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Provider Network Performance Manager Jobs (NOW HIRING)

Provider Network Manager Sr - Colorado Anticipated Job Posting End Date: 09/20/2026 *This is an Individual Contributor Role. Location: Virtual - This role enables associates to work virtually ...

5G Network Performance Engineer Apply now Job no: 17673 Work type: Full Time Location: Austin ... Providing guidance for optimizing networking software running on ARM systems * Contributing to ...

Provider Network Manager Sr

Denver, CO · On-site

$91K - $144K/yr

Provider Network Manager Sr - Colorado Anticipated Job Posting End Date: 09/20/2026 *This is an Individual Contributor Role. Location: Virtual - This role enables associates to work virtually ...

Provider Network Coordinator

Tempe, AZ · Remote

$25.44 - $33.39/hr

The Coordinator, Provider Network Contracting supports membership growth and management. This is done by supporting the execution of the local network strategy and ensuring providers across our ...

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 ...

As the primary contact for referred families, you will provide individualized career services to ... Represent Fedcap at external partnership and networking events, building community connections.

This role supports managed care growth initiatives and organizational goals. Key responsibilities ... The Provider Network Administrator will also assist in tracking progress, enhancing brand ...

As the primary contact for referred families, you will provide individualized career services to ... Represent Fedcap at external partnership and networking events, building community connections.

As the primary contact for referred families, you will provide individualized career services to ... Represent Fedcap at external partnership and networking events, building community connections.

As the primary contact for referred families, you will provide individualized career services to ... Represent Fedcap at external partnership and networking events, building community connections.

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Provider Network Performance Manager information

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$22K

$106.6K

$162.5K

How much do provider network performance manager jobs pay per year?

As of Sep 11, 2026, the average yearly pay for provider network performance manager in the United States is $106,570.00, according to ZipRecruiter salary data. Most workers in this role earn between $80,500.00 and $128,000.00 per year, depending on experience, location, and employer.

What does a provider network performance manager do?

A provider network performance manager oversees the evaluation and improvement of healthcare provider networks to ensure quality, efficiency, and compliance. They analyze network performance data, develop strategies to optimize provider relations, and may use tools like performance metrics and reporting systems to meet organizational goals.

What is a provider network performance manager?

A provider network performance manager oversees the evaluation and improvement of healthcare provider networks to ensure quality, efficiency, and compliance with contractual standards. They analyze network performance data, coordinate with providers, and implement strategies to optimize service delivery, often using data management tools and performance metrics.

What states have the most Provider Network Performance Manager jobs?

States with the most job openings for Provider Network Performance Manager jobs include:

What are popular job titles related to Provider Network Performance Manager jobs?

For Provider Network Performance Manager jobs, the most frequently searched job titles are:

Provider Network Manager

Louisville, KY

BrightSpring Health Services
Health Care and Social Assistance • 10K+ employees

$70K - $85K/yr

Full-time

Medical

Posted 23 days ago


BrightSpring Health Services rating

4.9

Company rating: 4.9 out of 10

Based on 65 frontline employees who took The Breakroom Quiz


Job description

Overview

The Provider Network Manager is responsible for maintaining and enhancing provider networks within an assigned territory through provider relations, network development, and routine contracting activities. The Provider Network Manager serves as a primary contact for contracted providers, conducts provider education and outreach, identifies and addresses network opportunities, and supports provider recruitment efforts. The position also monitors market changes and network performance to ensure adequate provider coverage and compliance with CMS network adequacy standards and all applicable regulatory requirements.


Responsibilities

  • Manage provider relationships within assigned markets, serving as a primary point of contact for contracted providers and addressing network-related issues and inquiries.
  • Perform routine provider contracting and recruitment activities to support network growth, address coverage gaps, and maintain adequate provider access.
  • Conduct provider education and outreach activities to promote provider engagement, communication, and understanding of health plan requirements and initiatives.
  • Monitor and report market and provider changes that may impact network performance, access, or compliance within assigned territories.
  • Collaborate with internal departments to resolve provider issues, support operational initiatives, and improve network effectiveness.
  • Promote a positive and collaborative work environment that supports continuous improvement and organizational success.
  • Complete all assigned corporate responsibilities, including compliance training and other organizational requirements.

Qualifications

  • Associate’s Degree or equivalent work experience.
  • Five (5)+ years of experience in managed care, provider network development, provider relations, contracting, or a related healthcare field.
  • Prior experience with Medicare Advantage plans required; Institutional Special Needs Plan (I-SNP) experience preferred.
  • Experience building and maintaining provider relationships, conducting provider education, and supporting provider engagement initiatives.
  • Reliable transportation.
  • Current automobile insurance which meets company policy requirements.
  • Familiarity with health plan operations, including benefits, claims review and resolution, eligibility, provider data management, and network operations.
  • Knowledge of CMS network adequacy standards, provider recruitment, and regulatory compliance requirements preferred.
  • Strong organizational, presentation, and time management abilities.
  • Effective communication skills.
  • Working knowledge of Medicare payment methodologies.
  • Ability to follow instructions and work independently to achieve goals and complete assignments.
  • Proven success working collaboratively in a team environment.
  • Proficient in Microsoft Office Suite and other relevant computer applications.
  • Self-motivated, dependable, team-oriented, and goal-oriented.
  • Skilled at managing multiple priorities effectively.
  • Travel up to 25%

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