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From Home Provider Network Development Jobs (NOW HIRING)

May assist management in network development planning. * May provide work direction and establish ... compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited ...

Alternate locations may be considered if candidates reside within a commuting distance from an ... May assist management in network development planning. * May provide work direction and establish ...

Draws from program experience to offer ways to improve the PROvider experience In addition to the ... LOW) is a FORTUNE ® 100 home improvement company with total fiscal 2025 sales of more than $86 ...

Would you like your work to play a key role to support all aspects of connectivity to/from Amazon ... About the team Internet Edge provides high-performing Internet connectivity for a wide range of use ...

Family Home Provider

Richmond, KY

$11 - $14/hr

Our Family Home Provider program allows individuals with intellectual and developmental ... If you are a compassionate person looking for a rewarding lifestyle that allows you to work from ...

... development, and servicing. How you will make an impact: * Primary focus of this role is ... Please be advised that Elevance Health only accepts resumes for compensation from agencies that ...

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From Home Provider Network Development information

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$31

$48

$62

How much do from home provider network development jobs pay per hour?

As of May 31, 2026, the average hourly pay for from home provider network development in the United States is $48.73, according to ZipRecruiter salary data. Most workers in this role earn between $36.78 and $62.50 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Provider Network Development professional working from home, and why are they important?

To excel as a Provider Network Development professional working remotely, you need a solid understanding of healthcare provider relations, contract negotiation, and network management, often supported by a degree in healthcare administration or a related field. Familiarity with provider databases, CRM software, and managed care systems is typically required. Strong communication, relationship-building, and self-motivation are vital soft skills for effective remote collaboration and provider engagement. These abilities ensure efficient network growth, quality provider relationships, and organizational success in a virtual environment.

How does a Provider Network Development professional working from home typically collaborate with healthcare providers and internal teams?

As a remote Provider Network Development professional, you will regularly coordinate with healthcare providers through virtual meetings, emails, and phone calls to negotiate contracts and ensure compliance with network standards. Internally, you will work closely with credentialing, legal, and provider relations teams using collaboration tools such as shared databases and project management software. Effective communication and proactive outreach are essential to overcome the challenges of remote work and maintain strong professional relationships. You may also participate in regular virtual team meetings to align on goals, share updates, and resolve issues collaboratively.

What is a From Home Provider Network Development job?

A From Home Provider Network Development job involves building and maintaining relationships with healthcare providers, such as doctors and hospitals, to expand or improve a healthcare network. Professionals in this role typically work remotely and are responsible for recruiting providers, negotiating contracts, and ensuring compliance with regulations. Their goal is to create a strong, accessible network that meets the needs of health plan members. This position requires skills in communication, negotiation, and knowledge of healthcare systems. Remote work allows for flexibility while still achieving important network development goals.

What is the difference between From Home Provider Network Development vs From Home Provider Relations Specialist?

AspectFrom Home Provider Network DevelopmentFrom Home Provider Relations Specialist
CredentialsHealthcare administration, network management certificationsCustomer service, healthcare communication certifications
Work EnvironmentRemote, healthcare provider offices, corporate officesRemote, healthcare provider offices, corporate offices
Employer & Industry UsageHealth insurance companies, managed care organizationsHealth insurance companies, healthcare providers
Search & Comparison IntentBuilding and managing provider networksMaintaining provider relationships and resolving issues

From Home Provider Network Development focuses on creating and expanding healthcare provider networks, requiring skills in network management and healthcare administration. In contrast, From Home Provider Relations Specialist emphasizes maintaining provider relationships and addressing provider concerns. Both roles are essential in healthcare organizations but differ in their primary focus and responsibilities.

More about From Home Provider Network Development jobs
What cities are hiring for From Home Provider Network Development jobs? Cities with the most From Home Provider Network Development job openings:
What are the most commonly searched types of Provider Network Development jobs? The most popular types of Provider Network Development jobs are:
What states have the most From Home Provider Network Development jobs? States with the most job openings for From Home Provider Network Development jobs include:
What job categories do people searching From Home Provider Network Development jobs look for? The top searched job categories for From Home Provider Network Development jobs are:
Infographic showing various From Home Provider Network Development job openings in the United States as of May 2026, with employment types broken down into 2% As Needed, 71% Full Time, 24% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 4% Hybrid, and 2% Remote job distribution, with an average salary of $101,366 per year, or $48.7 per hour.

$85K - $115K/yr

Full-time

Medical, Retirement, PTO

Posted 26 days ago


Job description

About Us
Community Health Plan of Imperial Valley (CHPIV) is Imperial County's Medi-Cal managed care plan. We are a locally managed public health care plan committed to working with members, providers, and the residents of Imperial County.
Position Overview
Our team is growing, and we're looking for a Provider Network Manager to manage the strategic development and operations of CHPIV's directly contracted Medicare and Medi-Cal provider network. You will be responsible for developing, managing and servicing a network of individually contracted providers and Independent Physician Associations, including network adequacy, provider recruitment and contracting, performance monitoring, and maintaining strong relationships with providers to facilitate high-quality patient care.
Key Responsibilities
  • Provider Network Development: Identify gaps in the network, recruit new providers, and expand access to primary care, specialists, ancillary providers and facilities
  • Contract Negotiation: Negotiate favorable contract terms, reimbursement rates, service level agreements, and amendments for traditional and non-traditional providers
  • Provider Relationship Management: Maintain strong relationships with Independent Physician Associations (IPAs), hospitals, and other contracted providers, handling inquiries, escalations, and performance issues. Prepare agenda and lead quarterly joint operating committee meetings with IPAs, hospitals, and primary care providers, as needed.
  • Network Adequacy & Performance Improvement: Analyze provider performance, network coverage, and regulatory compliance. Educate and manage provider and IPA performance on STARS measures and risk adjustment coding documentation.
  • Onboarding & Training: Facilitate provider enrollment, credentialing, orientation, and ongoing education to ensure compliance with plan policies
  • Regulatory Compliance: Ensure adherence to healthcare regulations and program requirements, including CMS, Medicaid/Medicare standards,
  • Cross Collaboration: Work with outsourced vendors and internal subject matter experts to monitor and improve processes related to claims processing, utilization management, finance, and data file exchange.
  • Reporting & Analysis: Prepare performance reports, analyze network data, and provide strategic recommendations to leadership and other stakeholders.

Qualifications
  • Education: Bachelor's degree in healthcare administration, Business Administration, Public Health, or a related field. Master's preferred.
  • Experience: 5-8 years in provider relations, network management, or managed care; experience with Medicare/MAPD, Medicaid, or integrated delivery systems preferred.

What We Offer
  • Competitive salary of $85,000-$115,000/ year
  • Comprehensive benefits package that pays 85% of the cost of your family's healthcare
  • A 401 (k) with a generous match
  • Paid time off and holidays
  • Opportunities for growth and professional development
  • A chance to make a real difference in the health of your community