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Vice President Provider Network Management Jobs (NOW HIRING)

Elevance Health

Provider Network Mgmt Dir

Mason, OH · Hybrid

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

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 ...

Sagility LLC

Vice President - Provider Sales

Vice President - Provider Sales Sagility LLC is a global leader in business process management and member/patient experience, combining technology-powered services with decades of healthcare domain ...

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Vice President Provider Network Management information

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$43.5K

$157.5K

$277.5K

How much do vice president provider network management jobs pay per year?

As of Jun 15, 2026, the average yearly pay for vice president provider network management in the United States is $157,532.00, according to ZipRecruiter salary data. Most workers in this role earn between $115,000.00 and $190,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Vice President Provider Network Management, and why are they important?

To thrive as a Vice President Provider Network Management, you need expertise in healthcare network development, contract negotiation, and an advanced degree in business, healthcare administration, or a related field. Experience with provider contracting systems, healthcare analytics platforms, and regulatory compliance tools is typically required. Leadership, strategic thinking, and strong relationship-building skills are crucial for effectively managing teams and fostering partnerships. These competencies enable the development of robust provider networks that ensure quality care, cost efficiency, and organizational growth.

How does a Vice President of Provider Network Management typically collaborate with other departments to achieve organizational goals?

As a Vice President of Provider Network Management, you will frequently collaborate with departments such as contracting, analytics, finance, compliance, and clinical operations. This role involves cross-functional teamwork to design provider networks, negotiate contracts, ensure regulatory compliance, and optimize network performance. Successful collaboration ensures that the organization's provider networks meet quality, cost, and accessibility goals, while supporting broader business strategies. Regular communication and alignment with leadership across departments are essential to address challenges and drive continuous improvement.

What is the difference between Vice President Provider Network Management vs Director of Provider Relations?

AspectVice President Provider Network ManagementDirector of Provider Relations
ResponsibilitiesOversees the entire provider network strategy, negotiations, and network growthManages provider relationships, contract negotiations, and day-to-day provider communications
CredentialsTypically requires advanced degrees and extensive industry experienceRequires relevant healthcare or business experience, often with similar certifications
Work EnvironmentExecutive leadership, strategic planning, cross-department collaborationOperational focus, provider engagement, contract management
Industry UsageCommonly used in large healthcare organizations and insurance companiesUsed across healthcare providers, managed care organizations, and insurers

The Vice President Provider Network Management holds a higher strategic and leadership role, focusing on network expansion and policy, while the Director of Provider Relations concentrates on managing provider relationships and contract negotiations. Both roles require healthcare industry knowledge but differ in scope and seniority.

What does a Vice President of Provider Network Management do?

A Vice President of Provider Network Management oversees the development, maintenance, and optimization of healthcare provider networks within an organization, such as a health insurance company or managed care organization. They are responsible for negotiating contracts, ensuring compliance with regulations, managing relationships with healthcare providers, and strategizing network growth and efficiency. This role also involves analyzing network performance, addressing gaps in care, and working cross-functionally to meet organizational goals. Ultimately, they ensure that members have access to high-quality, cost-effective healthcare providers.
What cities are hiring for Vice President Provider Network Management jobs? Cities with the most Vice President Provider Network Management job openings:
What are the most commonly searched types of Provider Network Management jobs? The most popular types of Provider Network Management jobs are:
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What job categories do people searching Vice President Provider Network Management jobs look for? The top searched job categories for Vice President Provider Network Management jobs are:
Vice President Provider Network Management jobs near you
Infographic showing various Vice President Provider Network Management job openings in the United States as of June 2026, with employment types broken down into 96% Full Time, 2% Part Time, and 2% Contract. Highlights an 93% In-person, 2% Hybrid, and 5% Remote job distribution, with an average salary of $157,532 per year, or $75.7 per hour.
Vice President Provider Network Management

Vice President Provider Network Management

AmeriHealth Caritas Health Plan

Indianapolis, IN • On-site

Full-time

Posted 6 days ago

AmeriHealth Caritas rating

8.5

Company rating: 8.5 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

87th of 261 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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