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From Home Provider Network Development Jobs in Florida

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From Home Provider Network Development information

What are the key skills and qualifications needed to thrive as a from home provider network development professional, 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 from home provider network development professional 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 professional?

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.

What are the most commonly searched types of Provider Network Development jobs in Florida? The most popular types of Provider Network Development jobs in Florida are:
What are popular job titles related to From Home Provider Network Development jobs in Florida? For From Home Provider Network Development jobs in Florida, the most frequently searched job titles are:
What job categories do people searching From Home Provider Network Development jobs in Florida look for? The top searched job categories for From Home Provider Network Development jobs in Florida are:
What cities in Florida are hiring for From Home Provider Network Development jobs? Cities in Florida with the most From Home Provider Network Development job openings:
From Home Provider Network Development jobs near you
Infographic showing various From Home Provider Network Development job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution.

Healthcare Contracting Specialist

Provider Network Solutions LLC

Sarasota, FL • On-site

$60K - $63K/yr

Full-time

Posted 9 days ago

Job description

Description

Position Summary


Manages physician contracting and network development functions for developing, executing and maintaining a provider network strategy statewide. Works in concert with medical management and the Provider Servicing Department in developing actions to meet market growth and medical cost targets.


Duties and Responsibilities


Primary duty of negotiating and executing provider contracts.

Leads research for any Institution, Network and/or Ancillary needs using all tools available; including but not limited to: WebMD, Health Plan websites, hospitals, google, etc.

Provider networks contracting for initial network development and/or expansion in accordance with Company goals and standards.

Meet with the appropriate physician personnel and fully explain the Company's protocol, which includes all requirements necessary to comply with standards identified in the Provider Manual.

Collects complete credentialing packets per specified health plan and according to the Networks Credentialing checklist from network physicians during the contracting process.

Ensures that the provider network consists of Board Certified/Board Eligible Specialists and/or Ancillary providers as contracted by the network.

Manages physician network by developing relationships to drive business results within assigned geographic area.

Liaison in conjunction with Contracting and Credentialing Coordinator, for all health plans on all new contracting inquiries.

Obtains leads for prospective physicians, manages all incoming new provider leads and follows-up with the providers on the status of their new contractual agreement per the Department's Policies and Procedures.

Strategizes to close all quarterly assigned Geo Access deficiencies per specialty and health plan.

Special projects as assigned or directed.

Negotiating and executing hospital contracts.

Maintaining and updating current CRM platform (Monday.com) to reflect progress of ongoing leads negotiations.

Requirements

Knowledge


A bachelor's degree in a related field or equivalent experience related Network Development or Provider Relations experience.

Minimum three (3) years' experience in Medicaid/Medicare is preferred.

Healthcare, provider office or HMO/PPO background preferred.

Strong knowledge of regulatory requirements concerning Medicare and Medicaid.


Skills


Excellent problem-solving skills.

Excellent oral and written communication skills.

Bilingual language skills a plus.

Intermediate or stronger skill level with MS Word, Excel, Outlook and PowerPoint.


Travel

Yes, 95% of the time or as otherwise required by the company.

Region 6: Hardee, Highlands, Hillsborough, Manatee and Polk

Region 8: Charlotte, Collier, DeSoto, Glades, Hendry, Lee, and Sarasota

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