Provider Management Jobs

Lead national expansion as SVP of Business Development for a high-growth dermatology PPM, driving acquisitions and de novo clinic launches across strategic U.S. markets.

Sell and support compounded pharmaceutical solutions across NY and NJ by developing provider relationships, educating clinicians, and driving territory growth for Revive RX.

Experienced healthcare Account Executive sought to drive full sales cycles and grow Penrod’s footprint in major hospital systems across the Northeast (remote role with regular travel).

Penrod is hiring an experienced Account Director to drive full-cycle enterprise sales of healthcare solutions and services into major hospital systems across the Northeast and Midwest.

Mindful Support Services seeks a tenacious Sourcing Specialist to generate and convert provider leads through high-volume outreach and strong relationship-building in a fast-paced, target-driven environment.

HealthAxis is hiring a detail-oriented Configuration Analyst in Tampa to configure, test, and maintain health plan systems that support claims, eligibility, and benefits administration.

Act as the principal provider liaison for Highmark in West Virginia, supporting value-based reimbursement programs, provider education, performance monitoring, and cross-functional issue resolution.

Humana is hiring a remote Provider Data Management and Contract Load Professional to maintain PDMS provider records and support Medicaid and Medicare DSNP programs in Wisconsin.

Local Infusion is hiring a territory-focused Business Development & Partnerships Manager to grow referrals and revenue by building trusted relationships with provider offices and key stakeholders across the DC/MD/VA area.

Drive growth for a specialty pharmacy across the Southwest by managing virtual provider relationships, generating pipeline through inside sales, and using CRM and Power BI to deliver results.

Provider Data Coordinator I needed to maintain accurate provider records, ensure state compliance, and produce reports that support managed care network performance.

Memorial Healthcare System is hiring an experienced Senior Recruiter to lead physician and provider sourcing, selection, and pre-boarding activities while coaching a recruitment team and partnering with clinical leaders.

Privia Health is hiring an Implementation Manager to lead EHR and practice management implementations for physician practices across NC/SC/FL, serving as the primary project lead and trainer.

Presbyterian seeks an experienced SIU Field Investigator to perform medium- to high-complexity onsite provider audits and investigations across New Mexico to detect and resolve healthcare fraud, waste, and abuse.

Lead and develop the Provider Data Management team onsite in Tulsa to ensure accurate provider records and drive performance for Sutherland's healthcare operations.

Lead operations for multiple medical groups, driving revenue cycle performance, staff development, compliance, and provider engagement for a growing health system.

Lead Wellmark's provider engagement strategy as Director of Provider Relations, guiding a team to strengthen provider partnerships, advance value-based contracting, and drive measurable improvements in quality and administrative performance.

An on-the-ground founding operator role at Conduit Health to lead special projects, partnerships, and process design as we scale post-acute care fulfillment.

Experienced medical office leader needed to oversee operations, finances, staff, and provider relations for a large multi-specialty practice within Covenant Medical Group in Knoxville.

Mindful Support Services is hiring an in-office Business Development (Onboarding) Specialist to guide newly contracted mental health providers through onboarding, technology setup, and early practice management to build successful long-term partnerships.

Experienced program integrity analyst needed to evaluate Medicaid/Medicare leads and investigations, perform claims analysis, and recommend administrative actions for a global healthcare investigations firm.

Humata Health is hiring a Provider Strategy Lead to drive provider engagement and operational alignment for AI-enabled prior authorization across national payer customers.

Provide high-quality in-home primary and palliative care as an advanced practice provider for Ennoble Care’s Capital Beltway patient panel.

Privia Health seeks a detail-oriented Provider Recruitment Associate to manage sourcing, candidate coordination, and recruitment operations for physician and APP requisitions in a remote role.

Privia Health is hiring a results-oriented Healthcare Sales Executive to grow provider enrollment for Privia Medical Group through targeted territory prospecting and relationship-driven sales.

Lead operational strategy and execution to scale value-based care programs, optimize provider performance, and reduce total cost of care at Pearl Health.

Support NYC's Literacy & Immigrant Services as a Youth Apprentice handling provider outcome validation, administrative follow-up, and program-support tasks across DYCD systems.

Clarify is hiring a Customer Success Associate to manage provider and payer relationships, drive adoption of analytics solutions, and ensure customers realize measurable value from the platform.

CompuGroup Medical is hiring an Ambulatory Solution Specialist to deliver product demonstrations, enable the sales team, and align cross-functional messaging to drive adoption of digital healthcare solutions.

Keck Medicine of USC is hiring a Manager to own provider compensation modeling, financial reporting, and strategic finance projects to drive operational excellence and growth.

Lead a team focused on provider performance and value-based payment strategies to improve quality and total cost of care for Wellmark members.

Humana seeks a detail-oriented Provider Contracting Coordinator to manage provider contracts, network documentation, and data auditing for Virginia-based providers in a remote capacity.

Drive retail pharmacy contracting and network strategy for Evernorth by managing provider relationships, re-contracting efforts, and client-focused network initiatives in a remote advisor role.

UHealth is looking for an experienced Senior APP Recruiter to drive APP talent acquisition, credentialing coordination, and onboarding across the University of Miami health system.

Pearl Health is hiring a detail-focused Customer Success Associate to coordinate onboarding and operational support for primary care partners transitioning to value-based care.

Senior leader needed to manage provider contracting and network strategy across Idaho, driving complex negotiations, value-based arrangements, and strong provider partnerships for Cigna Healthcare.

Experienced Physician Assistant or Nurse Practitioner needed to provide comprehensive on-site clinical care, urgent/emergency treatment, and facility-based medical oversight for an established international medical services provider.

CenterWell (Humana) is hiring an experienced Quality RN to lead HEDIS/Stars initiatives and quality improvement across North Charleston provider centers.

Lead Gravie’s provider network strategy and partnerships to drive access, affordability, and market expansion for its insurance products.

BCBST is hiring a Remote Medical Record Scheduling & Imaging Technician to acquire, upload, and QA medical records while coordinating provider scheduling and record retrieval.

Lead provider-facing business development across a multi-state territory to build strategic relationships, drive provider network growth, and close contracts that integrate Libra Solutions' financial and technology offerings.

Lead and grow HMA's claims operations team to ensure accurate, timely, and compliant adjudication of healthcare claims while driving process improvements and vendor performance.

Remote Data Analyst for healthcare quality management to analyze HEDIS/CAHPS and performance data and produce reports and visualizations that drive program improvements.

Centene is seeking a seasoned Medicare Market President to lead strategy, growth and operational performance for its Northeast markets with full P&L and quality accountability.

Presbyterian Healthcare seeks an experienced Provider Network Management Relations Executive in Albuquerque to lead provider engagement, performance reporting, and network relationship strategies supporting clinical quality goals.

Teladoc Health is hiring a Provider Relations Representative to manage provider inquiries, onboarding, and case resolution in a remote, fast-paced environment.

Rula is hiring a licensed mental health clinician to serve remotely as a Patient Programs Specialist to manage clinical risk, investigate high-acuity cases, and support providers and patients across the care continuum.

Bright Horizons is hiring a Provider Recruitment Specialist to recruit, contract, and onboard high-quality backup care providers to grow its nationwide network.

CenterWell seeks a Quality Improvement RN to drive HEDIS and quality initiatives across the Land O' Lakes provider network, combining clinical care, data-driven improvement and provider engagement.

Lead high-visibility strategic initiatives across CVS Health's pharmacy businesses to drive long-term growth and cross-enterprise alignment.