matrixed environment.

JOB DUTIES AND RESPONSIBILITIES

  • Serve as the single point of accountability and concierge-level partner for an assigned network portfolio of approximately 100-150 community physicians and advanced practice providers (APPs) organized by specialty and region. Own clinician performance, engagement, retention, and productivity, working closely with the community division chief and senior physician leadership.
  • Manage provider compensation plans and administer incentive calculations; draft and distribute annual compensation plans; proactively identify and resolve compensation issues; and support compensation model development, benchmarking, and Fair Market Value (FMV) review in partnership with centralized modeling resources.
  • Own practice- and provider-level financial management and performance optimization across the portfolio, including budgeting, wRVU/productivity and expense performance, and financial oversight of all network arrangements (employed, PSA, and joint venture).
  • Manage internal MOUs and external Professional Services Agreements (PSAs) for clinical services, including initial contract review, renegotiation, invoicing and payment to clinicians, and supporting financial modeling.
  • Execute clinician recruitment and ramp-to-productivity in partnership with recruitment, marketing, and senior leadership, ensuring timely onboarding and time-to-productivity in competitive markets.
  • Lead legal, compliance, and issue resolution and clinician performance recovery; serve as liaison across Duke administration, PRMO, DHTS, and external organizations to advance portfolio objectives and resolve issues.
  • Partner in strategic planning and project-based work for large initiatives (e.g., the APP transformation); stabilize acquisitions and transition acquired practices to network management, driving operational alignment for growth, access, quality, and sustainability.

JOB ELIGIBILITY REQUIREMENTS

  • Bachelor's Degree required. A Master's Degree in Business Administration, Health Administration, or a related field is preferred.

  • Seven years of physician/provider services, medical group, or healthcare administration experience, including provider compensation, financial analysis, and physician/APP relationship management.
  • Experience in a large, multi-specialty group, health system, or academic medical center is preferred.

  • Deep experience in provider compensation plan design, incentive administration, and Fair Market Value (FMV) and benchmarking practice (e.g., SullivanCotter, MGMA).

  • Strong financial analysis, modeling, and budgeting skills, including provider-level productivity (wRVU) and expense performance.

  • Working knowledge of physician and provider network contracting-employment agreements, MOUs, PSAs, and joint ventures-and applicable regulatory guardrails (Stark, Anti-Kickback, FMV).

  • Proven ability to build trusted relationships with, and influence, physicians and APPs.

  • Political savvy and effectiveness in ambiguous, highly matrixed environments; ability to work with diverse stakeholders.

  • Excellent oral and written communication and executive presence.

  • Ability to manage a large, multi-specialty clinician network portfolio at a highly autonomous level.

JOB HOURS

The schedule for this position is day shifts, Monday-Friday, with no weekends or holidays.


Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.


Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.


Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.


Employment Type: FULL_TIME

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