Provider Network Management Jobs in Iowa
Provider Network Management jobs in Iowa concentrate in managed care, Medicaid, and commercial insurance, with demand anchored in Des Moines, Cedar Rapids, and Iowa City. Major employers with a lasting Iowa presence include Wellmark Blue Cross and Blue Shield, UnityPoint Health, and the University of Iowa Health Care. The most in-demand specialties are credentialing and contracting, Medicaid network compliance, and value-based care arrangement management. Find a role that fits below and apply directly.
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Showing 5 of 17+ Provider Network Management jobs
***Remote and must live in Iowa***
JOB DESCRIPTION
Job Summary
Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operational performance. Responsible for negotiating agreements, including value-based payment methodology, with complex provider groups that are strategically critical to plan success, including but not limited to: hospitals, independent physician associations (IPAs), and behavioral health organizations.
Essential Job Duties
- Negotiates contracts and letters of agreement with the complex provider community to secure high quality, cost-effective and marketable plan providers.
- Contracts/re-contracts with large-scale entities involving custom reimbursement; executes standardized alternative payment model (APM) contracts; issues escalations, and supports network adequacy, joint operating committees (JOCs), and delegation oversight.
- Execution, management, and optimization of value-based contracts and enhanced provider relationship management.
- Directs analysis of financial impact of deal terms and prepare details and justification for executive approval for agreements outside of Molina approval guidelines.
- In conjunction with contracting leadership, negotiates complex provider contracts including high-priority physician group and facility contracts using preferred, acceptable, discouraged, unacceptable (PADU) guidelines (emphasis on number or percentage of membership in value-based relationship contracts).
- Develops and maintains provider contracts in contract management software.
- Targets and recruits additional providers to reduce member access grievances.
- Engages targeted contracted providers in renegotiation of rates and/or language; assists with cost-control strategies that positively impact the medical cost ratio (MCR) within each region.
- Advises network contracting team members on negotiation of individual provider and routine ancillary contracts.
- Maintains contractual relationships with significant/highly visible providers.
- Evaluates provider network and implement strategic plans with the goal of meeting Molina’s network adequacy standards.
- Assesses contract language for compliance with corporate standards and regulatory requirements and review revised language with assigned corporate attorney.
- Participates in fee schedule determinations including development of new reimbursement models; seeks input on new reimbursement models from corporate network leadership, legal and senior level engagement as required.
- Educates internal customers on provider contracts.
- Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers.
- Participates with the leadership team and other committees to address the strategic goals of the department and organization.
- Participates in contracting-related special projects as directed.
- Provides training, mentoring and support to new and existing contracting team members.
- Travels regularly throughout designated regions to meet targeted needs.
Required Qualifications
- At least 5 years of experience in network contracting with large specialty or multispecialty provider groups, and at least 3 years experience in provider contract negotiations in a managed health care setting ideally negotiating different provider contract types (i.e. physician/group/hospital), or equivalent combination of relevant education and experience.
- Working familiarity with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to: value-based payment (VBP), fee-for service (FFS), capitation and various forms of risk, etc.
- Negotiation and relationship building capabilities.
- Ability to navigate complex regulatory environments.
- Data-driven decision-making skills, and analytical abilities.
- Organizational skills and attention to detail.
- Ability to work cross-functionally with internal/external stakeholders in a highly matrixed organization.
- Ability to manage multiple tasks and deadlines effectively.
- Effective verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
- Contracting experience with integrated delivery systems, hospitals and groups (specialty and ancillary).
- Experience with Medicaid, Medicare, and Marketplace government-sponsored programs.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
***Remote and must live in Iowa***
JOB DESCRIPTION
Job Summary
Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operational performance. Responsible for negotiating agreements, including value-based payment methodology, with complex provider groups that are strategically critical to plan success, including but not limited to: hospitals, independent physician associations (IPAs), and behavioral health organizations.
Essential Job Duties
- Negotiates contracts and letters of agreement with the complex provider community to secure high quality, cost-effective and marketable plan providers.
- Contracts/re-contracts with large-scale entities involving custom reimbursement; executes standardized alternative payment model (APM) contracts; issues escalations, and supports network adequacy, joint operating committees (JOCs), and delegation oversight.
- Execution, management, and optimization of value-based contracts and enhanced provider relationship management.
- Directs analysis of financial impact of deal terms and prepare details and justification for executive approval for agreements outside of Molina approval guidelines.
- In conjunction with contracting leadership, negotiates complex provider contracts including high-priority physician group and facility contracts using preferred, acceptable, discouraged, unacceptable (PADU) guidelines (emphasis on number or percentage of membership in value-based relationship contracts).
- Develops and maintains provider contracts in contract management software.
- Targets and recruits additional providers to reduce member access grievances.
- Engages targeted contracted providers in renegotiation of rates and/or language; assists with cost-control strategies that positively impact the medical cost ratio (MCR) within each region.
- Advises network contracting team members on negotiation of individual provider and routine ancillary contracts.
- Maintains contractual relationships with significant/highly visible providers.
- Evaluates provider network and implement strategic plans with the goal of meeting Molina’s network adequacy standards.
- Assesses contract language for compliance with corporate standards and regulatory requirements and review revised language with assigned corporate attorney.
- Participates in fee schedule determinations including development of new reimbursement models; seeks input on new reimbursement models from corporate network leadership, legal and senior level engagement as required.
- Educates internal customers on provider contracts.
- Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers.
- Participates with the leadership team and other committees to address the strategic goals of the department and organization.
- Participates in contracting-related special projects as directed.
- Provides training, mentoring and support to new and existing contracting team members.
- Travels regularly throughout designated regions to meet targeted needs.
Required Qualifications
- At least 5 years of experience in network contracting with large specialty or multispecialty provider groups, and at least 3 years experience in provider contract negotiations in a managed health care setting ideally negotiating different provider contract types (i.e. physician/group/hospital), or equivalent combination of relevant education and experience.
- Working familiarity with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to: value-based payment (VBP), fee-for service (FFS), capitation and various forms of risk, etc.
- Negotiation and relationship building capabilities.
- Ability to navigate complex regulatory environments.
- Data-driven decision-making skills, and analytical abilities.
- Organizational skills and attention to detail.
- Ability to work cross-functionally with internal/external stakeholders in a highly matrixed organization.
- Ability to manage multiple tasks and deadlines effectively.
- Effective verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
- Contracting experience with integrated delivery systems, hospitals and groups (specialty and ancillary).
- Experience with Medicaid, Medicare, and Marketplace government-sponsored programs.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
See All 17 Provider Network Management Jobs in Iowa
Find roles in Iowa that match your experience and apply in just a few clicks.
Find JobsProvider Network Management Jobs by City in Iowa
Where Iowa roles are concentrated, by current openings.
Provider Network Management Job Market in Iowa
A snapshot from current Iowa openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
- Education
- Insurance
- Science & Research
What Iowa Employers Look For
The qualifications that appear most often in provider network management jobs across Iowa.
- Bachelor's degree in health administration, business, or a related field required
- Experience with provider credentialing, contracting, or network development in managed care
- Familiarity with Iowa Medicaid managed care and state regulatory requirements
- Proficiency with provider data management systems and contract management platforms
- Strong knowledge of network adequacy standards and CMS regulatory guidelines
- Excellent negotiation and relationship management skills with health system partners
Provider Network Management Jobs in Iowa: Frequently Asked Questions
How do you become a provider network management in Iowa?
Most provider network management roles in Iowa require a bachelor's degree in health administration, business, or a clinical field, though some employers prefer a master's in health administration or an MBA. Iowa does not issue a state license specific to provider network management, but professional credentials such as the Certified Provider Credentialing Specialist designation from the National Association of Medical Staff Services strengthen candidacy. Entry typically begins in credentialing coordination or contracting support roles at Iowa health plans or hospital systems.
How much do provider network managements make in Iowa?
Provider network managements in Iowa earn a median of about $101,940 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $75,080 for the lowest 10% to over $171,760 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire provider network managements in Iowa?
Iowa provider network management roles are posted by MercyOne, McFarland Clinic PC, and The University of Iowa and others right now, based on current listings on Migrate Mate as of July 2026. Iowa's concentration of Medicaid managed care organizations and large regional health systems creates consistent demand across Des Moines and the surrounding metro.
Which Iowa cities have the most provider network management jobs?
Des Moines, Ames, and Waukee have the most provider network management openings in Iowa. Des Moines dominates because it serves as the headquarters for Wellmark Blue Cross and Blue Shield and hosts the administrative centers of Iowa's major Medicaid managed care plans, while Cedar Rapids and Iowa City openings are driven by large regional health systems and the University of Iowa Health Care enterprise.
Are there remote provider network management jobs in Iowa?
Yes, and more than most healthcare roles, since provider network management is primarily an analytical and administrative function with few requirements for on-site patient contact. About 29% of provider network management openings tied to Iowa are remote or hybrid as of July 2026, reflecting the desk-based nature of the work. Contracting, network analysis, and provider relations outreach are the sub-functions most commonly offered in fully remote arrangements.
How can I get hired as a provider network management in Iowa with little or no experience?
The most realistic entry path is a credentialing coordinator or provider relations representative role at an Iowa-based health plan or hospital system, where foundational network operations skills are built on the job. Wellmark Blue Cross and Blue Shield and UnityPoint Health both hire administrative and coordinator-level staff who move into network management functions over time. A Certified Provider Credentialing Specialist credential or coursework in health administration from an Iowa institution like Drake University or the University of Iowa adds a clear competitive edge for candidates without direct experience.
Where can I find and apply to provider network management jobs in Iowa?
You can find and apply to provider network management jobs in Iowa on Migrate Mate, which lists current Iowa openings from health plans, hospital systems, and managed care organizations across the state. Find roles that fit your experience and specialty focus, then apply directly to the employer through the listing.
See All 17 Provider Network Management Jobs in Iowa
Find roles in Iowa that match your experience and apply in just a few clicks.
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