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Vice President Provider Network Management Jobs (NOW HIRING)

Centene

Vice President, Provider Engagement

New York, NY · On-site +1

$188K - $359K/yr

Manages relationships with complex provider partnerships to improve value based performance ... Monitor new trends in provider network, reimbursement and services. * Design and implement ...

Sagility

Vice President - Provider Sales

Sagility LLC is a global leader in business process management and member/patient experience ... We are currently seeking a talented Vice President of Provider Sales to join our team! This role is ...

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All JobsVice President Provider Network Management Jobs

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:
What states have the most Vice President Provider Network Management jobs? States with the most job openings for Vice President Provider Network Management jobs include:
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 Engagement

Vice President, Provider Engagement

Centene Corporation

Queens, NY • On-site

$188K - $359K/yr

Full-time

Medical, Retirement, PTO

Posted 19 days ago

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 386 frontline employees who took The Breakroom Quiz

33rd of 872 rated healthcare providers

Job description

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
Position Purpose: This leader advances payment models/programs that improve quality, affordability, provider performance, and member outcomes while ensuring alignment with Fidelis Care's network strategy, line of business priorities, state specific needs, and regulatory requirements. This role is responsible for leading all aspects of provider services, including building and maintaining strong provider relations with key providers and working closely with various operational areas to support provider services, quality initiatives, network development, data quality initiatives, claim processing and expansion of the markets served by the company. The VP of Provider Engagement works closely with others to ensure that members have access to best-in-class service providers and that members receive quality care at reasonable costs.
  • Strategic Leadership: Develops and implements market-level network value based program transformation initiatives. Develop and execute overarching strategies to optimize provider performance, operations and satisfaction across the market.
  • Provider Performance & Quality: Analyzes and communicates financial, utilization, and quality metrics to improve performance, specifically focusing on HEDIS and STARS measures.
  • Relationship Management: Manages relationships with complex provider partnerships to improve value based performance, provider satisfaction and retention.
  • Foster direct collaboration between providers and the health care plan to reduce rework, streamline administration and reduce costs for all constituents.
  • Collaborate with all functions within the company to develop services and processes that streamline claim adjudication, achieve a high level of compliance and customer satisfaction.
  • Lead the development of provider related corporate initiatives, business plans, strategies, and goals.
  • Manage efforts to partner with providers to achieve high quality results consistent with QARR and HEDIS measures.
  • Collaborate with operational areas and appropriate vendors on initiatives that support claim processing and financial efficiencies.
  • Monitor new trends in provider network, reimbursement and services.
  • Design and implement strategies to capitalize on new trends.
  • Enhance and leverage analytics, member demographics, and healthcare facility usage patterns to identify efficiency opportunities and target service providers for direct contracts.
  • Maintain local and state government relationships, including dealing with regulators as necessary to establish and continue effective working relationships.
  • Attract, recruit and retain the talent Provider Relations needs to achieve its objectives.
  • Provide mentoring and foster a success-oriented and accountable culture.
  • Coordinate and Communicate annual Provider Satisfaction Survey consistent with NCQA standards.
  • Provide oversight to internal provider credentialing process, ensuring adherence to credentialing policies and procedures.
  • Collaborate with others on data that impacts provider domain to ensure that provider data is being maintained consistent with internal data governance standards.

Education/Experience: Bachelor's Degree required.
Master's Degree preferred.
9+ years experience in senior leader roles in managed care environment at a Healthcare payer organization required.
Experience focused specifically on developing provider networks and building partnerships preferred.
Highly developed knowledge of healthcare industry, provider network, claim processing, UM guidelines and health plan operations.
Pay Range: $188,900.00 - $359,800.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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