Network and Provider Relations Manager

CommuniCare Health Services

. Execute a strategic plan to recruit, service, and support network providers in an assigned geographic area .

Posted 10/4/2026full-timeUnited StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in network management and provider relations, with a strong understanding of Medicare programs and the managed care industry. Proven ability to develop and maintain provider relationships while effectively resolving complex issues and communicating programmatic changes.

Highest-signal resume keywords

Network Management ExperienceProvider Relations ExpertiseMedicare Program KnowledgeMS Office ProficiencyStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Network ManagementProvider RelationsContract NegotiationIssue ResolutionProvider Education

Soft Skills

IntegrityFlexibilityIndependenceCultural Competence

Tools & Technologies

MS Office Suite

Certifications & Qualifications

Bachelor's DegreeValid Driver's License

Industry Keywords

Managed Care IndustryProvider SatisfactionLocal Market ConditionsTravel Willingness

About the role

Key responsibilities & impact

Execute a strategic plan to recruit, service, and support network providers in an assigned geographic area
Develop the provider network through contract negotiations, relationship development, and servicing all provider types
Develop and maintain positive provider relationships through regular on-site visits, virtual or in person as needed
Communicate administrative and programmatic changes to providers
Facilitate education and resolution of provider issues
Serve as a knowledge and resource expert regarding complex provider issues impacting provider satisfaction
Research and resolve complex provider issues for prompt resolution
Provide assistance regarding education, contract questions, and non-routine claim issues

Requirements

What you’ll need

Bachelor's degree
Minimum 5 years of experience working in network management and/or provider relations
Working knowledge of Medicare programs
Solid knowledge and understanding of the managed care industry and local market conditions
Proficiency in MS Office Suite
Valid driver's license
Willingness to travel within the service area at least 50% of the time
Integrity and a strong ethical compass
Flexibility and ability to work independently and achieve deadlines and deliverables with minimal supervision
Strong communication skills and ability to work effectively with people from diverse cultural and professional perspectives

Benefits

Comp & perks

Competitive wages
PTO plans
Life and disability plans
Medical coverage
Dental coverage
Vision coverage
401(k) with employer match
Flexible Spending Accounts