Provider Network Management Jobs in USA with Visa Sponsorship
Provider Network Management roles attract consistent H-1B visa and E-3 visa sponsorship from health insurers, managed care organizations, and hospital systems. Most positions require a bachelor's degree in health administration, business, or a related field, with employer petition approval rates above the national average. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsINTRODUCTION
Medical Mutual employees must submit their applications through MySource.
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:
Provides executive leadership for the Company’s provider network strategy, including provider contracting, network development, reimbursement strategy, and provider relationship management across physician, professional, institutional, and ancillary providers. Establishes and executes strategies that balance cost, access, quality, regulatory compliance, market competitiveness, and enterprise performance. Leads complex provider negotiations and ensures provider agreements, contracting practices, and reimbursement approaches are in alignment with corporate objectives, customer needs, and applicable government regulations.
Responsibilities:
- Leads the development, implementation, and administration of institutional, professional, and ancillary provider network strategies, including contracting, reimbursement, incentive, access, quality, and affordability strategies. Establishes policies and decision frameworks that optimize network value for customers, support provider performance, improve medical cost management, and advance corporate financial and strategic objectives.
- Provides executive direction and oversight for complex, high-impact provider contract negotiations, including review of proposed contract terms, approval of negotiation strategies, resolution of escalated issues, and alignment of concurrent negotiations with enterprise network, financial, compliance, and market objectives.
- Partners with Sales, Marketing, Product, Finance, Legal, and other enterprise leaders to support new business opportunities, retention efforts, customer inquiries, sales presentations, and RFP responses. Represents provider network strategy in customer-facing forums and ensures network capabilities, access, cost, and quality positioning are clearly aligned with market and customer needs.
- Provides executive leadership to provider network operations and related teams responsible for provider access, affordability, provider satisfaction, provider education, and operational performance. Sets priorities, allocates resources, monitors performance, and develops leadership capability to ensure the organization delivers effective provider network outcomes.
- Provides provider network leadership for new product development and implementation, ensuring network design, provider access, reimbursement strategy, regulatory requirements, and operational capabilities are considered early and aligned with enterprise growth, affordability, and customer objectives.
- Provides executive guidance on provider policy interpretation and resolution of escalated provider issues, including matters involving reimbursement, contract administration, provider relations, and customer impact. Represents the organization in high-level provider discussions and may deliver or sponsor education on reimbursement and network strategies.
Qualifications:
Education and Experience:
- Bachelor’s degree in Business or Health Care Administration or related field. Master's Degree preferred.
- 10+ years progressive experience in health care administration, provider contracting and/or managed care.
- 8 years experience in a progressive leadership capacity.
Technical Skills and Knowledge:
- Comprehensive knowledge of health care operations, the health insurance industry and provider network management processes and best practices.
- Strong knowledge of health plan regulations.
- Knowledge of health care products and Medicare/Medicaid.
Ability to regularly travel to offsite locations.
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:
- 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-LS1 #LI-ONSITE
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 notice from the Department of Labor.
INTRODUCTION
Medical Mutual employees must submit their applications through MySource.
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:
Provides executive leadership for the Company’s provider network strategy, including provider contracting, network development, reimbursement strategy, and provider relationship management across physician, professional, institutional, and ancillary providers. Establishes and executes strategies that balance cost, access, quality, regulatory compliance, market competitiveness, and enterprise performance. Leads complex provider negotiations and ensures provider agreements, contracting practices, and reimbursement approaches are in alignment with corporate objectives, customer needs, and applicable government regulations.
Responsibilities:
- Leads the development, implementation, and administration of institutional, professional, and ancillary provider network strategies, including contracting, reimbursement, incentive, access, quality, and affordability strategies. Establishes policies and decision frameworks that optimize network value for customers, support provider performance, improve medical cost management, and advance corporate financial and strategic objectives.
- Provides executive direction and oversight for complex, high-impact provider contract negotiations, including review of proposed contract terms, approval of negotiation strategies, resolution of escalated issues, and alignment of concurrent negotiations with enterprise network, financial, compliance, and market objectives.
- Partners with Sales, Marketing, Product, Finance, Legal, and other enterprise leaders to support new business opportunities, retention efforts, customer inquiries, sales presentations, and RFP responses. Represents provider network strategy in customer-facing forums and ensures network capabilities, access, cost, and quality positioning are clearly aligned with market and customer needs.
- Provides executive leadership to provider network operations and related teams responsible for provider access, affordability, provider satisfaction, provider education, and operational performance. Sets priorities, allocates resources, monitors performance, and develops leadership capability to ensure the organization delivers effective provider network outcomes.
- Provides provider network leadership for new product development and implementation, ensuring network design, provider access, reimbursement strategy, regulatory requirements, and operational capabilities are considered early and aligned with enterprise growth, affordability, and customer objectives.
- Provides executive guidance on provider policy interpretation and resolution of escalated provider issues, including matters involving reimbursement, contract administration, provider relations, and customer impact. Represents the organization in high-level provider discussions and may deliver or sponsor education on reimbursement and network strategies.
Qualifications:
Education and Experience:
- Bachelor’s degree in Business or Health Care Administration or related field. Master's Degree preferred.
- 10+ years progressive experience in health care administration, provider contracting and/or managed care.
- 8 years experience in a progressive leadership capacity.
Technical Skills and Knowledge:
- Comprehensive knowledge of health care operations, the health insurance industry and provider network management processes and best practices.
- Strong knowledge of health plan regulations.
- Knowledge of health care products and Medicare/Medicaid.
Ability to regularly travel to offsite locations.
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:
- 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-LS1 #LI-ONSITE
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 notice from the Department of Labor.
See all 95+ Provider Network Management Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Provider Network Management roles.
Get Access To All JobsTips for Finding Provider Network Management Jobs
Target managed care organizations first
Large insurers and managed care organizations file the most H-1B petitions for network management roles. They have established immigration infrastructure, legal teams, and HR processes that make sponsorship faster and less bureaucratic than smaller regional health systems.
Align your degree field precisely
USCIS requires your degree to relate directly to provider network management. Health administration, business administration, public health, and healthcare management degrees have the strongest track record. A mismatch between degree field and job duties is a common reason for RFEs.
Emphasize credentialing and contracting experience
Employers sponsoring visas for this role want demonstrable experience with provider credentialing, contract negotiation, or network adequacy analysis. Quantify your impact where possible. Vague claims about managing relationships carry less weight in sponsorship petitions than specific operational outcomes.
Understand the LCA wage requirements
Your employer must certify your offered compensation meets prevailing wage levels for your geographic area before filing. Roles in major metro markets often carry higher prevailing wage thresholds. Confirm the wage tier with your employer's immigration counsel before accepting an offer.
Ask about cap-exempt employer eligibility
Nonprofit hospitals and academic medical centers affiliated with universities may qualify as cap-exempt H-1B employers. This means they can file petitions year-round without waiting for the lottery, giving you significantly more flexibility in timing your start date and job transition.
Prepare for specialty occupation scrutiny
USCIS has issued RFEs on network management roles questioning whether they meet specialty occupation standards. Your employer's petition should document that the position routinely requires theoretical and practical application of highly specialized health administration knowledge at the bachelor's level or above.
Frequently Asked Questions
Do Provider Network Management roles commonly get H-1B sponsorship?
Yes, particularly at large health insurers, Blue Cross Blue Shield affiliates, and national managed care organizations like UnitedHealth Group and Cigna. These employers file H-1B visa petitions for network management positions regularly and have dedicated immigration counsel. Smaller regional networks sponsor less frequently, so targeting larger organizations improves your chances significantly. Browse sponsoring employers on Migrate Mate to identify which ones are actively hiring.
What degree does USCIS expect for a Provider Network Management visa petition?
USCIS looks for a bachelor's degree or higher in health administration, healthcare management, public health, or business administration with a healthcare concentration. Degrees in unrelated fields, even combined with years of experience, can trigger a Request for Evidence. If your degree is in a tangential field, your employer's attorney will need to build a strong nexus argument tying your coursework directly to the role's specialized duties.
What is the H-1B approval rate for Provider Network Management positions?
USCIS doesn't publish approval rates broken down to this specific title, but health services management roles broadly see approval rates above the overall H-1B average when petitions are well-documented. The most common denial reason is failing the specialty occupation test, which can occur if the job description is written too broadly or doesn't clearly require a specific degree field. A precise, detailed job description from your employer's counsel materially improves outcomes.
Can I get an E-3 visa for a Provider Network Management role if I'm Australian?
Yes. Provider Network Management qualifies as a specialty occupation under E-3 visa criteria provided the role genuinely requires a bachelor's degree in a specific field and your degree matches. Australian applicants benefit from the E-3's no-lottery structure, meaning you can apply year-round through a consular interview. Your employer still needs to file a certified Labor Condition Application before your interview, which typically takes one to two weeks.
How do I find Provider Network Management jobs that offer visa sponsorship?
Most general job boards don't filter by sponsorship willingness, which means significant time spent on applications that lead nowhere for visa-dependent candidates. Migrate Mate is built specifically for this, listing Provider Network Management roles from employers with verified sponsorship track records. Filtering by visa type lets you focus exclusively on opportunities where sponsorship is already on the table, which is especially important if you're working against an OPT or grace period deadline.
What is the prevailing wage requirement for sponsored Provider Network Management jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.