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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Provider Network Manager - **Company:** Astrana Health - **Location:** El Monte, CA, United States - **Experience:** Expert - **Salary:** $75,000.0 - $88,000.0 - **Contract:** Permanent contract - **Skills:** Data Analysis, Computer Networks, System Configuration, Healthcare Effectiveness Data and Information Set, Network Monitoring, Network Administration, Computer Network Operations - **Published:** June 18, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=2f35df8a21550ce5 ## About the Role Do you have experience in Utilization management?, Do you have a Bachelor's degree?, * Bachelor's degree in Healthcare Administration, Business, Public Health, or a related field * At least 5 years of experience in provider network management, provider relations, or managed care operations * Have experience working with physician networks, IPAs, hospitals, or health plans * Strong understanding of managed care, delegated risk models, and provider network operations You're great for the role if: * Have experience working with delegated risk or value-based care models * Experience in California managed care markets * Familiarity with DMHC access standards, CMS requirements, and delegated risk oversight * Advanced degree (MBA, MHA, MPH) a plus ## Description The Provider Network Manager is responsible for managing and optimizing assigned segments of the provider network to ensure adequate access, strong provider performance, and alignment with organizational quality, financial, and growth objectives. This role serves as a key operational and relationship manager for physicians, IPAs, hospitals, and ancillary providers and acts as a primary point of contact for network-related issues within the assigned market. This position does not have direct reports but plays a critical role in influencing outcomes through collaboration with internal partners and external provider organizations., * Manage day-to-day performance and relationships for assigned providers, IPAs, hospitals, and specialty networks * Monitor network adequacy, access standards, panel capacity, and geographic coverage to support membership growth and retention * Identify network gaps, capacity constraints, and performance risks; recommend corrective actions to leadership Provider Performance & Quality Support * Support provider performance related to quality measures, utilization, and value-based care initiatives * Collaborate with Quality, Medical Management, and Analytics teams to reinforce quality programs, incentive alignment, and performance improvement efforts * Assist in driving improvement in key metrics such as HEDIS, STARS, utilization management, and member experience Contract & Network Operations Support * Partner with Contracting and Credentialing teams to support provider onboarding, terminations, network expansions, and contract implementation * Ensure accurate provider data, network directories, and system configuration in collaboration with operations teams * Support execution of provider incentive programs and contract-related initiatives Provider Relations & Issue Resolution * Serve as a primary escalation point for provider network issues, including access, operational challenges, and performance concerns * Facilitate effective communication between providers and internal teams to resolve issues efficiently and maintain strong provider relationships * Support preparation and participation in Joint Operating Committee (JOC) meetings and provider governance forums Regulatory & Compliance Support * Ensure network management activities comply with health plan requirements and state and federal regulations (e.g., DMHC, CMS) * Support audits, regulatory submissions, and delegated risk requirements related to network operations * Maintain documentation and reporting to support compliance and operational readiness Cross-Functional Collaboration * Partner closely with internal stakeholders including Medical Management, Quality, Claims, DSS/Analytics, Finance, Customer Service, and Government Programs * Support implementation of network policies, workflows, and process improvements * Provide market and provider insights to inform broader network strategy and leadership decision-making Performs other duties as assigned by the department leaders * Other duties as assigned ## Related Videos - [Your organization as a Graph](https://www.wearedevelopers.com/videos/2051-your-organization-as-a-graph) - [Data Science in Retail](https://www.wearedevelopers.com/videos/586-data-science-in-retail) - [Distributed search under the hood](https://www.wearedevelopers.com/videos/256-distributed-search-under-the-hood) - [YOLO Developer Workflows with a Coding Agent in a Box](https://www.wearedevelopers.com/videos/100350-yolo-developer-workflows-with-a-coding-agent-in-a-box) - [A Hitchhikers Guide to Container Security - Automotive Edition 2024](https://www.wearedevelopers.com/videos/1119-a-hitchhikers-guide-to-container-security-automotive-edition-2024) - [Data Science on Software Data](https://www.wearedevelopers.com/videos/162-data-science-on-software-data) ## Related Articles - [Everything a Developer Needs to Know About MCP with Neo4j](https://www.wearedevelopers.com/magazine/604-everything-a-developer-needs-to-know-about-mcp-with-neo4j) - [From developer to manager – what does it take to become an engineering manager?](https://www.wearedevelopers.com/magazine/42-from-developer-to-manager-what-does-it-take-to-become-an-engineering-manager) - [Data Analyst Salary in the UK](https://www.wearedevelopers.com/magazine/278-data-analyst-salary-in-the-uk) - [Should Tech Managers Be Developers First? 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