Provider Network Management Jobs for OPT Students
Provider Network Management jobs are consistently among the more OPT-friendly roles in healthcare administration, with employers across health plans, hospital systems, and managed care organizations regularly filing H-1B petitions for this function. Your 12-month OPT window, extendable to 36 months with a STEM extension if your degree qualifies, gives you enough runway to demonstrate value and secure sponsorship.
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Get Access To All JobsYour 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.
Role Overview: We’re seeking a detail-oriented and relationship-driven Account Executive I to manage and support our network of contracted healthcare providers. In this role, you’ll build and maintain strong partnerships, conduct provider orientations, resolve issues, and ensure compliance with state and federal access requirements. You’ll monitor provider performance using data and metrics, support credentialing processes, and help drive improvements in service delivery.
Responsibilities:
- Understand and manage the Plan’s contracts and provider performance, conduct tailored orientation sessions, educational visits, and resolve issues.
- Ensure appropriate access to services across the Plan’s territory in compliance with state and federal mandates.
- Identify, contact, and solicit qualified providers to join the Plan, ensuring financial integrity and adherence to contract requirements.
- Utilize plan reports and metrics to evaluate provider performance, communicate improvement plans, and foster stronger relationships.
- Assist in implementing corrective actions, including termination, as per the Plan policies.
- Aid in credentialing, re-credentialing, investigating member complaints, and addressing quality issues.
- Maintain knowledge of Facets and relay information about provider changes to the Provider Maintenance Department.
- Deliver accurate and timely activity and metric reports.
- Build strong partnerships with internal resources and stakeholders.
Education & Experience:
Bachelor’s degree or equivalent experience, high school diploma/GED required.
1 to 3 years in provider services
3 to 5 years in managed care/health insurance.
Experience with Medicare, Medicaid, or Exchange, behavioral health, contract negotiations, value-based contracting, and provider auditing.
Work Arrangement:
Must live in CST or EST time zone
Preferably candidates in or around PA.
Possible travel to Annual Conferences
Skills & Abilities:
- Establish and maintain trust-based partnerships with healthcare providers and internal teams.
- Manage and de-escalate provider concerns or issues with professionalism and diplomacy.
- Take initiative, manage time effectively, and complete tasks with minimal supervision.
- Balance competing demands across provider accounts, projects, and deadlines.
- Work effectively with cross-functional teams within internal departments.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
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.
Role Overview: We’re seeking a detail-oriented and relationship-driven Account Executive I to manage and support our network of contracted healthcare providers. In this role, you’ll build and maintain strong partnerships, conduct provider orientations, resolve issues, and ensure compliance with state and federal access requirements. You’ll monitor provider performance using data and metrics, support credentialing processes, and help drive improvements in service delivery.
Responsibilities:
- Understand and manage the Plan’s contracts and provider performance, conduct tailored orientation sessions, educational visits, and resolve issues.
- Ensure appropriate access to services across the Plan’s territory in compliance with state and federal mandates.
- Identify, contact, and solicit qualified providers to join the Plan, ensuring financial integrity and adherence to contract requirements.
- Utilize plan reports and metrics to evaluate provider performance, communicate improvement plans, and foster stronger relationships.
- Assist in implementing corrective actions, including termination, as per the Plan policies.
- Aid in credentialing, re-credentialing, investigating member complaints, and addressing quality issues.
- Maintain knowledge of Facets and relay information about provider changes to the Provider Maintenance Department.
- Deliver accurate and timely activity and metric reports.
- Build strong partnerships with internal resources and stakeholders.
Education & Experience:
Bachelor’s degree or equivalent experience, high school diploma/GED required.
1 to 3 years in provider services
3 to 5 years in managed care/health insurance.
Experience with Medicare, Medicaid, or Exchange, behavioral health, contract negotiations, value-based contracting, and provider auditing.
Work Arrangement:
Must live in CST or EST time zone
Preferably candidates in or around PA.
Possible travel to Annual Conferences
Skills & Abilities:
- Establish and maintain trust-based partnerships with healthcare providers and internal teams.
- Manage and de-escalate provider concerns or issues with professionalism and diplomacy.
- Take initiative, manage time effectively, and complete tasks with minimal supervision.
- Balance competing demands across provider accounts, projects, and deadlines.
- Work effectively with cross-functional teams within internal departments.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
How to Get Visa Sponsorship in Provider Network Management
Target managed care organizations and large health plans
Health plans like regional Blue Cross affiliates and national managed care organizations maintain dedicated provider relations teams and have established H-1B sponsorship pipelines. These employers hire at scale and are far more likely to have immigration infrastructure than smaller practices.
Highlight contracting and credentialing experience specifically
Provider network roles split into contracting, credentialing, and relations tracks. Employers sponsor more readily when your resume aligns with one track clearly. Vague experience across all three is less compelling than demonstrated depth in provider contract negotiation or credentialing workflows.
Check STEM extension eligibility before you start applying
Health informatics, health services administration, and public health degrees sometimes qualify for the 24-month STEM OPT extension. Confirm with your DSO early. A 36-month total OPT window makes you significantly more attractive to employers weighing the cost of sponsorship.
Ask about sponsorship history during informational interviews
Before a formal interview, research whether the employer has previously sponsored provider network analysts or managers. USCIS LCA disclosure data shows past filings by job title and employer. Approaching companies with a sponsorship track record saves time and improves your odds considerably.
Frame your value around network adequacy and regulatory knowledge
Employers in this space face CMS network adequacy standards and state-level regulatory requirements. If your coursework or experience touches healthcare policy, data analysis, or compliance, lead with that. Regulatory expertise is harder to hire for and strengthens the case for sponsoring your visa.
Time your applications around your OPT authorization window
Apply at least three to four months before your OPT start date so hiring managers can plan around your timeline. Mentioning your exact authorization window upfront removes ambiguity and signals that you understand the process, which builds confidence with employers unfamiliar with OPT rules.
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Get Access To All JobsFrequently Asked Questions
Can I work in Provider Network Management on OPT?
Yes. Provider Network Management roles in contracting, credentialing, and provider relations are standard professional positions that fall squarely within OPT-eligible employment. Your work must be directly related to your field of study, so degrees in health administration, public health, business, or a related field will satisfy that requirement. Confirm alignment with your DSO before accepting an offer.
Do healthcare employers in this field typically sponsor H-1B visas?
Sponsorship rates vary significantly by employer size and type. Large managed care organizations, hospital systems, and national health plans sponsor regularly and have legal teams set up to handle petitions. Smaller regional groups or independent provider organizations sponsor far less frequently. Browsing Provider Network Management roles on Migrate Mate lets you filter for employers with a demonstrated sponsorship history, which saves time during your OPT window.
Does a health informatics or public health degree qualify for the STEM OPT extension in this role?
It depends on your specific CIP code, not your degree title. Health informatics programs under CIP 51.0706 often qualify. Public health and health services administration degrees may or may not, depending on how your school classified the program. Check with your DSO and review the DHS STEM Designated Degree Program List directly. If you qualify, the 24-month extension gives you 36 months total on OPT.
What does day-to-day work look like for an OPT student in Provider Network Management?
Most entry-level roles involve provider data management, contract loading, credentialing support, and network adequacy reporting. You will typically work within a team supporting contracting managers or network development directors. Regulatory filings, provider outreach, and database accuracy are recurring responsibilities. The work is detail-oriented and process-driven, which suits candidates with strong analytical or health informatics backgrounds entering the field on OPT.
How should I handle the OPT authorization conversation with a potential employer?
Be direct and brief. State your authorization type, your current end date, and whether you qualify for a STEM extension. Avoid burying this information late in the process. Employers who sponsor visas are accustomed to this conversation and will appreciate the clarity. Those who are not familiar with OPT sometimes conflate it with H-1B sponsorship, so clarifying that OPT requires no employer petition and no cost to them often resolves hesitation quickly.
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