Provider Network Manager

Provider Network Manager page is loaded## Provider Network Manager locations:
Remote-FL:
Remote-MOtime type:
Full time posted on:
Posted Todaytime left to apply:
End Date:
January 27, 2026 (3 days left to apply) job requisition :
1628015

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
** Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT
***** This is a fully remote position open to candidates residing anywhere within the United States.
***** Position

Purpose:

** The Provider Network Manager manages provider networks for adequacy and access. Conducts high level negotiations and renegotiations of provider contracts. Monitors network adequacy and resolves hospital provider claim issues. Provides regional input and maintenance of provider directory listings. Participates in monthly internal/external meetings involving network activity. Monitors areas credentialing process. Develops provider contracting strategy.
* Oversees network development and retention strategizing.
* Oversees network problem resolution (Claims, UM, Etc.).
* Oversees network analysis for adequacy and recruitment targets.
* Oversees provider contract negotiations – hospitals, ancillaries, and groups.
* Provides financial analysis for network development targets.
* Performs other duties as assigned
* Complies with all policies and standards
** Education/

Experience:

** Bachelor’s Degree required;
Master’s degree preferred (MBA, MHA). Five to seven years in administration and/or negotiation of managed care contracts

Pay Range: $87,700.00 - $ per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  

Total compensation may also include additional forms of incentives.  Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies.  We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose.  Also, we’re here to help support you on your candidate journey.

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