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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 ...

Phinia, Inc.

Network Lead

Auburn Hills, MI · On-site

$96K - $132K/yr

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

Phinia

Network Lead

Auburn Hills, MI

$96K - $132K/yr

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

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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 24, 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.
Senior Network Contracting Negotiation Manager, Medicaid (Michigan)

Senior Network Contracting Negotiation Manager, Medicaid (Michigan)

CVS Health

Rochester Hills, MI

$75K - $165K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,312 frontline employees who took The Breakroom Quiz

82nd of 105 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and rate analysis, dispute resolution and/or settlement negotiations of contracts with larger and more complex, regional based hospital systems, large physician groups, and ancillaries in accordance with company standards.

As a Senior Network Manager you will manage contract performance and support the development and implementation of strategic, value-based contract relationships, maintain and enhance provider networks to meet accessibility, quality, financial goals and cost initiatives for our Medicaid products.

  • Negotiate and execute provider contracts, conduct high level review and analysis, dispute resolution and/or settlement negotiations of contracts with larger and more complex, market-based, hospitals, health systems group/system providers.

  • Recruit providers as needed to ensure attainment of network expansion and adequacy targets.

  • Responsible for identifying and managing cost issues and initiating appropriate cost saving initiatives and/or settlement activities.

  • Represents company with high visibility constituents, including customers and community groups. Promotes collaboration with internal partners.

  • Optimize interaction with assigned providers and internal business partners to facilitate relationships and ensure provider needs are met.

  • Participates in JOC meetings.

  • Manages complex, contractual relationships with providers according to prescribed guidelines in support of national and regional network strategies.

  • Manages contract performance and supports the development and implementation of value-based contract relationships in support of business strategies.

  • Accountable for cost arrangements within defined groups.

  • Collaborates cross-functionally to manage Hospital, Ancillary and provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities

  • Serves as SME for less experienced team members and internal partners.

  • Provides network development, maintenance, and refinement activities and strategies in support of cross market network management unit.

  • Assists with the design, development, management, and or implementation of strategic network configurations and integration activities.

  • Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.


Required Qualifications

  • 7+ years healthcare industry experience

  • 5+ years related experience and comprehensive level of provider negotiating skills with successful track record negotiating contracts with complex provider systems or groups.

  • Must reside in Michigan

  • Critical thinking to maintain cost management and a fully engaged network of participating hospitals, ancillaries and providers.

  • Microsoft Office/Excel proficient

  • Ability to travel in assigned market up to 10-15% of the time as needed (Michigan).


Preferred Qualifications

  • Healthcare Industry experience with either a payer or provider

  • Strong communication, critical thinking, problem resolution and interpersonalskills.

  • Understanding knowledge of Value Based Contracting.

  • Internal Aetna system knowledge a plus.

  • Understanding of Medicaid.

  • Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements.


Education

  • Bachelor's Degree or equivalent professional work experience.

Pay Range

The typical pay range for this role is:

$75,400.00 - $165,954.00


This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/05/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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