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# Manager of Network Management

- **Company:** CareerCircle
- **Location:** Irving, TX, United States (Remote available)
- **Experience:** Expert
- **Salary:** $67,900.0 - $149,328.0
- **Contract:** Permanent contract
- **Skills:** Microsoft Office, Network Administration, Pivot Tables
- **Published:** October 8, 2026
- **Apply:** https://www.careercircle.com/jobs/all/all/usa/all/all/13198f04-a28e-4d63-8aec-331671be3431

## About the Role

Planning
Medicaid
Budgeting
Leadership
Innovation
Compassion
Managed Care
Problem Solving
Decision Making
Market Analysis
Value-Based Care
Growth Mindedness
Financial Analysis
Network Management
Quality Improvement
Process Improvement
Time Off Management
Contract Negotiation
Operations Management
Financial Forecasting, Minimum 7 years of experience in provider network management, contract negotiations, or value-based contracting within Medicaid or managed care programs.
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Strong understanding of Medicaid reimbursement models, value-based care, and risk sharing arrangements.
*
Demonstrated ability to analyze financial and quality performance data and implement process improvements.
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Experience with provider performance measurement, quality improvement and building strong provider partnerships.
*
Reside in the Louisiana market.

Preferred Qualifications
*
Adept at problem solving and decision-making skills
*
Adept at collaboration and teamwork
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Adept at growth mindset (agility and developing yourself and others) skills
*
Adept at execution and delivery (planning, delivering, and supporting) skills
*
Adept at business intelligence

Education
*
Bachelor's degree preferred/specialized training/relevant professional qualification.

## Description

The Senior Manager of Network Management is a critical role in advancing the organization's Value-Based Contracting (VBC) strategy for the Louisiana Medicaid Market. This position is essential to developing and managing provider relationships that drive improved health outcomes, cost efficiency, and compliance with state and federal Medicaid obligations.
*
Directs groups to manage provider contract performance and supports the development and implementation of strategic, value-based contract relationships.
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Applies highly developed knowledge to negotiate Network contracts with healthcare providers, establish reimbursement rates, service agreements, and performance metrics.
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Advises on provider performance, network adequacy, geographical coverage, and member satisfaction, and makes necessary network modifications or expansions.
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Implement improvement initiatives to ensure that network providers meet all applicable regulatory and quality standards.
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Develops and expands the network, identifying and contracting with healthcare providers, including hospitals, physicians, specialists, and ancillary service providers.
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Conducts market analysis, assesses competitive positioning, and recommends strategies to maintain a competitive edge.
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Interfaces with the finance team on budgeting, cost analysis, and financial forecasting, to manage the financial aspects of provider network management.
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Consults with internal teams, including medical directors, operations managers, and network development professionals, to align provider network performance goals and objectives.
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Provides continuous recommendations to senior leadership to guide decision-making and ensure close alignment with the organization's strategic goals and objectives., Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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