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Provider Network Manager Jobs in Rochester, MI (NOW HIRING)

Dearborn Group

Sup Network Analytics

Southfield, MI · On-site

$55K - $123K/yr

Knowledge of provider recruitment. * Experience balancing multiple priorities while meeting ... Time management skills. * Clear and concise verbal and written communication skills. * Problem ...

Dearborn Group

Sup Network Analytics

Southfield, MI · On-site

$55K - $123K/yr

Knowledge of provider recruitment. * Experience balancing multiple priorities while meeting ... Time management skills. * Clear and concise verbal and written communication skills. * Problem ...

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All JobsProvider Network JobsProvider Network Manager JobsProvider Network Manager Jobs in Rochester, MI

Provider Network Manager information

See Rochester, MI salary details

$20.3K

$98.1K

$149.6K

How much do provider network manager jobs pay per year?

As of Jul 23, 2026, the average yearly pay for provider network manager in Rochester, MI is $98,092.00, according to ZipRecruiter salary data. Most workers in this role earn between $74,100.00 and $117,800.00 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 cities near Rochester, MI are hiring for Provider Network Manager jobs? Cities near Rochester, MI with the most Provider Network Manager job openings:
Provider Network Manager jobs near you
Infographic showing various Provider Network Manager job openings in Rochester, MI as of July 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $98,092 per year, or $47.2 per hour.
Manager Provider Network Excellence (Hybrid/Troy, MI) - Health Alliance Plan

Manager Provider Network Excellence (Hybrid/Troy, MI) - Health Alliance Plan

HAP (Health Alliance Plan)

Troy, MI • Hybrid

$80K - $108K/yr

Other

Posted 16 days ago

Job description

This management position will require 3 on-site days at the Health Alliance Plan building in Troy, MI - with Tuesday as one of the required days.

GENERAL SUMMARY: 

Provide guidance and leadership to the Provider Excellence team. Reporting to Director, Provider Network Management Operations the Manager of Provider Excellence will have a dedicated team that manages the divisions projects, policies, procedures, metrics, data, and visual dashboards to help Provider Network Management division run day to day operations in a more efficient manner. Responsible for the oversight of projects that help meet Provider Network Management and HAP's business objectives. Ensure results for projects, deliver business requirements, meet implementation timelines, and meet quality and audit standards. Establish and maintain relationships with leadership, business partners, and the provider community. Ensure Provider Network Management continually delivers high quality outcomes while maintaining compliance to the provider community. Participate and influence discussions regarding provider data short and long-term strategy. 

PRINCIPLE DUTIES AND RESPONSIBILITIES:

  • Develop and direct the Provider Excellence team to ensure they meet the service levels, manage projects, and meet the needs and expectations of all internal and external customers.
  • Manage offshore resources and/or automated resources used to meet due dates, timelines, and SLAs within the division in a compliant manner.
  • Manage division budget and budgeted expenses to the organization.
  • Have a solid understanding regarding the impact of technological and process changes on the division and the organization and advise on downstream implications.
  • Manage requirements to ensure division submits all appropriate requests to BCT timely so due dates are met with provider community.
  • Develop processes and protocols that create the framework for the Provider Excellence team to act as liaisons between Provider Network Management Division and organization gathering business requirements and overall objectives.
  • Manage network lease agreements for organization.
  • Maintain and establish quality standards and maintain metrics and divisional dashboards.
  • Establishes and administers a divisional wide training program for internal employees and provider community.
  • Oversees the design, strategy, and accuracy of provider data reports that are externally deployed.
  • Oversee the development and implementation of change enablement strategies, processes, and methodologies, including change management. Identify the need for change, anticipating, recognizing, reimagining work while creatively addressing resistance to change; working with others to view change as an opportunity for growth.
  • Develop staff and encourage new ideas/approaches.
  • Use efficient and cost-effective approaches to integrate technology, process and procedures into the workplace and improve program effectiveness.
  • Collaborate with business partners to maintain and develop training materials.
  • Perform other duties as assigned.

EDUCATION/EXPERIENCE REQUIRED:

  • Bachelor's Degree in Business Administration, Finance, Management, or relevant field, required.
  • Three (3) years of management experience or demonstration of management skills through work experience in healthcare field, required.
  • Five (5) years of process and/or project management, required.
  • Three (3) years within a healthcare environment, required.
  • Experience in defining and implementing incremental process improvements.

Department preferred experience/skills:

  • Experience working with a provider network.
  • Experience working with offshore teams.
  • Scrum or Agile methodology exposure.
  • Experience in SQL or Power BI a plus.
  • Strong written and verbal communication skills. 
  • Detailed and organized.
Additional Information
  • Organization: HAP (Health Alliance Plan)
  • Department: Provider Network Operations
  • Shift: Day Job
  • Union Code: Not Applicable

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