Job Summary The Vice President, Provider Network Management serves as the enterprise leader for provider contracting and network management activities across markets and lines of business and is a ...
Job Summary The Vice President, Provider Network Management serves as the enterprise leader for provider contracting and network management activities across markets and lines of business and is a ...
Job Summary The Vice President, Provider Network Management serves as the enterprise leader for provider contracting and network management activities across markets and lines of business and is a ...
Job Summary The Vice President, Provider Network Management serves as the enterprise leader for provider contracting and network management activities across markets and lines of business and is a ...
Join our team as a Provider Network Operations Advisor , playing a key role in creating and ... Support the management and implementation of provider, hospital, and ancillary networks by ...
Join our team as a Provider Network Operations Advisor , playing a key role in creating and ... Support the management and implementation of provider, hospital, and ancillary networks by ...
Provider Network Specialist
Little Rock, AR · On-site +1
Experience * 2 plus years of experience in healthcare, managed care, a provider office, or a related administrative role. * Experience in provider relations, network operations, medical office ...
New
Provider Network Specialist
Little Rock, AR · On-site +1
Experience * 2 plus years of experience in healthcare, managed care, a provider office, or a related administrative role. * Experience in provider relations, network operations, medical office ...
New
Network Manager
Suffolk, VA · On-site
Network Manager Location : Onsite-Suffolk, VA Job Summary: We are seeking a highly skilled and ... Lead a team of network professionals, providing guidance and training as needed. * Collaborate with ...
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Network Manager
Suffolk, VA · On-site
Network Manager Location : Onsite-Suffolk, VA Job Summary: We are seeking a highly skilled and ... Lead a team of network professionals, providing guidance and training as needed. * Collaborate with ...
Manager of Provider Network Central Florida
Orlando, FL · Remote
$100K - $115K/yr
POSITION SUMMARY The Manger of Network Central Florida directs and develops a healthcare provider network. Designs and administer policies and services that comply with all contractual and regulatory ...
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Manager of Provider Network Central Florida
Orlando, FL · Remote
$100K - $115K/yr
POSITION SUMMARY The Manger of Network Central Florida directs and develops a healthcare provider network. Designs and administer policies and services that comply with all contractual and regulatory ...
Network Manager
Boston, MA · On-site
$110K - $158K/yr
Additionally, the Network Manager may provide guidance and oversight to a limited number of direct reports including Engineers and Architects, fostering collaboration and development within the team ...
Network Manager
Boston, MA · On-site
$110K - $158K/yr
Additionally, the Network Manager may provide guidance and oversight to a limited number of direct reports including Engineers and Architects, fostering collaboration and development within the team ...
Manager of Provider Network Central Florida
Orlando, FL · Remote
$100K - $115K/yr
POSITION SUMMARY The Manger of Network Central Florida directs and develops a healthcare provider network. Designs and administer policies and services that comply with all contractual and regulatory ...
Quick apply
Manager of Provider Network Central Florida
Orlando, FL · Remote
$100K - $115K/yr
POSITION SUMMARY The Manger of Network Central Florida directs and develops a healthcare provider network. Designs and administer policies and services that comply with all contractual and regulatory ...
The Provider Network Specialist is responsible for supporting provider contracting activities ... Manage contracting workflows and contract status within designated systems to ensure visibility ...
The Provider Network Specialist is responsible for supporting provider contracting activities ... Manage contracting workflows and contract status within designated systems to ensure visibility ...
Provider Network Specialist
Manhattan, NY · On-site
$70K - $75K/yr
YEARS OF EXPERIENCE • Associate's degree (i.e., business management, healthcare management) OR ... provider network or provider contracting. • Access to personal vehicle. • Valid driver ...
New
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Provider Network Specialist
Manhattan, NY · On-site
$70K - $75K/yr
YEARS OF EXPERIENCE • Associate's degree (i.e., business management, healthcare management) OR ... provider network or provider contracting. • Access to personal vehicle. • Valid driver ...
New
Provider Network Analyst
Seattle, WA · On-site
Have a minimum of two (2) years of experience managing large amounts of complex data and ... Monitor Medicare network to identify access and gap issues and provide analysis for resolution in ...
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Provider Network Analyst
Seattle, WA · On-site
Have a minimum of two (2) years of experience managing large amounts of complex data and ... Monitor Medicare network to identify access and gap issues and provide analysis for resolution in ...
The Network Manager provides leadership in managing the District's network systems and supports all technology-related needs throughout the school district. Responsibilities include managing servers ...
The Network Manager provides leadership in managing the District's network systems and supports all technology-related needs throughout the school district. Responsibilities include managing servers ...
Provider Network Operations Specialist
Topeka, KS · Hybrid
$23.58 - $29.40/hr
Supports provider network operations by managing intake, enrollment, and ongoing maintenance of provider records. * Serves as the initial point of contact for enrollment and maintenance submissions ...
Provider Network Operations Specialist
Topeka, KS · Hybrid
$23.58 - $29.40/hr
Supports provider network operations by managing intake, enrollment, and ongoing maintenance of provider records. * Serves as the initial point of contact for enrollment and maintenance submissions ...
Supports provider network operations by managing intake, enrollment, and ongoing maintenance of provider records. * Serves as the initial point of contact for enrollment and maintenance submissions ...
Supports provider network operations by managing intake, enrollment, and ongoing maintenance of provider records. * Serves as the initial point of contact for enrollment and maintenance submissions ...
PROVIDER NETWORK COORDINATOR - PACE
Alhambra, CA · On-site
$28 - $38/hr
Relationship Management * Serve as the primary liaison between PACE and its provider network. * Build and sustain positive, collaborative relationships with contracted providers, ensuring high levels ...
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PROVIDER NETWORK COORDINATOR - PACE
Alhambra, CA · On-site
$28 - $38/hr
Relationship Management * Serve as the primary liaison between PACE and its provider network. * Build and sustain positive, collaborative relationships with contracted providers, ensuring high levels ...
PROvider Network Specialist
Mooresville, NC · On-site
$20.67 - $34.52/hr
Your Impact The PROvider Network Specialist is primarily responsible for completing specific ... Management & Service Support guidelines Manages the set-up process for all PROviders through ...
PROvider Network Specialist
Mooresville, NC · On-site
$20.67 - $34.52/hr
Your Impact The PROvider Network Specialist is primarily responsible for completing specific ... Management & Service Support guidelines Manages the set-up process for all PROviders through ...
Manager Provider Network Excellence (Hybrid/Troy, MI) - Health Alliance Plan
Troy, MI · Hybrid
$80K - $108K/yr
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 ...
New
Manager Provider Network Excellence (Hybrid/Troy, MI) - Health Alliance Plan
Troy, MI · Hybrid
$80K - $108K/yr
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 ...
New
Position Summary The Provider Network Specialist plays a critical role in managing and executing Single Referral Agreements (SRAs) to ensure timely access to care for injured workers while supporting ...
Position Summary The Provider Network Specialist plays a critical role in managing and executing Single Referral Agreements (SRAs) to ensure timely access to care for injured workers while supporting ...
As Director, Provider Network Management, you will be responsible for creating and maintaining a comprehensive contracted provider network to serve Scripps Health Plan members. What will you do?
As Director, Provider Network Management, you will be responsible for creating and maintaining a comprehensive contracted provider network to serve Scripps Health Plan members. What will you do?
The ideal candidate will have over 10 years of experience in provider network management and leadership roles. This position offers remote and hybrid work options for qualified candidates. #J-18808 ...
The ideal candidate will have over 10 years of experience in provider network management and leadership roles. This position offers remote and hybrid work options for qualified candidates. #J-18808 ...
Provider Network Manager information
See salary details
$22K - $34.8K
0% of jobs
$34.8K - $47.5K
0% of jobs
$47.5K - $60.3K
5% of jobs
$60.3K - $73.1K
11% of jobs
$83.3K is the 25th percentile. Wages below this are outliers.
$73.1K - $85.9K
12% of jobs
$85.9K - $98.6K
15% of jobs
The median wage is $106K / yr.
$98.6K - $111.4K
14% of jobs
$111.4K - $124.2K
17% of jobs
$126.4K is the 75th percentile. Wages above this are outliers.
$124.2K - $137K
14% of jobs
$137K - $149.7K
6% of jobs
$149.7K - $162.5K
7% of jobs
$22K
$106.6K
$162.5K
How much do provider network manager jobs pay per year?
What are some common challenges faced by Provider Network Managers when negotiating contracts with healthcare providers?
What is the highest paying job in healthcare management?
What are the key skills and qualifications needed to thrive as a Provider Network Manager, and why are they important?
What jobs in the US pay 300,000 a year?
What does a provider network manager do?
What is the difference between Provider Network Manager vs Provider Relations Specialist?
| Aspect | Provider Network Manager | Provider Relations Specialist |
|---|---|---|
| Credentials | Typically requires a bachelor's degree in healthcare administration, business, or related field; certifications like CPC or CHC are common | Often requires similar credentials, with a focus on communication or healthcare certifications |
| Work Environment | Works in healthcare organizations, insurance companies, or managed care settings, managing networks and contracts | Works in provider offices or insurance companies, focusing on building and maintaining provider relationships |
| Employer & Industry Usage | Commonly employed by health plans, insurance companies, and healthcare networks | Employed 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?
What is a network manager's salary?
Full-time
Re-posted 3 days ago
AmeriHealth Caritas rating
8.4
Based on 71 frontline employees who took The Breakroom Quiz
102nd of 281 rated insurance
Job description
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Job Summary
The Vice President, Provider Network Management serves as the enterprise leader for provider contracting and network management activities across markets and lines of business and is a key leader in shaping provider network strategy. This role is responsible for ensuring the development, optimization, and maintenance of compliant, high-performing provider networks that meet access, adequacy, quality, and service requirements for members. The Vice President partners closely with market and corporate leadership to establish network strategy, contracting approaches, operational controls, and provider engagement models that support organizational growth and performance objectives. This role also leads cross-functional collaboration with business development, pricing, actuarial, operations, provider relations, claims, sales, marketing, and technology teams to ensure provider network strategy is aligned with business needs and regulatory requirements. This leader will also be responsible for leading the Indiana provider network strategy.
The Vice President is expected to lead multiple functions, manage network management resources, and act as a senior decision-maker for contracting and network-related activities. The role requires close coordination across business domains and strong oversight of staff productivity, provider relationships, and contracting outcomes.
Essential Functions:
- Support market leaders with network tooling, adequacy standards, and contracting strategies.
- Lead the Indiana provider network strategy, including network expansion, optimization, and market-specific contracting priorities.
- Develop long-term strategies for network growth and optimization, addressing gaps in service coverage and ensuring the network adapts to changing healthcare trends and member needs.
- Utilize market trends and data to inform network strategy and identify opportunities for growth and improvement.
- Ensure the development and maintenance of a comprehensive provider network, including hospitals, physicians, and ancillary providers.
- Demonstrate shared leadership in the overall insurance business by balancing the need to provide a broad network of services with controlling costs for both the company and members through strong unit cost guidelines and contracting parameters.
- Monitor network adequacy and compliance with all applicable regulatory and accreditation requirements.
- Monitor and evaluate network performance, addressing gaps and opportunities for improvement.
- Provide central management of contract inventory, renewals, and amendments, ensuring all agreements are current and compliant with organizational policies and regulations.
- Provide guidance and support in contract negotiations and network management activities across markets.
- Lead provider operations functions such as credentialing, contract configuration, and provider data management.
- Ensure a cohesive provider experience through leadership of provider success, provider communications, and provider marketing, including partnership with Provider Relations, Claims, and other operational areas.
- Collaborate with business development, sales, marketing, operations, pricing, actuarial, value-based performance, legal, and market leadership to align network strategy with organizational goals and market needs.
- Partner with technology teams to develop and enhance tools, workflows, and processes required to support provider network management and operations.
- Lead all aspects of the contracting process from strategy through execution across lines of business.
- Establish and maintain contract templates, operational controls, and governance practices consistent with organizational and legal requirements.
- Ensure compliance with all applicable federal and state laws, regulations, and internal policies.
Education/Experience:
- ☒Bachelor’s Degree.
- Master's Degree preferred.
- 15 or more years of network management experience15 or more years of network management experience.
Other Skills:
- Experience partnering with technology teams to optimize and evolve operational programs.
- Demonstrated success in growing and optimizing provider networks.
- Experience leading enterprise or multi-market provider contracting strategies.
- Strong understanding of federal and state-specific contracting requirements and network adequacy expectations.
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About AmeriHealth Caritas
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1983