Priority Health · 4 days ago
Manager Provider Network
Grand Rapids, MI
Full-time
Hybrid
Mid Level
3+ years expPriority Health is Michigan’s second-largest and fastest-growing health plan, dedicated to improving health and lives across the state. The Manager of Provider Network Contracting will lead a team responsible for hospital and physician contracting, focusing on building strong provider networks and negotiating contracts to enhance quality and reduce costs of care.
Health Care
Responsibilities
Responsible for leading and managing the provider contracting team to develop and maintain strong provider networks and contracts
Negotiate health system and physician contracts
Lead a team of contracting professionals by providing guidance and performance management to achieve departmental goals
Engage with providers to promptly address any issues that arise
Cultivate and maintain productive relationships with providers
Coordinate and facilitate work with internal stakeholders, be solution focused, and develop process improvements
Evaluate cost, use, and quality performance to identify opportunities for improvement
Develop and maintain purposeful, long-term relationships with providers based on fair and competitive business terms, with an emphasis on improving quality and the patients' experience of care, while reducing the cost of care
Manage improvement opportunities, develop action plans and successfully implement them
Support the contracting team in their contracts and negotiations, stepping in to negotiate when necessary
Sustains a successful team and directs the activities of assigned Contractors, establishing annual performance objectives and monitoring the interface between team members and network providers to ensure annual goals are achieved
Provide advice/guidance/recommendations to corporate and regional executives and business partners related to costs, cost-savings opportunities, best practices, provider performance issues, provider compensation and network expansion
Communicate internally and externally regarding provider related issues
Participate in key inter-departmental committees throughout the organization
Collaborate with internal stakeholders to problem solve, process improve, information share, and to continuously improve provider contracting initiatives
Qualification
Required
Bachelor's degree or equivalent in health care administration, business administration, accounting, finance, clinical or health and human services
Three years of relevant experience within provider network management, health care insurance or other health care delivery setting
One year of relevant experience leading projects, teams or initiatives
Preferred
Master's degree, MBA, MHA, MHP
Benefits
Comprehensive benefits package to meet your financial, health, and work/life balance goals.
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance, pet insurance
Traditional and Roth retirement options with service contribution and match savings
Company
Priority Health
Priority Health is an award-winning health benefits company.
1001-5000 employees
H1B Sponsorship
Priority Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (6)
2024 (9)
2023 (9)
2022 (10)
2021 (5)
2020 (8)
Funding
Current Stage
Late StageTotal Funding
$0.5MKey Investors
Michigan Health Endowment Fund
2022-02-24Grant· $0.5M
Leadership Team
Nick Gates
President
Recent News
2025-12-11
Morningstar.com
2025-11-18
Company data provided by crunchbase