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Svp Provider Operations Network Management Jobs

AppJaxx

Senior Vice President

Sanger, CA · On-site

... B service providers to help them scale through LinkedIn lead generation, appointment-setting ... senior managers and team leads. Improve internal systems, workflows, and overall operational ...

Titan Production Equipment, LLC

$200 - $250/hr

With the SVP of Operations, the role oversees the proposal development process, ensuring that the ... Manage to our operating P&L, capital budget, performance targets and ROI goals. * Provide ...

KABOOM!

Senior Vice President, Play Operations

Bethesda, MD · On-site

$160K - $182K/yr

The Senior Vice President (SVP), Play Operations is a mission-driven executive leader responsible ... Ensure compliance with safety standards, risk management practices, and municipal permitting and ...

Ecovyst, Inc.

$250/hr

... operational execution. This leader will regularly interact with the Board of Directors, providing ... Proven track record managing a $500M+ annual sales portfolio with P&L responsibility.

Leap Health, Inc

VP, Ecosystem Partnerships

$250K - $275K/yr

Directly manage the Manufacturer Analytics & Marketing and Manufacturer Account Manager roles ... Operations to package Leap's capabilities for manufacturer and network audiences * Provide the SVP ...

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Svp Provider Operations Network Management information

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$22K

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$146.5K

How much do svp provider operations network management jobs pay per year?

As of Sep 9, 2026, the average yearly pay for svp provider operations network management in the United States is $101,674.00, according to ZipRecruiter salary data. Most workers in this role earn between $85,000.00 and $114,000.00 per year, depending on experience, location, and employer.

What is an SVP Provider Operations Network Management?

SVP Provider Operations Network Management refers to a senior executive position responsible for overseeing the strategy, operations, and relationships within a healthcare provider network. This role typically involves managing provider contracting, network development, performance management, and ensuring compliance with regulations. The SVP collaborates with internal teams and external partners to optimize network quality, cost-effectiveness, and access to care. Strong leadership, negotiation, and analytical skills are essential for success in this position.

What are the key skills and qualifications needed to thrive as an SVP Provider Operations Network Management?

To excel as an SVP of Provider Operations Network Management, you need extensive experience in healthcare management, provider network development, and a relevant advanced degree such as an MBA or MHA. Familiarity with healthcare analytics platforms, contract management systems, and regulatory compliance tools is crucial. Strategic leadership, negotiation skills, and the ability to foster strong stakeholder relationships are standout soft skills for this role. These competencies are vital for driving operational excellence, ensuring network adequacy, and achieving organizational goals in a competitive healthcare environment.

What are some of the main challenges faced by an SVP Provider Operations Network Management, and how can candidates prepare to address them?

One of the main challenges in the SVP Provider Operations Network Management role is balancing the strategic growth of provider networks with regulatory compliance and cost management. Candidates should be prepared to navigate complex negotiations, lead large cross-functional teams, and drive operational improvements while maintaining positive relationships with both internal stakeholders and external providers. Experience in change management, data-driven decision-making, and a strong understanding of healthcare regulations will help candidates address these challenges effectively.

What are popular job titles related to Svp Provider Operations Network Management jobs?

For Svp Provider Operations Network Management jobs, the most frequently searched job titles are:

Infographic showing various Svp Provider Operations Network Management job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $101,674 per year, or $48.9 per hour.

VP Provider Network Management

Cleveland, OH • On-site

Medical Mutual of Ohio
See more jobs at Medical Mutual of Ohioexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Medical Mutual of Ohio rating

8.6

Company rating: 8.6 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

96th of 315 rated insurance

Job description

Medical Mutual employees must submit their applications through MySource
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.
Job Summary:
Provides executive leadership for the Company's provider network strategy, including provider contracting, network development, reimbursement strategy, and provider relationship management across physician, professional, institutional, and ancillary providers. Establishes and executes strategies that balance cost, access, quality, regulatory compliance, market competitiveness, and enterprise performance. Leads complex provider negotiations and ensures provider agreements, contracting practices, and reimbursement approaches are in alignment with corporate objectives, customer needs, and applicable government regulations.
Responsibilities:
  • Leads the development, implementation, and administration of institutional, professional, and ancillary provider network strategies, including contracting, reimbursement, incentive, access, quality, and affordability strategies. Establishes policies and decision frameworks that optimize network value for customers, support provider performance, improve medical cost management, and advance corporate financial and strategic objectives.
  • Provides executive direction and oversight for complex, high-impact provider contract negotiations, including review of proposed contract terms, approval of negotiation strategies, resolution of escalated issues, and alignment of concurrent negotiations with enterprise network, financial, compliance, and market objectives.
  • Partners with Sales, Marketing, Product, Finance, Legal, and other enterprise leaders to support new business opportunities, retention efforts, customer inquiries, sales presentations, and RFP responses. Represents provider network strategy in customer-facing forums and ensures network capabilities, access, cost, and quality positioning are clearly aligned with market and customer needs.
  • Provides executive leadership to provider network operations and related teams responsible for provider access, affordability, provider satisfaction, provider education, and operational performance. Sets priorities, allocates resources, monitors performance, and develops leadership capability to ensure the organization delivers effective provider network outcomes.
  • Provides provider network leadership for new product development and implementation, ensuring network design, provider access, reimbursement strategy, regulatory requirements, and operational capabilities are considered early and aligned with enterprise growth, affordability, and customer objectives.
  • Provides executive guidance on provider policy interpretation and resolution of escalated provider issues, including matters involving reimbursement, contract administration, provider relations, and customer impact. Represents the organization in high-level provider discussions and may deliver or sponsor education on reimbursement and network strategies.

Qualifications:
Education and Experience:
• Bachelor's degree in Business or Health Care Administration or related field. Master's Degree preferred.
• 10+ years progressive experience in health care administration, provider contracting and/or managed care.
• 8 years experience in a progressive leadership capacity.
Technical Skills and Knowledge:
• Comprehensive knowledge of health care operations, the health insurance industry and provider network management processes and best practices.
• Strong knowledge of health plan regulations.
• Knowledge of health care products and Medicare/Medicaid.
Ability to regularly travel to offsite locations.
Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:
A Great Place to Work:
  • Employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
  • On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
  • Discounts at many places in and around town, just for being a Medical Mutual team member.
  • The opportunity to earn cash rewards for shopping with our customers.
  • Business casual attire, including jeans.

Excellent Benefits and Compensation:
  • Employee bonus program.
  • 401(k) with company match up to 4% and an additional company contribution.
  • Health Savings Account with a company matching contribution.
  • Excellent medical, dental, vision, life and disability insurance - insurance is what we do best, and we make affordable coverage for our team a priority.
  • Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
  • Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
  • After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:
  • Career development programs and classes.
  • Mentoring and coaching to help you advance in your career.
  • Tuition reimbursement up to $5,250 per year, the IRS maximum.
  • Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:
Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.
There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.
We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
#LI-LS1 #LI-ONSITE
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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