Provider Network Manager Jobs
Provider Network Manager jobs are open across health insurance, managed care, and hospital systems, at every level from coordinator to senior and director, with specializations in credentialing, contract negotiation, and provider relations. See the openings below and apply to the ones that match your experience.
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Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.
About the Role
A Network Education and Communication Specialist plays a crucial role in facilitating effective communication, knowledge sharing, and engagement among network providers. By developing and implementing education and communication strategies, creating informative content, and delivering training programs, they contribute to the overall success of the network and its providers.This Network Education and Communication Specialist role will support overall communication and education of network information for new and existing providers to promote high-quality and cost-effective care delivery. The primary focus for this role will be to facilitate effective communication and knowledge sharing among diverse audience(s) and provider practices, ensuring that information is disseminated accurately and efficiently. This position will guide, through the creation of a curriculum and resource materials, the Provider Experience and Account Management team with instructing providers on operational processes and procedures for participating in Horizon’s network and ensuring information is delivered on time and easy to understand.
What You'll Do
Responsibilities:
Develop a comprehensive communication strategy to effectively reach and engage providers by identifying communication goals, target audience, key messages and appropriate communication channels.
Coordinate and disseminate internal and external educational materials through appropriate channels to support information retention (e.g., use plain language guidelines, consider learning styles).
Create engaging and informative content, such as newsletters, presentations, and online resources to educate providers on relevant topics.
Manage education and communication projects and initiatives, including planning, organizing and coordinating activities such as webinars, seminars, conferences and other meetings.
Collaborate with subject matter experts to develop relevant training materials to ensure that training programs meets needs of the target audiences.
Maintain education curriculum and dissemination schedule that is up-to-date and easily accessible by cross-functional teams.
Develop process to update communication materials and create self-service tools for provider education team.
Ensure content is accurate, up-to-date, and aligned with the organization’s goals and objectives.
Create, maintain and compile a repository of past materials by topics to allow various teams to access as needed.
Help with onboarding activities and provide all necessary materials in a timely manner.
Track provider engagement with educational activities to inform future materials and strategies.
Track delivery of materials for future reference.
Regularly assess the effectiveness of content and channels and make recommendations for improvements.
Seek input and feedback from cross-functional teams to continuously improve communication strategies.
Effectively report status of training deliveries.
Effectively deliver trainings at provider site, have strong presentation skills.
Assist in conducting assessments and gathering feedback to evaluate the effectiveness of educational programs. and communication strategies. Make necessary adjustments and improvements based on feedback and data analysis.
Lead the creation and dissemination of communications to providers related to network operations, including information on policies and procedures, product iterations, compliance, and digital tools (e.g., Navinet, Availity)
Collaborate with Corporate Communications and Marketing/Branding teams to ensure provider communications to providers are effectively, timely, and compliant.
Collaborate with internal departments and experts to coordinate training sessions that are aligned with Enterprise Communications team and aligned with organizational goals and objectives.
Assist the manager with the day-to-day activities of Network Education team.
Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.
What You Bring
Education / Experience:
High School Diploma/GED required.
Bachelor degree preferred or relevant experience in lieu of degree.
Requires a minimum of 3+ years of relevant experience in health care industry or health insurance industry
Requires at a minimum 3 years experience in health care writing and industry-specific terminology.
Requires at a minimum of 3 years of demonstrated experience of laws and regulations regulating insurance, HMO hospital and physician practice.
Requires at a minimum of 3 years experience with proven strong communication and presentation skills, with the ability to effectively convey complex medical information to diverse audiences.
Knowledge:
Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes; Should be knowledgeable in the use of intranet and internet applications.
Requires knowledge of Health Care contracting.
Requires knowledge of the hospital and physician communities in the state of New Jersey.
Requires knowledge of quality measurement approaches applied in measuring insurance, HMO, hospital and physician practice.
Skills and Abilities:
Demonstrates ability to create, develop, and maintain training materials, preferably in a healthcare setting
Proven ability to exercise sound judgment.
Proven ability to ask probing questions and obtain thorough and relevant information.
Must be detail oriented with strong organizational skills. Proven ability to follow detailed instructions is essential, along with proven problem solving skills.
Strong organizational and project management skills, with the ability to prioritize and manage multiple tasks simultaneously.
Demonstrates flexibility and adapts to multiple responsibilities encompassing multiple areas within the organization.
Must demonstrate the ability to effectively present information and respond to questions from groups of managers, clients, customers.
Strong and effective verbal and written communication skills, with the ability to create clear and compelling content.
Excellent interpersonal and relationship building skills.
Demonstrate the ability to work well within a team.
Proficiency in using technology for communication and educational purposes.
Demonstrated ability to deliver highly technical information to less technical individuals.
Able to interact and create positive working relationships.
Ability to work collaboratively with cross-functional teams and build strong relationships with physicians and key stakeholders.
Requires an attention to details.
Travel:
Travel to Provider site (If Applicable) to various healthcare facilities in NJ, NY or PA.
Why Horizon?
At Horizon, you’ll do meaningful work that directly improves lives—while being supported by a mission‑driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we’d love to hear from you!
Salary Range:
$79,100 - $105,945This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:
Comprehensive health benefits (Medical/Dental/Vision)
Retirement Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
Tuition Reimbursement
Disclaimer:
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.
Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.
Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.
About the Role
A Network Education and Communication Specialist plays a crucial role in facilitating effective communication, knowledge sharing, and engagement among network providers. By developing and implementing education and communication strategies, creating informative content, and delivering training programs, they contribute to the overall success of the network and its providers.This Network Education and Communication Specialist role will support overall communication and education of network information for new and existing providers to promote high-quality and cost-effective care delivery. The primary focus for this role will be to facilitate effective communication and knowledge sharing among diverse audience(s) and provider practices, ensuring that information is disseminated accurately and efficiently. This position will guide, through the creation of a curriculum and resource materials, the Provider Experience and Account Management team with instructing providers on operational processes and procedures for participating in Horizon’s network and ensuring information is delivered on time and easy to understand.
What You'll Do
Responsibilities:
Develop a comprehensive communication strategy to effectively reach and engage providers by identifying communication goals, target audience, key messages and appropriate communication channels.
Coordinate and disseminate internal and external educational materials through appropriate channels to support information retention (e.g., use plain language guidelines, consider learning styles).
Create engaging and informative content, such as newsletters, presentations, and online resources to educate providers on relevant topics.
Manage education and communication projects and initiatives, including planning, organizing and coordinating activities such as webinars, seminars, conferences and other meetings.
Collaborate with subject matter experts to develop relevant training materials to ensure that training programs meets needs of the target audiences.
Maintain education curriculum and dissemination schedule that is up-to-date and easily accessible by cross-functional teams.
Develop process to update communication materials and create self-service tools for provider education team.
Ensure content is accurate, up-to-date, and aligned with the organization’s goals and objectives.
Create, maintain and compile a repository of past materials by topics to allow various teams to access as needed.
Help with onboarding activities and provide all necessary materials in a timely manner.
Track provider engagement with educational activities to inform future materials and strategies.
Track delivery of materials for future reference.
Regularly assess the effectiveness of content and channels and make recommendations for improvements.
Seek input and feedback from cross-functional teams to continuously improve communication strategies.
Effectively report status of training deliveries.
Effectively deliver trainings at provider site, have strong presentation skills.
Assist in conducting assessments and gathering feedback to evaluate the effectiveness of educational programs. and communication strategies. Make necessary adjustments and improvements based on feedback and data analysis.
Lead the creation and dissemination of communications to providers related to network operations, including information on policies and procedures, product iterations, compliance, and digital tools (e.g., Navinet, Availity)
Collaborate with Corporate Communications and Marketing/Branding teams to ensure provider communications to providers are effectively, timely, and compliant.
Collaborate with internal departments and experts to coordinate training sessions that are aligned with Enterprise Communications team and aligned with organizational goals and objectives.
Assist the manager with the day-to-day activities of Network Education team.
Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.
What You Bring
Education / Experience:
High School Diploma/GED required.
Bachelor degree preferred or relevant experience in lieu of degree.
Requires a minimum of 3+ years of relevant experience in health care industry or health insurance industry
Requires at a minimum 3 years experience in health care writing and industry-specific terminology.
Requires at a minimum of 3 years of demonstrated experience of laws and regulations regulating insurance, HMO hospital and physician practice.
Requires at a minimum of 3 years experience with proven strong communication and presentation skills, with the ability to effectively convey complex medical information to diverse audiences.
Knowledge:
Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes; Should be knowledgeable in the use of intranet and internet applications.
Requires knowledge of Health Care contracting.
Requires knowledge of the hospital and physician communities in the state of New Jersey.
Requires knowledge of quality measurement approaches applied in measuring insurance, HMO, hospital and physician practice.
Skills and Abilities:
Demonstrates ability to create, develop, and maintain training materials, preferably in a healthcare setting
Proven ability to exercise sound judgment.
Proven ability to ask probing questions and obtain thorough and relevant information.
Must be detail oriented with strong organizational skills. Proven ability to follow detailed instructions is essential, along with proven problem solving skills.
Strong organizational and project management skills, with the ability to prioritize and manage multiple tasks simultaneously.
Demonstrates flexibility and adapts to multiple responsibilities encompassing multiple areas within the organization.
Must demonstrate the ability to effectively present information and respond to questions from groups of managers, clients, customers.
Strong and effective verbal and written communication skills, with the ability to create clear and compelling content.
Excellent interpersonal and relationship building skills.
Demonstrate the ability to work well within a team.
Proficiency in using technology for communication and educational purposes.
Demonstrated ability to deliver highly technical information to less technical individuals.
Able to interact and create positive working relationships.
Ability to work collaboratively with cross-functional teams and build strong relationships with physicians and key stakeholders.
Requires an attention to details.
Travel:
Travel to Provider site (If Applicable) to various healthcare facilities in NJ, NY or PA.
Why Horizon?
At Horizon, you’ll do meaningful work that directly improves lives—while being supported by a mission‑driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we’d love to hear from you!
Salary Range:
$79,100 - $105,945This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:
Comprehensive health benefits (Medical/Dental/Vision)
Retirement Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
Tuition Reimbursement
Disclaimer:
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.
Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.
Provider Network Manager Jobs by Experience Level
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Who's Hiring
Top Industries Hiring
- Insurance
What Employers Look For
The qualifications that appear most often in provider network manager jobs.
- Bachelor's degree in healthcare administration, business, or a related field
- Experience recruiting, contracting, and credentialing physicians and ancillary providers
- Knowledge of network adequacy standards and CMS regulatory requirements
- Proficiency with credentialing platforms and provider data management systems
- Strong contract negotiation skills with fee schedule and value-based agreement experience
- Familiarity with NCQA or URAC accreditation standards and compliance processes
Tips for Your Provider Network Manager Job Search
Quantify your network growth outcomes
Hiring managers want to see concrete results on your resume. List the number of providers you recruited, the gap in network adequacy you closed, or the turnaround time you cut on credentialing cycles. Vague descriptions of network oversight won't stand out.
Target openings by network type
Provider network manager roles differ significantly across HMO, PPO, ACO, and Medicaid managed care environments. Filter your search by plan type or payer model so you apply to roles that match the contracts and provider populations you've actually managed.
Apply early to roles that fit
Migrate Mate lists provider network manager 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 proficiency
Many applicants overlook listing the specific credentialing and contract management platforms they've used. Name the systems directly in your resume's skills section so your application clears automated screening for tools the employer already has in place.
Prepare for network adequacy case questions
Interviews for this role often include scenario questions about gap analysis and time-to-fill targets. Walk through a real situation where you identified a specialty or geographic gap, the steps you took to recruit providers, and how you measured the result.
Negotiate using total compensation context
When you receive an offer, ask about the bonus structure tied to network growth or adequacy metrics, since those targets vary widely by payer. Understanding the full incentive model helps you evaluate the offer against your current performance benchmarks.
Provider Network Manager Jobs: Frequently Asked Questions
Which companies are hiring the most provider network managers?
The companies hiring the most provider network managers right now include PacificSource Health Plans, AmeriHealth Caritas, and Centene, with the largest share of openings in California, Michigan, and Oregon, based on current listings on Migrate Mate as of November 2026. Health plans, Medicaid managed care organizations, and large hospital systems consistently account for the majority of openings.
How many provider network manager jobs are remote?
About 93% of provider network manager openings are fully remote or hybrid as of November 2026, reflecting the administrative nature of much of the role. Provider relations work and contract negotiations are most likely to be performed remotely, while positions requiring regular site visits or credentialing committee attendance tend to be on-site or hybrid.
How do you become a provider network manager?
Start with a bachelor's degree in healthcare administration, public health, or business, then gain experience in provider relations, credentialing, or managed care contracting. Build fluency with network adequacy regulations and payer contract structures. Many hiring managers look for candidates who have worked inside a health plan or large medical group before moving into a network management role.
Can you get a provider network manager job without direct experience?
Yes, but you'll need adjacent experience that maps clearly to the core duties. Roles in provider credentialing, member services at a health plan, or healthcare contract administration give you a credible foundation. Emphasize any exposure to provider data, fee schedules, or regulatory compliance in your resume, and target junior or associate-level network roles as a bridge.
What does the provider network manager interview process look like?
Most processes include a phone screen with HR, a competency-based interview with a hiring manager focused on network building and contract negotiation, and a final round with senior leadership or a panel. Expect scenario questions about handling network gaps, managing provider disputes, and meeting adequacy timelines. Some employers add a written exercise involving a gap analysis or recruitment plan.
Where can I find and apply to provider network manager jobs?
You can find and apply to provider network manager jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your background in network development, contracting, or credentialing, then apply directly to each position that fits.
See All 55 Provider Network Manager Jobs
Find roles that match your experience and apply in just a few clicks.
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