Provider Network Management Jobs
Provider Network Management jobs are open across health insurance, managed care, hospitals, and health systems, from coordinator to director level, with specializations in contracting, credentialing, and network development. Find a role that fits from the openings below and apply directly.
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Showing 5 of 6+ Provider Network Management jobs
Medical Mutual employees must submit their applications through MySource.
Note: Position requires 4 days on-site per week at our Brooklyn, Dublin, or West Chester, OH office.
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.
Job Summary:
The Director, Provider Network Management oversees the company’s relationships with physician, professional, institutional, and ancillary providers including negotiation and implementation of contracts and reimbursement strategies, with the goals of achieving the best- in-market mix of cost, access, and quality. Engages in, supports, and implements corporate strategies, policies, and initiatives to assigned geographic region.
Responsibilities:
- Reviews proposed contracts and manages multiple concurrent negotiation processes to achieve annual local and regional network targets related to cost, access, methodology, language and quality across all lines of business.
- Establishes and maintains strong, collaborative relationships with high volume/complex providers and health systems including institutional, professional and ancillary provider networks across all product offerings. Promotes reduction and/or control of health care costs and efficiencies and improved operational interactions between both organizations.
- Directs assigned operations and staff including provider access; improving quality and clinic outcomes; provider satisfaction and education; and staff resources, performance management and learning and development.
- Partners with Sales, Clinical, Network Informatics and other areas to achieve Customer satisfaction goals and support provider partnerships.
- Collaborates with internal resources and external providers and others to support departmental and company projects and initiatives as well as corporate participation in governmental and/or specialty products as they are developed.
- Participates in the preparation of documentation to ensure regulatory compliance and the networks achieves and maintains applicable accreditation standards.
- Performs other duties as assigned.
Qualifications:
Education and Experience:
- Bachelor’s degree in Business Administration, Healthcare Administration, Finance, or related field.
- In lieu of Degree, may consider equivalent combination of education and experience.
- Master's degree in Business Administration (MBA) or Health Care Administration (MHA) preferred.
- 8 years progressive experience in provider network development, managed care, or equivalent, 5 years of which are in a managerial or leadership capacity.
- Experience in establishing and maintaining provider networks for specific products including commercial and government programs.
Technical Skills and Knowledge:
- Comprehensive knowledge of provider network development, contracting, contracting methodology, contract language, managed care, and regulations and the ability to apply advanced concepts to company operations.
- Strong analytical and problem-solving skills.
- Strong negotiation skills.
- Strong interpersonal skills with the ability to communicate and present to all levels of management.
- Ability to effectively utilize computer systems and company web-based support tools.
- Proficiency with Microsoft Office.
Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:
A Great Place to Work:
- We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
- Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
- On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
- Discounts at many places in and around town, just for being a Medical Mutual team member.
- The opportunity to earn cash rewards for shopping with our customers.
- Business casual attire, including jeans.
Excellent Benefits and Compensation:
- Employee bonus program.
- 401(k) with company match up to 4% and an additional company contribution.
- Health Savings Account with a company matching contribution.
- Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
- Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
- Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
- After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.
An Investment in You:
- Career development programs and classes.
- Mentoring and coaching to help you advance in your career.
- Tuition reimbursement up to $5,250 per year, the IRS maximum.
- Diverse, inclusive and welcoming culture with Business Resource Groups.
About Medical Mutual:
Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.
There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.
We’re not just one of the largest health insurance companies based in Ohio; we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing. #LI-GR1
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
Medical Mutual employees must submit their applications through MySource.
Note: Position requires 4 days on-site per week at our Brooklyn, Dublin, or West Chester, OH office.
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.
Job Summary:
The Director, Provider Network Management oversees the company’s relationships with physician, professional, institutional, and ancillary providers including negotiation and implementation of contracts and reimbursement strategies, with the goals of achieving the best- in-market mix of cost, access, and quality. Engages in, supports, and implements corporate strategies, policies, and initiatives to assigned geographic region.
Responsibilities:
- Reviews proposed contracts and manages multiple concurrent negotiation processes to achieve annual local and regional network targets related to cost, access, methodology, language and quality across all lines of business.
- Establishes and maintains strong, collaborative relationships with high volume/complex providers and health systems including institutional, professional and ancillary provider networks across all product offerings. Promotes reduction and/or control of health care costs and efficiencies and improved operational interactions between both organizations.
- Directs assigned operations and staff including provider access; improving quality and clinic outcomes; provider satisfaction and education; and staff resources, performance management and learning and development.
- Partners with Sales, Clinical, Network Informatics and other areas to achieve Customer satisfaction goals and support provider partnerships.
- Collaborates with internal resources and external providers and others to support departmental and company projects and initiatives as well as corporate participation in governmental and/or specialty products as they are developed.
- Participates in the preparation of documentation to ensure regulatory compliance and the networks achieves and maintains applicable accreditation standards.
- Performs other duties as assigned.
Qualifications:
Education and Experience:
- Bachelor’s degree in Business Administration, Healthcare Administration, Finance, or related field.
- In lieu of Degree, may consider equivalent combination of education and experience.
- Master's degree in Business Administration (MBA) or Health Care Administration (MHA) preferred.
- 8 years progressive experience in provider network development, managed care, or equivalent, 5 years of which are in a managerial or leadership capacity.
- Experience in establishing and maintaining provider networks for specific products including commercial and government programs.
Technical Skills and Knowledge:
- Comprehensive knowledge of provider network development, contracting, contracting methodology, contract language, managed care, and regulations and the ability to apply advanced concepts to company operations.
- Strong analytical and problem-solving skills.
- Strong negotiation skills.
- Strong interpersonal skills with the ability to communicate and present to all levels of management.
- Ability to effectively utilize computer systems and company web-based support tools.
- Proficiency with Microsoft Office.
Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:
A Great Place to Work:
- We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
- Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
- On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
- Discounts at many places in and around town, just for being a Medical Mutual team member.
- The opportunity to earn cash rewards for shopping with our customers.
- Business casual attire, including jeans.
Excellent Benefits and Compensation:
- Employee bonus program.
- 401(k) with company match up to 4% and an additional company contribution.
- Health Savings Account with a company matching contribution.
- Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
- Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
- Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
- After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.
An Investment in You:
- Career development programs and classes.
- Mentoring and coaching to help you advance in your career.
- Tuition reimbursement up to $5,250 per year, the IRS maximum.
- Diverse, inclusive and welcoming culture with Business Resource Groups.
About Medical Mutual:
Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.
There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.
We’re not just one of the largest health insurance companies based in Ohio; we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing. #LI-GR1
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
Provider Network Management Jobs by Experience Level
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Find JobsProvider Network Management Job Market
Who's Hiring
Top Industries Hiring
- Insurance
What Employers Look For
The qualifications that appear most often in provider network management jobs.
- 3-5 years of experience in provider contracting, credentialing, or network development
- Knowledge of fee schedule development, reimbursement methodologies, and value-based contract structures
- Proficiency with credentialing platforms such as CAQH ProView or equivalent systems
- Familiarity with network adequacy standards set by CMS, state regulators, or accreditation bodies
- Bachelor's degree in healthcare administration, business, or a related field
- Experience with provider data management systems and maintaining accurate provider directories
Tips for Your Provider Network Management Job Search
Tailor your resume to contract language
Hiring managers in provider network management look for fluency in fee schedules, value-based arrangements, and network adequacy standards. Name the specific contract types you've negotiated or reviewed rather than listing generic relationship management skills.
Apply early to roles that fit
Migrate Mate lists provider network management openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Highlight credentialing software you know
Employers routinely screen for hands-on experience with tools like CAQH ProView, Navicure, or similar credentialing platforms. If you've used any, call them out in your skills section by exact product name, not just 'credentialing software.'
Target openings by payer type strategically
Your background in commercial, Medicaid, or Medicare Advantage networks is not interchangeable to most employers. Search by payer segment and align your application materials to the regulatory and contracting nuances specific to that line of business.
Prepare case studies around network gaps
Interviewers frequently ask how you've addressed network adequacy deficiencies or recruited hard-to-fill specialties. Walk in with a specific example that covers how you identified the gap, your outreach approach, and the outcome in terms of access or compliance.
Negotiate using access compliance as leverage
When discussing offers, frame your value around regulatory risk reduction, not just headcount managed. Demonstrating you understand CMS or state network adequacy standards positions you as a strategic hire and supports a stronger compensation conversation.
Provider Network Management Jobs: Frequently Asked Questions
Which companies are hiring the most provider network managements?
The companies hiring the most provider network managements right now include AmeriHealth Caritas, Duke Health, and Region 10 PIHP, with the largest share of openings in Ohio, Idaho, and Michigan, based on current listings on Migrate Mate as of September 2026. Health plans, managed care organizations, and large hospital systems consistently represent the largest share of open roles.
How many provider network management jobs are remote?
About 100% of provider network management openings are fully remote or hybrid as of September 2026, reflecting the administrative nature of much of the work. Credentialing coordination and provider relations roles tend to be the most remote-friendly, while contracting positions that involve in-person provider negotiations are more likely to require on-site or travel-based work.
How do you become a provider network management?
Start with a bachelor's degree in healthcare administration, business, or a related field, then build foundational experience in healthcare operations, provider relations, or managed care. Develop fluency in provider contracting, credentialing workflows, and network adequacy requirements. Earning a credential such as the Certified Provider Credentialing Specialist designation strengthens your candidacy for mid-level and senior roles.
Can you get a provider network management job with little experience?
Entry-level roles exist in provider relations, credentialing coordination, and network operations support, and these are the most practical starting points with limited experience. Employers hiring at this level look for healthcare administration coursework, familiarity with insurance terminology, and demonstrated comfort working in compliance-driven environments. Internships or administrative roles at a health plan or hospital accelerate the path considerably.
What does the provider network management interview process look like?
Most processes run two to three rounds. An initial screening with a recruiter or HR contact focuses on your background in contracting or credentialing. A second interview with a network director or VP typically includes scenario-based questions about resolving network adequacy deficiencies, handling difficult provider negotiations, or managing a high-volume credentialing caseload. Some employers add a brief written exercise or case study at this stage.
Where can I find and apply to provider network management jobs?
You can find and apply to provider network management jobs on Migrate Mate, which lists current openings from across the United States in one place. Search for roles that match your background in contracting, credentialing, or network development, and apply directly to each listing that fits.
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Find roles that match your experience and apply in just a few clicks.
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