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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

... provider network infrastructure * Deep expertise in datacenter networking: VxLAN, EVPN, BGP EVPN control plane, and leaf-spine architectures * Strong Palo Alto experience: firewall policy management ...

Bandwidth

Sr. IP Network Engineer

Raleigh, NC

$101K - $138K/yr

... provider network infrastructure * Deep expertise in datacenter networking: VxLAN, EVPN, BGP EVPN control plane, and leaf-spine architectures * Strong Palo Alto experience: firewall policy management ...

Bandwidth

Sr. IP Network Engineer

Raleigh, NC · On-site

$101K - $138K/yr

... provider network infrastructure * Deep expertise in datacenter networking: VxLAN, EVPN, BGP EVPN control plane, and leaf-spine architectures * Strong Palo Alto experience: firewall policy management ...

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 ...

Visium Resources, Inc.

Network Engineer

Clayton, NC · On-site

The ideal candidate will provide Tier 1 IT network support for all network infrastructure devices & services. The role will report to the IT/Automation team Infrastructure Manager for project.

KBI Biopharma, Inc.

Network Engineer 2

Durham, NC · On-site

Design, implement, and manage local and wide-area networks (LAN/WAN). Configure and maintain ... Part of third-level helpdesk escalation providing support to helpdesk staff when engineering ...

KBI Biopharma, Inc.

Network Engineer 2

Durham, NC · On-site

Design, implement, and manage local and wide-area networks (LAN/WAN). Configure and maintain ... Part of third-level helpdesk escalation providing support to helpdesk staff when engineering ...

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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 Jul 14, 2026, the average yearly pay for provider network manager in Raleigh, NC is $103,594.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,300.00 and $124,400.00 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 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
Provider Contracting Advisor - Cigna Healthcare - Raleigh, NC (Hybrid)

Provider Contracting Advisor - Cigna Healthcare - Raleigh, NC (Hybrid)

Cigna

Raleigh, NC • On-site

Full-time

Re-posted 8 days ago

Cigna Healthcare rating

8.3

Company rating: 8.3 out of 10

Based on 235 frontline employees who took The Breakroom Quiz

39th of 884 rated healthcare providers

Job description

Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As a Provider Contracting Advisor, you'll report to the AVP, Provider Network Management. In this individual contributor role, you'll assist in developing the strategic direction and management of day-to-day contracting and network management.
This is a hybrid position based in Raleigh, NC.
Responsibilities
  • Manage complex fee-for-service and value-based contracting and negotiations with large physician groups, ancillaries, and hospital systems.

  • Lead key market contracting strategy projects with responsibility for managing direct reports as assigned.

  • Build and maintain strong provider relationships to support network growth and value-based business opportunities.

  • Coordinate closely with matrix partners (i.e., Claims, Medical Management, Credentialing) to ensure aligned execution.

  • Develop strategic network positions, identify value-oriented and risk-based opportunities, and contribute to alternative network initiatives and analytics.

  • Work to meet unit cost targets while maintaining an adequate, competitive provider network.

  • Design and manage initiatives to improve medical cost and quality, offering consultative guidance informed by clinical informatics.

  • Prepare, review, and project the financial impact of large or complex provider contracts and alternative terms.

  • Create, implement, and ensure operational accuracy of HCP agreements through effective cross-functional collaboration.

  • Lead resolution of escalated provider issues and manage key provider relationships with deep knowledge of the local market landscape including contract loading and maintenance.

Required Qualifications
  • 3-5+ years of healthcare provider contracting and negotiating experience involving complex physician groups and ancillaries

  • Background in managed care, healthcare, or health insurance, including commercial contracting

  • Proven leadership experience, including mentoring and guiding others

  • Strong provider relationship management skills and success developing long-term - partnerships

  • Knowledge of complex reimbursement methodologies, including incentive-based models (strongly preferred)

  • Deep understanding of hospital, managed care, and provider business models with the ability to influence sales and provider audiences

  • Exceptional presentation and communication skills, including the ability to build internal relationships in a fast-paced, matrixed organization

  • Customer-centric approach, strong interpersonal skills, and confidence in navigating change

  • Strong problem-solving, decision-making, negotiation, contract interpretation, and financial analysis skills

  • Proficiency in Microsoft Office

Preferred Qualifications
  • Bachelor's degree in a related field (industry experience may substitute); MBA / MHA preferred

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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