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Provider Network Jobs (NOW HIRING)

Novus Group

Provider Network Advocate

Pittsburgh, PA · On-site

$48.21/hr

Provider Network Advocate This role serves as the vital bridge between a health insurance company (payor) and the hospitals, doctors, and clinics (healthcare providers) that deliver care to members.

Elevance Health

Provider Network Mgmt Dir

Mason, OH · Hybrid

Provider Network Management Director Location : Cincinnati, OH & Mason, OH This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing ...

Elevance Health

Provider Network Manager-CO

Denver, CO · On-site

$74K - $112K/yr

Provider Network Manager-CO Provider Network Manager Location: Denver, CO. This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing ...

Elevance Health

Provider Network Manager Sr

Tampa, FL · Hybrid

Provider Network Manager Sr Shift: Monday - Friday; 8:00am - 5:00pm (within candidate's time zone) Location: Any Elevance Health PulsePoint office Hybrid 1: This role requires associates to be in ...

Elevance Health

Provider Network Manager Sr

Miami, FL · On-site

Provider Network Manager Sr Shift: Monday - Friday; 8:00am - 5:00pm (within candidate's time zone) Location: Any Elevance Health PulsePoint office Hybrid 1: This role requires associates to be in ...

Elevance Health

Provider Network Manager-CO

Denver, CO · On-site

$74K - $112K/yr

Provider Network Manager Location: Denver, CO. This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support ...

Elevance Health

Provider Network Manager Sr

Tampa, FL · Hybrid

Ensure that network composition includes an appropriate distribution of provider specialties. * Conducts more complex negotiations and drafts documents. * Prepare financial projections and conduct ...

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How much do provider network jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for provider network in the United States is $32.19, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $40.87 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 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.

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What cities are hiring for Provider Network jobs? Cities with the most Provider Network job openings:
What are the most commonly searched types of Provider Network jobs? The most popular types of Provider Network jobs are:
What states have the most Provider Network jobs? States with the most job openings for Provider Network jobs include:
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Provider Network jobs near you
Infographic showing various Provider Network job openings in the United States as of May 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 78% Full Time, 15% Part Time, and 4% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $66,953 per year, or $32.2 per hour.

Provider Network Advocate

Novus Group

Pittsburgh, PA • On-site

$48.21/hr

Full-time

Retirement, PTO

Posted 5 days ago

Job description

Provider Network Advocate

This role serves as the vital bridge between a health insurance company (payor) and the hospitals, doctors, and clinics (healthcare providers) that deliver care to members.

Role Type: Full-Time, Regular Employee of the Company (Not a temp or contract assignment)

Shift: Day Job (Standard business hours; occasionally requires extended hours beyond a 40-hour workweek based on project demands)

Work Arrangement: Hybrid (Minimum of 3 days per week on-site in Downtown Pittsburgh with occasional local travel for provider site visits)

Location: Pittsburgh, PA 15219

New Hire Starting Salary Range: $27.89 – $32.97 per hour (After hire, pay increases can be earned, see below).

About the Opportunity

This role is a permanent, full-time career opportunity within a premier national health plan network management division. If selected, you will be hired directly as a regular employee of the organization we represent. You will be on their payroll and eligible for their full suite of benefits from your start date. This is not a temporary, contract, or "temp-to-hire" role. This position features a collaborative hybrid layout, blending central corporate headquarters operations with localized community provider engagement.

Purpose

The Provider Network Advocate (PNA) specializes in investigating complex medical claims, supporting network providers, and cultivating strong strategic partnerships. Working in tandem with the Provider Network Liaison (PNL) team, this professional investigates systemic issues across internal departments, performs root-cause analysis, and deploys targeted outreach to resolve complex payment and configuration issues. This role is essential for driving provider operational satisfaction while championing key healthcare quality and compliance initiatives (including HEDIS, HCC, CDPS, and CMS Stars improvements).

Responsibilities

  • Issue Investigation & Resolution: Coordinate multi-departmental problem resolution for provider issues identified through internal data reports or leadership escalations. Conduct deep-dive claims investigations to uncover root causes and ensure a closed feedback loop with the provider.
  • Provider Outreach & Engagement: Conduct strategic outreach via telephone, email, and in-person site visits to educate network providers and their administrative office staff on health plan programs, electronic tools, and dynamic operational initiatives.
  • Quality Initiative Support: Partner with providers on clinical documentation and performance improvement metrics tied directly to HEDIS, HCC, CDPS, Medical Advantage Pay-for-Performance (MA P4P), and CMS Stars ratings.
  • CRM Database Management: Document all provider touchpoints, outreach metrics, and ongoing initiative milestones inside the internal customer relationship management database in a highly detailed, time-sensitive manner.
  • Process Improvement: Collaborate actively with internal Network Leaders and cross-functional teams to identify administrative bottlenecks and enact continuous process improvements across the department.
  • Special Project Management: Lead and execute special operational projects as assigned by leadership, representing the department at internal stakeholder assemblies and external provider meetings.
Minimum Essential Requirements

  • Education Pathways: Bachelor’s Degree in Business, Healthcare Administration, Marketing, or a closely related field OR equivalent professional experience.
  • Core Experience: Minimum of three (3) years of progressive experience in business, sales, or a healthcare-related corporate environment.
  • Direct professional experience within Provider Services, Medical Claims processing, or Member Services—specifically utilizing claims investigation or root-cause problem analysis frameworks
  • Technical Compliance: Exceptional organizational, analytical, and problem-solving skills. Proven ability to document complex workflows and communicate technical information clearly to executive leadership and external clinical partners.
  • Mobility: Ability to travel occasionally throughout the regional area to conduct face-to-face provider site visits and accompany directors to external meetings.
Performance-Based Earning Potential

This role offers a structured path for financial advancement. Through consistent high performance, leadership development, and continuous learning over time, employees have the opportunity to earn up to $48.21 per hour.

Premier Benefits

  • Exceptional Retirement Package: Retirement plans with employer matching. Combined, the organization contributes up to 8% of your eligible pay toward your future.
  • World-Class Healthcare: Access preventive care and specialty services through an exclusive provider network.
  • Generous Paid Time Off: Enjoy up to 5.5 weeks of PTO per year, plus 7 paid holidays, with unique options to buy or sell PTO days to fit your lifestyle.
  • Tuition Assistance: Benefit from up to $6,000 per academic year in tuition reimbursement, plus exclusive tuition discounts at over 30 partner colleges and universities.