Green Card Provider Network Management Jobs
Provider Network Management roles at health plans, managed care organizations, and hospital systems regularly qualify for EB-2 and EB-3 green card sponsorship through PERM labor certification. Employers file on behalf of credentialed professionals whose contract negotiation, network adequacy, and provider relations experience aligns with specialty occupation standards.
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Get Access To All JobsLocation Address:
9521 San Mateo NE Albuquerque, NM 87113-2237
Compensation Pay Range:
Minimum Offer $53,768.00 Maximum Offer $82,076.80
Now Hiring: Provider Network Management Relations Executive
Summary
Build your Career. Make a Difference. Presbyterian is hiring a skilled Provider Network Management Relations Executive to join our team.
Type of Opportunity: Full time
Job Exempt: Yes
Job is based: Reverend Hugh Cooper Administrative Center
Work Shift: Days (United States of America)
Responsibilities:
Presbyterian Healthcare is seeking a Provider Network Management Relations Executive.
Provides oversight of network strategies and relationship development activities for assigned providers including individualized planning, training and development of providers to align with Presbyterian's clinical quality initiatives. Will provide the framework for physician/provider performance reporting that will assist providers with objective and quantitative analysis of clinical quality performance measures. The Network Relations Service Executive is a professional accountable for proactively identifying issues, resolving disputes, and coordinating resolutions. Accountable for resolving complex problems, fielding general questions, and acting as a liaison between the provider of service and the health plan.
Some key responsibilities include:
- Collaborates and maintains relationships with providers and staff throughout Presbyterian to ensure an exceptional provider experience.
- Develops and maintains cooperative working relationships between PHP, institutional provider and individual providers.
- Provides education on quality initiatives, managed care, capitation, products, policies and procedures, reimbursement issues, referral/authorization process, etc.
- Responsible for ensuring provider data integrity and accuracy by ensuring PIFs are completed timely and accurately and through a comprehensive review and validation of provider directory data.
- Responsible for post payment validation of assigned providers to ensure accuracy of payment to the contract and corresponding fee schedules.
- Resolves provider issues - claims, health services, finance, etc.
- Stimulates and fosters professional development of the Network Relations Service Associates.
- Supports Network Contracting strategies in an effort to preserve a robust provider network.
- Serves as primary liaison between the provider and the health plan.
- Maintains a general knowledge of health plan reimbursement methodologies.
- Conducts provider visits based on established departmental goals, which will require 50-65% field contact.
- Engages and supports leadership and peers by promoting and participating in department initiatives and being accountable for achieving business objectives.
Qualifications
- Three years experience in provider relations, provider contracting, claims processing, or customer service in a healthcare organization. Strong working knowledge of risk sharing programs and different reimbursement methodologies i.e. capitation, DRG, Relative Value Systems, etc. Must demonstrate strong verbal, written communication, and presentation skills with strong interpersonal and negotiations skills and ability to interface with providers. Must also possess strong facilitation, organizational, and personal computing skills.
Education:
Essential:
High School Diploma or GED
All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinars, preventive screening and more.
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services
Location Address:
9521 San Mateo NE Albuquerque, NM 87113-2237
Compensation Pay Range:
Minimum Offer $53,768.00 Maximum Offer $82,076.80
Now Hiring: Provider Network Management Relations Executive
Summary
Build your Career. Make a Difference. Presbyterian is hiring a skilled Provider Network Management Relations Executive to join our team.
Type of Opportunity: Full time
Job Exempt: Yes
Job is based: Reverend Hugh Cooper Administrative Center
Work Shift: Days (United States of America)
Responsibilities:
Presbyterian Healthcare is seeking a Provider Network Management Relations Executive.
Provides oversight of network strategies and relationship development activities for assigned providers including individualized planning, training and development of providers to align with Presbyterian's clinical quality initiatives. Will provide the framework for physician/provider performance reporting that will assist providers with objective and quantitative analysis of clinical quality performance measures. The Network Relations Service Executive is a professional accountable for proactively identifying issues, resolving disputes, and coordinating resolutions. Accountable for resolving complex problems, fielding general questions, and acting as a liaison between the provider of service and the health plan.
Some key responsibilities include:
- Collaborates and maintains relationships with providers and staff throughout Presbyterian to ensure an exceptional provider experience.
- Develops and maintains cooperative working relationships between PHP, institutional provider and individual providers.
- Provides education on quality initiatives, managed care, capitation, products, policies and procedures, reimbursement issues, referral/authorization process, etc.
- Responsible for ensuring provider data integrity and accuracy by ensuring PIFs are completed timely and accurately and through a comprehensive review and validation of provider directory data.
- Responsible for post payment validation of assigned providers to ensure accuracy of payment to the contract and corresponding fee schedules.
- Resolves provider issues - claims, health services, finance, etc.
- Stimulates and fosters professional development of the Network Relations Service Associates.
- Supports Network Contracting strategies in an effort to preserve a robust provider network.
- Serves as primary liaison between the provider and the health plan.
- Maintains a general knowledge of health plan reimbursement methodologies.
- Conducts provider visits based on established departmental goals, which will require 50-65% field contact.
- Engages and supports leadership and peers by promoting and participating in department initiatives and being accountable for achieving business objectives.
Qualifications
- Three years experience in provider relations, provider contracting, claims processing, or customer service in a healthcare organization. Strong working knowledge of risk sharing programs and different reimbursement methodologies i.e. capitation, DRG, Relative Value Systems, etc. Must demonstrate strong verbal, written communication, and presentation skills with strong interpersonal and negotiations skills and ability to interface with providers. Must also possess strong facilitation, organizational, and personal computing skills.
Education:
Essential:
High School Diploma or GED
All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinars, preventive screening and more.
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services
See all Green Card Provider Network Management Jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship in Provider Network Management
Document your credentialing and network analytics work
PERM requires your employer to define a specific minimum requirement for the role. Compile evidence that your provider contracting, network adequacy analysis, or value-based care experience directly informed that requirement, not just your daily duties.
Target managed care organizations with PERM filing history
Large regional health plans and national managed care organizations file PERM petitions far more frequently than small physician groups. Search OFLC disclosure data to confirm whether a prospective employer has sponsored provider network roles before.
Use Migrate Mate to filter green card sponsoring employers
Search Migrate Mate by role type and sponsorship history to surface health plan and managed care employers actively filing EB-2 or EB-3 petitions for Provider Network Management positions, saving weeks of manual research.
Verify your role qualifies as a specialty occupation
USCIS evaluates whether the position normally requires at least a bachelor's degree in a specific field. Reference the O*NET profile for Healthcare Network Managers to confirm the degree and field alignment your employer will need to document.
Negotiate PERM sponsorship terms before accepting an offer
Ask directly whether the employer will cover attorney fees and whether they use premium processing for the I-140. Misaligned expectations here cause most sponsorship breakdowns after onboarding, not during the interview stage.
Understand the PERM supervised recruitment timeline
DOL requires employers to complete a specific recruitment process before filing PERM, which typically spans 60 to 90 days. Starting a new role and expecting immediate filing is unrealistic; most employers begin PERM no earlier than six months after your hire date.
Green Card Provider Network Management: Frequently Asked Questions
Do Provider Network Management roles qualify for EB-2 or EB-3 green card sponsorship?
Both categories are available depending on the role's defined requirements and your credentials. EB-2 applies when the position requires an advanced degree or your employer documents an advanced-degree justification. EB-3 covers roles requiring at least a bachelor's degree. Most health plan and managed care employers sponsor provider network professionals under EB-3, with EB-2 reserved for senior or analytics-heavy positions.
How does PERM green card sponsorship differ from H-1B sponsorship for this role?
PERM leads to permanent residency, not a temporary work authorization period. There is no lottery, and EB-3 has no annual cap that would prevent your employer from filing. The tradeoff is timeline: PERM labor certification, I-140, and adjustment of status typically takes two to four years for most countries, compared to H-1B visa approval in a few months. The permanence makes PERM the stronger long-term path.
What credentials strengthen a PERM petition for a Provider Network Management role?
A bachelor's degree in healthcare administration, public health, business, or a related field is the baseline. Certifications such as Certified Provider Credentialing Specialist or Certified Managed Care Professional add weight to EB-2 arguments. Your employer must document that the role genuinely requires these credentials, so roles tied to network adequacy reporting, CMS compliance, or value-based contract negotiation tend to support stronger petitions.
How can I find employers in Provider Network Management that sponsor green cards?
Migrate Mate lets you search specifically for Provider Network Management roles at employers with active EB-2 and EB-3 sponsorship history, filtering out positions where sponsorship is unlikely. This is more reliable than inferring sponsorship willingness from job postings alone, since most postings in this field don't disclose green card intent upfront.
Can my employer file PERM while I'm working on an H-1B in the same role?
Yes. Concurrent H-1B status and an active PERM filing is the standard path for most sponsored professionals in healthcare management. Your employer files PERM while you maintain H-1B authorization, then files I-140 after PERM certification. USCIS allows you to extend H-1B status beyond the standard six-year cap once your I-140 is approved and your priority date is within one year of becoming current.