Top 110 Mgr provider relations Jobs

Provider Network & Contract Manager
Senior Care Partners PACE —Kalamazoo, MI
- Customer service
- Mid-level
- 3 years
- Paid holidays
- Health insurance
Quick Apply
10d
Provider Relations Manager (LTSS/Medicaid)
Amergis Healthcare Staffing —Augusta, ME
- $1,800 a week
- 18 years or older
- CPR Certification
- Management
- Health insurance
- Dental insurance
Quick Apply
8d
Manager, Network Relations (Ohio)
CVS Health —Ohio
- $60,300 - $132,600 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 3 years
- Health insurance
- Dental insurance
3d
Health Plan Provider Relations Manager (Remote in Iowa)
Molina Healthcare —Iowa
- $57,394.00 - $117,808.76 a year
- Full-time
- Remote
- 6 years
- Mid-level
- Presentation skills
- Health insurance
10d
Senior Manager, Provider Relations Manager (Metro NY)
CVS Health —New York, NY
- $82,940 - $199,144 a year
- Full-time
- Office
- Bachelor's degree
- Travel
- Health insurance
- Dental insurance
Account Manager- Physician Liaison
Doctor Referral Institute —Remote
- $54,000 - $116,000 a year
- Part-time
- Remote
- Mid-level
- Organizational skills
- Communication skills
- Dental insurance
- Opportunities for advancement
Quick Apply
Senior Developer Relations Manager – Cloud Provider AI Factory
NVIDIA —California
- $224,000 - $356,500 a year
- Full-time
- Computer science
- Computer Science
- 5 years
Mgr,Network Relations
CVS Health —Arizona
- $60,300 - $132,600 a year
- Full-time
- Remote
- Up to 50% travel
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
10d
Health Plan Provider Relations Manager - WA ONLY
Molina Healthcare —Washington State
- $83,252 - $135,480 a year
- Full-time
- 6 years
- Presentation skills
- Mentoring
- Health insurance
Provider Relations Manager- CKD
AbsoluteCare —Dayton, OH
- Microsoft Outlook
- Hospital
- 5 years
Quick Apply
Developer Relations Manager, Cloud Service Provider
NVIDIA —Seattle, WA
- $224,000 - $356,500 a year
- Full-time
- Computer science
- Azure
- Computer Science
Physician Relations & HR Operations Manager
Pinnacle Interventional & Physicians —San Gabriel, CA
- $72,000 - $96,000 a year
- Part-time
- Hybrid work
- OSHA
- Mid-level
- Organizational skills
- Health insurance
- Paid time off
Quick Apply
Senior Manager, Provider Relations (Metro NY)
CVS Health —New York, NY
- $82,940 - $199,144 a year
- Full-time
- 7 years
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Provider Relations and Contracting Manager (Iowa)
HealthPartners/GHI —Iowa
- $42.98 - $66.62 an hour
- Full-time
- Office
- Analysis skills
- Bachelor's degree
- Health insurance
Provider Relations Program Manager (PPM II)
King County —Seattle, WA
- $97,777.26 - $123,938.05 a year
- Overtime
- Microsoft Word
- Microsoft Outlook
- Writing skills
Manager, Provider Relations
VNS Health —Manhattan, NY
- $85,000 - $106,300 a year
- Full-time
- Master's degree
- Bachelor's degree
- Contracts
- Continuing education credits
- Paid holidays
Provider Relations Manager
Systems Int Ltd —Wilmington, DE
- $40 - $44 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- HIPAA
Quick Apply
Provider Relations – Market Performance Lead
Astrana Health, Inc. —Beaumont, TX
- $80,000 - $90,000 a year
- Email
- Private practice
- Nursing
- Microsoft Excel
Quick Apply
Network Relations Manager – Florida
CVS Health —Florida
- $60,300 - $132,600 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 3 years
- Health insurance
- Dental insurance
Provider Relations Network Manager
Delta Dental of Missouri —St. Louis, MO
- $87,000 - $115,000 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Presentation skills
- Dental insurance
- 401(k)
Quick Apply

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Provider Network & Contract Manager

Senior Care Partners PACE -
Kalamazoo, MI

Quick Apply

Job Details

10 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
403(b)
Life insurance

Qualifications

Medicare
CMS
Contract management experience in healthcare
CMS regulatory compliance
Health insurance knowledge
Medicare regulations
Contracts
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid

Full Job Description

Provider Network and Contracts Manager

The Program of All-Inclusive Care for the Elderly (PACE) offers a variety of services, with many of them provided onsite at a PACE Center.

PACE is an alternative to nursing home care and – through an interdisciplinary care team (IDT) of physicians, nurse practitioners, nurses, social workers, therapists, van drivers, and aides – coordinates and provides preventive, primary, acute, and long-term care services, so older individuals can continue living in the community.

Why You'll Love it Here:

Purpose
Professional Development
Paid Holidays
PTO and SIck Time
Internal opportunities for growth
Team Support

Competitive Pay
Medical, Dental, Vision Insurance
Life insurance
403(b) Retirement Savings
Employee Assistance
And MORE!

Why You’ll Love Working Here

Meaningful work with a purpose
Professional development opportunities
Paid holidays + generous PTO
Flexible, team-oriented culture
Competitive pay & great benefits: Medical, Dental, Vision, Life Insurance, Telemedicine
403(b) retirement savings plan

Primary Purpose
Responsible for managing provider network operations, including provider contracting, credentialing, compliance, and relationship management. Ensures a high-quality, compliant provider network that supports participant care and aligns with Federal, State, and organizational requirements.

Key Responsibilities

Develop, negotiate, and manage provider contracts and network relationships.
Ensure provider network adequacy, credentialing compliance, and adherence to CMS and MDHHS requirements.
Monitor provider performance, conduct audits, and manage corrective action plans.
Educate and onboard providers regarding organizational policies, procedures, and the PACE model of care.
Maintain provider network data, contract documentation, and related policies and procedures.
Collaborate with internal departments and external partners to support service delivery, quality outcomes, and value-based care initiatives.
Resolve provider and contract-related issues while maintaining high customer service standards.
Participate in quality improvement, compliance reviews, and regulatory audits.

Leadership Responsibilities
Provides functional leadership for Provider Network and Contract operations. Serves as the primary coordinator for provider contracting, compliance, and credentialing activities while working closely with the Contract Coordinator and cross-functional teams.

Qualifications

Bachelor’s degree in business administration, Healthcare Administration, or other applicable experience degree required
3 to 5 years of contracting / insurance / healthcare experience
Strong working knowledge of Medicare and Medicaid billing requirements
Knowledge of PACE and Medicare Advantage Plans preferred

Additional Requirements

Must be fully vaccinated or willing to become vaccinated against:
Influenza, MMR, Varicella, Tdap/Td, COVID-19, and Hepatitis B
Must meet CMS competency standards prior to working independently
Comfortable working in varied home environments and all weather conditions

Join Us!

If you’re ready to do meaningful work in a place where you feel you truly belong, where partnership drives every interaction, and where excellence and ownership guide how we care for our participants and one another, we invite you to apply. Senior Care Partners PACE is proud to be an Equal Employment Opportunity employer.

Quick Apply

Refine Your Search

mgr provider relations jobs

Provider Network & Contract Manager

Provider Relations Manager (LTSS/Medicaid)

Manager, Network Relations (Ohio)

Health Plan Provider Relations Manager (Remote in Iowa)

Senior Manager, Provider Relations Manager (Metro NY)

Account Manager- Physician Liaison

Senior Developer Relations Manager – Cloud Provider AI Factory

Mgr,Network Relations

Health Plan Provider Relations Manager - WA ONLY

Provider Relations Manager- CKD

Developer Relations Manager, Cloud Service Provider

Physician Relations & HR Operations Manager

Senior Manager, Provider Relations (Metro NY)

Provider Relations and Contracting Manager (Iowa)

Provider Relations Program Manager (PPM II)

Manager, Provider Relations

Provider Relations Manager

Provider Relations – Market Performance Lead

Network Relations Manager – Florida

Provider Relations Network Manager

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Key Responsibilities

Leadership Responsibilities
Provides functional leadership for Provider Network and Contract operations. Serves as the primary coordinator for provider contracting, compliance, and credentialing activities while working closely with the Contract Coordinator and cross-functional teams.

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mgr provider relations jobs

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Key Responsibilities

Leadership Responsibilities Provides functional leadership for Provider Network and Contract operations. Serves as the primary coordinator for provider contracting, compliance, and credentialing activities while working closely with the Contract Coordinator and cross-functional teams.

Leadership Responsibilities
Provides functional leadership for Provider Network and Contract operations. Serves as the primary coordinator for provider contracting, compliance, and credentialing activities while working closely with the Contract Coordinator and cross-functional teams.