ZipRecruiter

Log In

1

Provider Network Jobs in Michigan (NOW HIRING)

next page

Showing results 1-20

All JobsProvider Network JobsProvider Network Jobs in Michigan

Provider Network information

See Michigan salary details

$8

$28

$59

How much do provider network jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for provider network in Michigan is $28.27, according to ZipRecruiter salary data. Most workers in this role earn between $16.68 and $35.89 per hour, depending on experience, location, and employer.

What are the typical daily responsibilities of a Provider Network professional?

A Provider Network professional typically spends their days building and maintaining relationships with healthcare providers, negotiating and renewing contracts, ensuring network adequacy, and responding to provider inquiries or concerns. The role often involves analyzing data on network performance, collaborating with internal teams such as claims, compliance, and credentialing, and conducting outreach to recruit new providers or expand network coverage. You may also monitor regulatory changes and support provider onboarding efforts. This role requires frequent communication, both internally and externally, to ensure quality care delivery and a seamless provider experience.

What job makes $10,000 a month without a degree?

In the provider network field, roles such as experienced healthcare recruiters or independent insurance agents can earn around $10,000 monthly through commissions and bonuses, often without requiring a formal degree. Success in these roles depends on sales skills, industry knowledge, and building a strong network, with some positions offering flexible schedules and remote work options.

What profession makes $400,000 a year?

In the healthcare industry, certain specialized providers such as orthopedic surgeons, neurosurgeons, and cardiologists can earn $400,000 or more annually. These roles typically require advanced medical degrees, board certifications, and extensive experience. High earnings are often associated with private practice, high patient volume, or specialized skills.

What is the highest paid job in networking?

In networking, the highest paid roles are often senior positions such as Network Architects or Chief Network Officers, who design and oversee complex network infrastructure. These roles typically require advanced certifications like Cisco CCIE or Cisco CCNP, along with extensive experience, and can earn six-figure salaries depending on the organization and location.

What does a provider network specialist do?

A provider network specialist manages relationships between healthcare providers and insurance companies, ensuring provider data is accurate and contracts are up to date. They review provider credentials, assist with network development, and use healthcare management systems to support network operations.

What are the key skills and qualifications needed to thrive in the Provider Network position, and why are they important?

To thrive as a Provider Network professional, you need a solid understanding of healthcare operations, provider credentialing, and contract negotiation, typically supported by a bachelor’s degree in healthcare administration or a related field. Familiarity with provider databases, network management systems, and regulatory compliance platforms such as CAQH is often required. Strong relationship-building, problem-solving, and organizational skills set top candidates apart. These abilities are crucial for effectively developing, maintaining, and optimizing provider relationships within health plans or managed care organizations.

What is a Provider Network job?

A Provider Network job involves managing relationships between healthcare providers and insurance companies or healthcare organizations. Responsibilities typically include contracting, credentialing, and ensuring network adequacy to meet patient needs. Professionals in this role negotiate provider agreements, analyze network performance, and ensure compliance with regulations. They play a key role in maintaining access to quality healthcare services for members.

What are the most commonly searched types of Provider Network jobs in Michigan? The most popular types of Provider Network jobs in Michigan are:
What are popular job titles related to Provider Network jobs in Michigan? For Provider Network jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Provider Network jobs in Michigan look for? The top searched job categories for Provider Network jobs in Michigan are:
Provider Network jobs near you
Infographic showing various Provider Network job openings in Michigan as of June 2026, with employment types broken down into 2% As Needed, 75% Full Time, 16% Part Time, 1% Temporary, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $58,797 per year, or $28.3 per hour.
Provider Practice Performance Advisor

Provider Practice Performance Advisor

Amerihealth Caritas

Southfield, MI • On-site, Remote

Full-time

Posted 22 days ago

Key responsibilities

  • Produce quality and performance-related reporting and establish opportunities and strategies for the Joint Operating Committee.

  • Analyze claims data, utilization trends, and patient outcomes to support performance optimization.

  • Lead and support performance improvement initiatives and projects aligned with corporate strategy and best practices.

AmeriHealth Caritas rating

8.5

Company rating: 8.5 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

85th of 277 rated insurance

Job description

Role Overview: The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and quality outcomes. This role analyzes provider performance data, identifies improvement opportunities, and partners with providers and internal teams to drive improvements in quality, cost, and overall care delivery.

Work Arrangements:

  • Remote – The associate can be located anywhere in Michigan (MI).
  • 50% travel is required to the provider’s location and attend office meetings at our Southfield, MI location.

Responsibilities:

  • Produce all quality and performance-related reporting, establishing opportunities and strategies regularly in preparation for the Joint Operating Committee (JOC).
  • Present information to the provider, colleagues, and the executive team in a clear, concise manager
  • Analyze claims data, utilization trends, and patient outcomes to support performance optimization
  • Support provider engagement related to Healthcare Effectiveness Data and Information Set (HEDIS), Total Cost of Care (TCOC), and other performance-based programs
  • Partner with Quality, Provider Network, and Account Executive teams to align strategies and improve provider performance
  • Participate in provider meetings to review gaps in care and develop action plans in collaboration with Provider Network Management (PNM) and Chief Medical Officer (CMO) teams
  • Lead and support performance improvement initiatives and projects aligned with corporate strategy and best practices
  • Identify opportunities using data and collaborate with internal teams to develop and implement targeted intervention strategies
  • Track, monitor, and report on provider action plans and outcomes to measure the effectiveness of initiatives
  • Support network and quality strategy execution across markets
  • Maintain strong cross-functional collaboration with Provider Network Operations (PNO), PNM, and Quality teams to achieve performance goals
  • May assist with member outreach efforts and coordination of care-related activities

Education & Experience:

  • Bachelor’s degree in healthcare administration or related field required
  • 3 years of Account Executive experience or provider engagement experience, demonstrating knowledge of TCOC and Medical Loss Ratio (MLR) analysis, is required.
  • Experience in a variety of provider reimbursement methodologies, including value-based or risk-based contracting
  • Understand quality and provider performance reporting, including HEDIS and other quality measures.

Licensure:

  • Valid driver's license, transportation, and insurance required:

Skills & Abilities:

  • Strong understanding of healthcare regulations, reimbursement models, and quality metrics, specifically in HEDIS and STARS
  • Ability to analyze and interpret complex healthcare data and translate insights into actionable strategies
  • Knowledge of provider operations, including claims coding, payment integrity, credentialing, appeals, and disputes
  • Experience working with value-based care programs and performance measures
  • Excellent communication and collaboration skills with the ability to engage providers and cross-functional teams
  • Strong analytical, problem-solving, and reporting capabilities
  • Ability to manage multiple priorities and drive performance improvement initiatives

What AmeriHealth Caritas employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply