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 JobsWork Arrangement:
This position is a remote field based position. Must reside in South Carolina. Will make provider visits throughout the state.
Job Summary
The primary responsibility of the Network Contractor is contracting providers, the contracting and re-contracting of providers in an established market.
Essential Functions:
- Supports network development strategy.
- Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication.
- Responsible for negotiating contracts to execute on network strategy and ensure an adequate, compliant and marketable network.
- Responsible for negotiating SCA rates and converting SCA providers to contracted.
- Responsible for recruiting and contracting providers based on identified network adequacy gaps (high complexity).
- Ensures all contracts are negotiated to be compliant with Federal and State rules, regulations, policies and procedures and follow all departmental policies.
- Ensures contracts are supportive of Plan quality initiatives such as HEDIS, CAHPS and NCQA/URAC.
- Negotiates contracts to support management of provider satisfaction.
- Contractors will work with CPNM to manage the annual contracting schedule as well as supplement the network as new providers are available or needed.
- Payment/fee schedule SMEs to develop resources in complex specialties i.e. FQHCs, BH, anesthesia etc. These SMEs will be available to AEs when needed for support of claims resolution.
- General Operational Knowledge related to provider satisfaction, education and communication with a fundamental understanding of operational items such as claims, payment integrity, provider data, credentialing, appeals disputes etc.
- Negotiates provider contracts consistent with claim payment methodologies.
- Augments and modifies the existing provider network to accommodate new products or clients as necessary.
- Reviews contract language and collaborates with legal to ensure best contract terms.
- Support contracting for multiple product lines, including LTSS, Exchange, DSNP.
- Lead negotiator of VBC in conjunction with AE.
Education/Experience:
Bachelor's Degree. Five or more years’ experience if no Bachelor’s Degree. Five or more years’ experience if no Bachelor’s Degree. Five or more years’ experience if no Bachelor’s Degree.
5 or more years experience if no Bachelor's Degree.
3 or more years AE experience, Financial Acumen, Ability to have difficult conversations, 1+ year contract negotiation experience, Understanding of reimbursement methodologies to include risk or VB contracting.
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
Work Arrangement:
This position is a remote field based position. Must reside in South Carolina. Will make provider visits throughout the state.
Job Summary
The primary responsibility of the Network Contractor is contracting providers, the contracting and re-contracting of providers in an established market.
Essential Functions:
- Supports network development strategy.
- Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication.
- Responsible for negotiating contracts to execute on network strategy and ensure an adequate, compliant and marketable network.
- Responsible for negotiating SCA rates and converting SCA providers to contracted.
- Responsible for recruiting and contracting providers based on identified network adequacy gaps (high complexity).
- Ensures all contracts are negotiated to be compliant with Federal and State rules, regulations, policies and procedures and follow all departmental policies.
- Ensures contracts are supportive of Plan quality initiatives such as HEDIS, CAHPS and NCQA/URAC.
- Negotiates contracts to support management of provider satisfaction.
- Contractors will work with CPNM to manage the annual contracting schedule as well as supplement the network as new providers are available or needed.
- Payment/fee schedule SMEs to develop resources in complex specialties i.e. FQHCs, BH, anesthesia etc. These SMEs will be available to AEs when needed for support of claims resolution.
- General Operational Knowledge related to provider satisfaction, education and communication with a fundamental understanding of operational items such as claims, payment integrity, provider data, credentialing, appeals disputes etc.
- Negotiates provider contracts consistent with claim payment methodologies.
- Augments and modifies the existing provider network to accommodate new products or clients as necessary.
- Reviews contract language and collaborates with legal to ensure best contract terms.
- Support contracting for multiple product lines, including LTSS, Exchange, DSNP.
- Lead negotiator of VBC in conjunction with AE.
Education/Experience:
Bachelor's Degree. Five or more years’ experience if no Bachelor’s Degree. Five or more years’ experience if no Bachelor’s Degree. Five or more years’ experience if no Bachelor’s Degree.
5 or more years experience if no Bachelor's Degree.
3 or more years AE experience, Financial Acumen, Ability to have difficult conversations, 1+ year contract negotiation experience, Understanding of reimbursement methodologies to include risk or VB contracting.
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
See all 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.