ZipRecruiter

Log In

1

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

Stellantis

Network Regional Manager

Auburn Hills, MI · On-site

The Network Regional Manager plays a critical role in shaping the retail network by evaluating ... Provide insight into dealer candidate effectiveness based on interpretation of application ...

PHINIA Inc. - (USA)

Network Lead

Auburn Hills, MI · On-site

$90 - $120/hr

Vendor Management: liaise with vendors and service providers, negotiating contracts and ensuring effective service delivery. * Innovation and Continuous Improvement: stay abreast of emerging network ...

next page

Showing results 1-20

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 Aug 14, 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 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 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 August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, 1% Contract, and 1% Nights. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $98,092 per year, or $47.2 per hour.

AI-Driven Project Manager - Contracting, Provider Network & Compliance

Easterseals

Auburn Hills, MI • On-site

$43.50 - $55.50/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 13 days ago

Job description

Easterseals MORC is hiring for an AI-Driven Project Manager - Contracting, Provider Network & Compliance to help make a difference and become part of something bigger than yourself!
We are looking for Game Changers!
The types of people who wake up excited to make a difference. The superheroes of their field who care about the people they serve. If that sounds like you, we want you on our team.
Benefits of Being a Superhero!
Benefits:
  • Low-cost Dental/Health/Vision insurance
  • Dependent care reimbursement, and up to 5 days paid FMLA for maternity, paternity, foster care and adoption.
  • Generous 401K retirement plan
  • Up to $125 bonus for taking 5 days off in a row.
  • Wellness Programs
  • We are a PSLF (Public Service Loan Forgiveness) Employer.
  • We provide bonuses and extra incentives to reward hard work & dedication.
  • Mileage reimbursement in accordance with IRS rate.
  • Free financial planning services through our partnerships with the LoVasco Consulting Group, and SoFi.
  • Student loan repayment options
  • Pet Insurance

Qualifications:
  • Must possess bachelor's degree in business, information systems, healthcare/public administration, project management, or related field.
  • Must possess at least three (3) years of project management, process improvement, product management automation, technology implementation, or related experience.
  • Must possess a valid driver's license in the State of Michigan.
  • Have demonstrated experience leading complex cross-functional initiatives.
  • Have experience implementing workflow automation, AI tools, business intelligence solutions, or enterprise software.
  • Possess strong analytical, organizational, and communication skills.

Job Summary:
The AI-Driven Project Manager is responsible for identifying, developing, implementing, and optimizing sophisticated artificial intelligence solutions that improve efficiency, scalability, and operational effectiveness across the contracting, provider network services, and corporate compliance teams withing the Legal & Compliance Department. This position serves as the department's dedicated leader for AI adoption and business process transformation, partnering with legal, compliance, contracting, provider network, insurance, real estate, construction, and operational teams to identify opportunities to automate work, redesign workflows, and implement AI-enabled solutions. The successful candidate will lead cross-functional projects that transform manual and administrative processes into scalable, technology-enabled solutions that allow a lean nonprofit organization to do more with less while maintaining compliance, quality, and operational integrity.
Easterseals MORC was awarded Metro Detroit and West Michigan 101 Best & Brightest Companies to Work For!
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

Apply