Provider Network Management Jobs in California
Provider Network Management jobs in California are among the most active in the country, concentrated in managed care organizations, large integrated health systems, and health insurance carriers, with openings at every level from coordinator and analyst through director and VP of network operations. The biggest hiring is in Los Angeles, San Francisco, and Sacramento, where employers like Kaiser Permanente, Anthem Blue Cross, and Blue Shield of California maintain large network management teams. The most in-demand specialties are provider contracting, credentialing oversight, and network adequacy compliance. Find a role that fits below and apply directly.
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See related jobsAre you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.
Who Are We? ✨
Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values.
Why Join Us?
We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.
Job Summary
The Senior Vice President, Provider Network Management is responsible for the enterprise-wide strategy, development, performance, and growth of the provider network. This role establishes and leads the long-term vision for provider partnerships across markets, ensuring the network strategy supports growth, access, quality, affordability, and value-based care objectives. Serves as the organization’s senior executive on provider networks, directing provider development, contracting strategy, network adequacy, and provider relationship management.
Key Responsibilities
Enterprise Provider Network Strategy & Vision
- Establish and lead the enterprise provider network strategy aligned with organizational growth, access, quality, and value-based care goals.
- Define network design principles across primary care, specialty, hospital, ancillary, and delegated provider models.
- Ensure network strategies anticipate regulatory, competitive, and market dynamics.
- Serve as executive advisor to senior leadership on provider network planning and evolution.
Provider Development & Relationship Management
- Lead physician, provider group, IPA, and health system relationship strategy.
- Build and maintain long-term provider partnerships that support growth and retention.
- Oversee provider onboarding, alignment, and relationship management frameworks.
- Represent the organization with key external provider stakeholders.
Contracting, Value-Based Care & Network Economics
- Oversee provider contracting strategy, including value-based and risk-based arrangements.
- Guide contract structures, reimbursement models, and incentive alignment.
- Lead analysis of utilization trends, reimbursement benchmarks, and market economics.
- Support network-related due diligence for expansion and partnerships.
Network Operations, Performance & Compliance
- Ensure network adequacy, access standards, and regulatory compliance across markets.
- Oversee performance monitoring related to access, cost, quality, and growth.
- Establish governance, policies, and operational standards for network management.
- Drive continuous improvement through data-driven insights.
Leadership, Talent Development & Cross-Functional Partnership
- Lead and develop provider network management leaders and teams.
- Build a high-performing and accountable organization.
- Partner with Sales, Marketing, Finance, Medical Management, and Product leaders to enable enterprise goals.
- Champion innovation and change within provider network strategy and operations.
Qualifications
Education & Experience
- Bachelor’s degree in Business, Healthcare Administration, or related field required.
- Master’s degree (MBA, MHA) or equivalent experience preferred.
- 10+ years of provider network development and contracting experience.
- 5+ years of value-based care or risk-based contracting experience.
- Medicare Advantage experience strongly preferred.
Skills & Competencies
- Executive presence with ability to influence senior leaders.
- Deep expertise in provider contracting and value-based care models.
- Strong strategic and execution capabilities.
- Exceptional relationship-building and negotiation skills.
- Ability to lead in highly matrixed environments.
Wage Range: $229,000 to $292,000 per year
Physical & Working Environment
Ability to travel as needed.
Work performed in office and/or remote environment.
Standard physical requirements associated with executive office roles.
Must be located in Los Angeles or Orange County
Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
Salary ranges posted on the job posting are based on California wages. Salary may be higher or lower depending on the candidate’s state residency.
LI-Hybrid
Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.
Who Are We? ✨
Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values.
Why Join Us?
We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.
Job Summary
The Senior Vice President, Provider Network Management is responsible for the enterprise-wide strategy, development, performance, and growth of the provider network. This role establishes and leads the long-term vision for provider partnerships across markets, ensuring the network strategy supports growth, access, quality, affordability, and value-based care objectives. Serves as the organization’s senior executive on provider networks, directing provider development, contracting strategy, network adequacy, and provider relationship management.
Key Responsibilities
Enterprise Provider Network Strategy & Vision
- Establish and lead the enterprise provider network strategy aligned with organizational growth, access, quality, and value-based care goals.
- Define network design principles across primary care, specialty, hospital, ancillary, and delegated provider models.
- Ensure network strategies anticipate regulatory, competitive, and market dynamics.
- Serve as executive advisor to senior leadership on provider network planning and evolution.
Provider Development & Relationship Management
- Lead physician, provider group, IPA, and health system relationship strategy.
- Build and maintain long-term provider partnerships that support growth and retention.
- Oversee provider onboarding, alignment, and relationship management frameworks.
- Represent the organization with key external provider stakeholders.
Contracting, Value-Based Care & Network Economics
- Oversee provider contracting strategy, including value-based and risk-based arrangements.
- Guide contract structures, reimbursement models, and incentive alignment.
- Lead analysis of utilization trends, reimbursement benchmarks, and market economics.
- Support network-related due diligence for expansion and partnerships.
Network Operations, Performance & Compliance
- Ensure network adequacy, access standards, and regulatory compliance across markets.
- Oversee performance monitoring related to access, cost, quality, and growth.
- Establish governance, policies, and operational standards for network management.
- Drive continuous improvement through data-driven insights.
Leadership, Talent Development & Cross-Functional Partnership
- Lead and develop provider network management leaders and teams.
- Build a high-performing and accountable organization.
- Partner with Sales, Marketing, Finance, Medical Management, and Product leaders to enable enterprise goals.
- Champion innovation and change within provider network strategy and operations.
Qualifications
Education & Experience
- Bachelor’s degree in Business, Healthcare Administration, or related field required.
- Master’s degree (MBA, MHA) or equivalent experience preferred.
- 10+ years of provider network development and contracting experience.
- 5+ years of value-based care or risk-based contracting experience.
- Medicare Advantage experience strongly preferred.
Skills & Competencies
- Executive presence with ability to influence senior leaders.
- Deep expertise in provider contracting and value-based care models.
- Strong strategic and execution capabilities.
- Exceptional relationship-building and negotiation skills.
- Ability to lead in highly matrixed environments.
Wage Range: $229,000 to $292,000 per year
Physical & Working Environment
Ability to travel as needed.
Work performed in office and/or remote environment.
Standard physical requirements associated with executive office roles.
Must be located in Los Angeles or Orange County
Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
Salary ranges posted on the job posting are based on California wages. Salary may be higher or lower depending on the candidate’s state residency.
LI-Hybrid
See All 5 Provider Network Management Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
Find JobsProvider Network Management Jobs by City in California
Where California roles are concentrated, by current openings.
Provider Network Management Job Market in California
A snapshot from current California openings, updated as new roles post.
Who's Hiring
- Clever Care Health Plan1
- Heritage Provider Network1
- UnitedHealthcare1
- Welbe Health1
- WelbeHealth1
Top Industries Hiring
- Healthcare & Medical Services3
- Consulting & Professional Services1
- Insurance1
What California Employers Look For
The qualifications that appear most often in provider network management jobs across California.
- Bachelor's degree in healthcare administration, public health, or a related field required
- Two or more years of experience in provider relations, contracting, or network development
- Familiarity with California Department of Managed Health Care regulations and network adequacy standards
- Proficiency in contract management systems and provider data platforms such as CAQH or similar
- Strong analytical skills with experience interpreting provider utilization and network performance data
- Excellent written and verbal communication skills for cross-functional collaboration with providers and health plans
Provider Network Management Jobs in California: Frequently Asked Questions
How do you become a provider network management in California?
Most provider network management roles in California require a bachelor's degree in healthcare administration, business, public health, or a related field, with some senior roles expecting a master's degree. There is no single state license required, but familiarity with California Department of Managed Health Care standards and Medi-Cal managed care regulations is expected by most hiring managers. Certifications such as the Certified Provider Credentialing Specialist credential can strengthen a candidate's profile significantly.
How much do provider network managements make in California?
Provider network managements in California earn a median of about $141,480 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $72,800 for the lowest 10% to over $274,660 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire provider network managements in California?
Employers hiring provider network managements in California right now include Clever Care Health Plan, Heritage Provider Network, and UnitedHealthcare, based on current listings on Migrate Mate as of June 2026. California's density of large integrated health plans and Medi-Cal managed care organizations means hiring is consistent year-round across the state.
Which California cities have the most provider network management jobs?
Los Angeles, Cypress, and Huntington Beach have the most provider network management openings in California. Los Angeles leads because of its concentration of major health plans and large hospital systems, Sacramento draws volume from state-regulated Medi-Cal managed care plan headquarters, and San Francisco reflects the Bay Area's robust commercial insurance and tech-enabled health plan sector.
Are there remote provider network management jobs in California?
Yes, and more than most healthcare roles. Provider network management is largely desk-based work involving contracting, data analysis, and provider communication, making it well suited to remote arrangements. About 20% of provider network management openings tied to California are remote or hybrid as of June 2026, reflecting how broadly health plans have embraced flexible work for this function. Fully remote roles are most common in provider data analysis and contracting positions.
How can I get hired as a provider network management in California with little or no experience?
The most realistic entry path is a provider relations coordinator or network operations associate role, which large California health plans like Kaiser Permanente, Health Net, and Molina Healthcare post regularly and fill with candidates from adjacent backgrounds. Customer service or administrative experience in a medical group, IPA, or health plan billing department translates directly. Earning a Certified Provider Credentialing Specialist credential while in an entry role signals commitment and gives candidates a measurable edge in a competitive California market.
Where can I find and apply to provider network management jobs in California?
You can find and apply to provider network management jobs in California on Migrate Mate, which lists current California openings across health plans, hospital systems, and managed care organizations. Find the roles that fit your experience and apply directly to the employers posting them.
See All 5 Provider Network Management Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
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