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From Home Provider Network Development Jobs in Indiana

The Semler Agency

Work From Home Sales

Fort Wayne, IN · On-site +1

This role is designed for individuals looking to learn a new skill and work from home with support ... Provide guidance on coverage options * Follow a simple, structured process What You'll Get:

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From Home Provider Network Development information

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.

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 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.

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 Indiana?

The most popular types of Provider Network Development jobs in Indiana are:

What are popular job titles related to From Home Provider Network Development jobs in Indiana?

For From Home Provider Network Development jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching From Home Provider Network Development jobs in Indiana look for?

The top searched job categories for From Home Provider Network Development jobs in Indiana are:

What cities in Indiana are hiring for From Home Provider Network Development jobs?

Cities in Indiana 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 Indiana as of June 2026, with employment types broken down into 75% Full Time, 24% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution.

Administrative Physician - Physicians Only Apply - Perm

Indianapolis, IN • On-site

SmartDocs Direct
See more jobs at SmartDocs Directexternal

Full-time

Re-posted 9 days ago

Job description

Medical Doctors Only Apply. A Administrative Physician practice is seeking a qualified physician for Indianapolis, IN. This and other physician jobs brought to you by ExactMD.

Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.

  • Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective implementation of performance improvement initiatives for capitated providers.
  • Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.
  • Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. Oversees the activities of physician advisors. Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies.
  • Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.
  • Develops alliances with the provider community through the development and implementation of the medical management programs. As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues. Represents the business unit at appropriate state committees and other ad hoc committees
  • Consults on MCO clinical policy related to Substance Use Disorders and the cases of individual members for the MCM program on a routine basis.

  • Education/Experience: Medical Doctor or Doctor of Osteopathy, board certified preferable in a primary care specialty (Internal Medicine, Family Practice, Pediatrics or Emergency Medicine). The candidate must be an actively practicing physician. Previous experience within a managed care organization is preferred. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is preferred. Experience treating or managing care for a culturally diverse population preferred.

    • Apply