1,954 provider network jobs at 1,014 companies in United States

3w
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Provider Network Specialist
Glendale, California, United States
$85k-$105k/yr OnsiteFull Time
Independent Living Systems
Independent Living Systems: Provides healthcare management and nutritional support for vulnerable populations.
2+ YOEBachelor's in healthcare administration or related field (or equivalent experience), 2+ years provider network management or healthcare contracting, proficiency with data analysis and network management software, strong communication and negotiation skills.
Microsoft Excel, SQL
1mo
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Provider Network Specialist
El Monte or Los Angeles
$70k-$80k/yr HybridFull Time
Astrana Health
Astrana HealthNASDAQ: ASTH: Operates technology-powered platforms to coordinate and deliver medical care.
3+ YOEBachelor's degree or equivalent experience, 3+ years in provider network operations/managed care, experience with provider data and operational workflows, strong attention to detail and organizational skills.
HEDIS, STARS
1w
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Provider Network Manager
Westwood, Massachusetts, United States
$80k-$90k/yr OnsiteFull Time
Revere Medical
Revere Medical: Operates primary care clinics and manages clinical provider networks.
Leadership managing primary care affiliate networks, VBC performance oversight, provider relations, data-driven improvement, strong communication and organizational skills; Bachelor\u0002s preferred or 5+ years relevant experience.
3mo
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VP of Provider Network (Wisconsin)
Milwaukee, Wisconsin, United States
$150k-$190k/yr HybridFull Time
Health Payment Systems
Health Payment Systems: Healthcare payment and provider network management platform.
10+ YOEBachelor's in Business Administration or Healthcare Administration; Master's preferred. 10+ years in provider network development; proven Wisconsin market relationships; experience improving unit costs and negotiating provider agreements.
1mo
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PROVIDER NETWORK LIAISON
Burlingame, California, United States
$96k-$110k/yr FieldFull Time
North East Medical Services
North East Medical Services: Community health center providing comprehensive care to underserved populations.
BA/BS preferred (Assoc. considered with experience); ~4 years healthcare/provider network/claims experience preferred; knowledge of CMS/DHCS and Medicare/Medi‑Cal; strong written/spoken communication; Microsoft Word/Excel/PowerPoint/Outlook; CA driver's license; 60% local travel.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook
1mo
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PROVIDER NETWORK LIAISON
Burlingame, California, United States
$96k-$110k/yr FieldFull Time
North East Medical Services
North East Medical Services: Providing comprehensive medical care to the underserved Asian community.
BA/BS (or Associate with equivalent experience); preferred 4 years healthcare experience in provider network/claims/utilization management; knowledge of CMS/DHCS, Medicare/Medi‑Cal; strong written/verbal communication; Microsoft Office skills; California driver\u0019s license; fluent English (Chinese preferred).
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook
2mo
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Provider Network Manager
United States or Waltham
$80k-$110k/yr RemoteFull Time
Devoted Health
Devoted Health: Provides Medicare Advantage insurance and integrated clinical care services.
5+ YOE5+ years negotiating provider contracts; provider servicing; CMS STAR experience; driver’s license; high school diploma or equivalent.
2d
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Provider Network Management Contractor
Washington, District of Columbia, United States
$93k-$126k/yr HybridFull Time
Enlightened
Enlightened: Provides IT consulting, cybersecurity, and business process outsourcing services.
3+ YOEAssociate's degree required; 3+ years provider network or relations experience; 1+ year contract negotiation experience; strong negotiation, analytical, and communication skills; Microsoft Office proficiency.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft PowerPoint
3w
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Provider Network Specialist
Klamath Falls, Oregon, United States
HybridFull Time
Cascade Health Alliance
Cascade Health Alliance: Coordinated care organization providing health services in Klamath County.
2+ YOE2+ years related experience and/or Associate's degree or equivalent; experience with provider onboarding, credentialing, data maintenance, provider relations, reporting, and strong communication skills.
database, spreadsheet, report writing, project management, graphics, word processing, presentation creation/editing, e-mail, scheduling software
1mo
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Provider Network Executive
Tulsa or Denver
$60k-$120k/yr RemoteFull Time
Zero Health
Zero Health: Provides health benefits with no out-of-pocket costs for members.
3+ YOE3+ years sales or business development experience in healthcare, experience negotiating provider/payer contracts, CRM proficiency (HubSpot or Salesforce), knowledge of provider revenue cycle and self-funded plans, strong communication and analytical skills.
HubSpot, Salesforce
1mo
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Provider Network Specialist
United States
$72k-$82k/yr RemoteFull Time
Advanced Hearing Providers
Advanced Hearing ProvidersNasdaq Copenhagen: DEMANT: Coordinates workers’ compensation hearing healthcare services for claims.
3 years provider relations experience preferred; experience with healthcare providers and managed care; strong verbal/written communication, data analysis basics, ability to work independently, and maintain confidentiality. Bachelor's in healthcare administration preferred.
4w
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Associate Provider Network Manager
Jacksonville or Tampa
$53k-$63k/yr RemoteFull Time
Liberty Dental Plan
Liberty Dental Plan: Administers dental benefit plans for government and commercial markets.
2+ YOEAssociate degree preferred, high school/GED required; 2+ years supporting provider networks or related healthcare/managed care roles; strong communication, relationship-building, and organizational skills; Microsoft Office proficiency.
Microsoft Word, Microsoft Excel, Microsoft Outlook
2mo
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Provider Network Specialist
United States
RemoteFull Time
Bardavon Health Innovations
Bardavon Health Innovations: Provider of workers' compensation and musculoskeletal health management solutions.
Manage and negotiate Single Referral Agreements, outreach to providers, and placement execution to meet SLAs.
Salesforce
1mo
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Provider Network Advocate
Pittsburgh, Pennsylvania, United States
HybridFull Time
UPMC
UPMC: Integrated health system providing clinical care and medical insurance.
3+ YOEBachelor's degree or equivalent; 3 years healthcare or business experience; provider services/claims experience preferred; strong communication and problem-solving skills.
2mo
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PROvider Network Specialist
Mooresville, North Carolina, United States
OnsiteFull Time
Lowe's
Lowe'sNYSE: LOW: Operates a chain of retail home improvement and hardware stores.
3+ YOEHigh school diploma; 3 years in a defined process role; prefer Bachelor's degree; responsibilities include provider data management, compliance, and vendor setup.
1d
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Provider Network Specialist
United States
$28-$31/hr RemoteFull Time
Wellthy
Wellthy: Platform helping families manage logistics for complex caregiving needs.
2+ YOE2+ years in recruitment/vendor management/partnerships/sales/customer service, strong communication, attention to detail, data comfort, and ability to source and onboard care providers.
GSuite, Slack, spreadsheets, AI
1mo
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Provider Network Specialist
United States
RemoteFull Time
Provider Partners Health Plan
Provider Partners Health Plan: Medicare Advantage plans for long-term care residents.
1+ YOEAssociate degree preferred; 1+ years healthcare/provider contracting experience; proficiency with Microsoft Office (Excel, Word, Outlook) and databases; strong organization, communication, and attention to detail; valid driver's license and willingness to travel ~25%.
Microsoft Office Suite, Microsoft Excel, Microsoft Word, Microsoft Outlook, Salesforce, Asana
1mo
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Provider Network Reporting Specialist_NM
Troy, New York, United States
$60k-$65k/yr OnsiteFull Time
Versant Health
Versant Health: Manages vision care benefits and provider networks.
Formatting and delivering provider network data, producing network and disruption reports, performing data and statistical analysis, maintaining Zelis and competitor data, proficiency with Excel/Access and Business Objects, and HIPAA compliance.
Microsoft Excel, Microsoft Access, Business Objects, Quest Analytics, Zelis
3mo
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Manager, Provider Network Operations
San Jose, California, United States
OnsiteFull Time
Santa Clara Family Health Plan
Santa Clara Family Health Plan: Provides managed health insurance plans for Santa Clara County residents.
6+ YOE3+ MgmtOversee day-to-day provider network operations, develop training and communications, manage relationships with providers and contracted plans; bachelor’s and 6+ years in healthcare with leadership.
Outlook, Word, Excel
1d
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Provider Network Specialist (Physician Recruiter)
Plantation, Florida, United States
OnsiteFull Time
NationsBenefits
NationsBenefits: Provides supplemental health benefits and fintech payment solutions.
Experience recruiting medical offices and familiarity with credentialing; strong communication, organization, and ability to manage recruitment and onboarding for provider networks.