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Remote Provider Network Development Jobs in Alabama

Huntington

Network Engineer 3

Birmingham, AL · On-site +1

$70K - $140K/yr

Provide Level 3/4 engineering support for the corporate enterprise network. * Verify hardware ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Huntington

Network Engineer 3

Hoover, AL · On-site +1

$70K - $140K/yr

Provide Level 3/4 engineering support for the corporate enterprise network. * Verify hardware ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Deckers

US - CA Remote Goleta Interested applicants mustresidein one of the following approvedstates ... Resolve high-impact connectivity challenges, providing decisive technical leadership during ...

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Remote Provider Network Development information

What is a remote provider network development specialist?

A Remote Provider Network Development specialist is responsible for identifying, recruiting, and managing healthcare providers to join a health plan’s network, all while working remotely. They negotiate contracts, ensure providers meet quality standards, and maintain strong relationships to ensure network adequacy. This role often involves analyzing data to identify network gaps and collaborating with internal teams to address member needs. Remote work allows these specialists to connect with providers across various regions without needing to be on-site.

What are some common challenges faced by professionals in remote provider network development roles and how can they be addressed?

One of the main challenges in Remote Provider Network Development is building strong relationships with providers and stakeholders without regular face-to-face interaction. This requires effective virtual communication skills and the ability to leverage digital collaboration tools. Additionally, navigating differing regulations and provider expectations across regions can be complex, so staying organized and informed about local requirements is crucial. Proactively scheduling regular check-ins and utilizing centralized documentation can help maintain alignment and foster trust among network partners.

What are the key skills and qualifications needed to thrive as a remote provider network development professional, and why are they important?

To excel in Remote Provider Network Development, you need expertise in healthcare network management, contract negotiation, and provider relations, often supported by a bachelor’s degree in healthcare administration or a related field. Familiarity with health plan software, CRM tools, and knowledge of regulatory compliance systems are typically required. Strong communication, relationship-building, and problem-solving skills are essential for establishing and maintaining provider partnerships. These skills ensure effective network expansion, regulatory compliance, and high-quality service for health plan members.

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

AspectRemote Provider Network DevelopmentRemote Provider Relations Specialist
Primary FocusBuilding and expanding provider networks, negotiating contractsManaging existing provider relationships, resolving issues
Required CredentialsHealthcare administration, insurance, or related certificationsCustomer service, healthcare administration certifications
Work EnvironmentStrategic planning, cross-department collaborationProvider communication, issue resolution
Industry UsageHealth insurance companies, managed care organizations

Remote Provider Network Development focuses on expanding and negotiating provider networks, while Remote Provider Relations Specialists manage ongoing provider relationships and address issues. Both roles require healthcare or insurance knowledge but differ in their strategic versus operational focus.

What are the most commonly searched types of Provider Network Development jobs in Alabama?

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

What are popular job titles related to Remote Provider Network Development jobs in Alabama?

For Remote Provider Network Development jobs in Alabama, the most frequently searched job titles are:

What job categories do people searching Remote Provider Network Development jobs in Alabama look for?

The top searched job categories for Remote Provider Network Development jobs in Alabama are:

What cities in Alabama are hiring for Remote Provider Network Development jobs?

Cities in Alabama with the most Remote Provider Network Development job openings:

Remote Provider Network Development jobs near you

Director, Contracting & Network Development

Centene

Clayton, AL • On-site, Remote

$141K - $261K/yr

Full-time

Medical, Retirement, PTO

Posted 2 days ago

New

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 404 frontline employees who took The Breakroom Quiz

14th of 887 rated healthcare providers

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures.

  • Oversee provider contracting activities to ensure efficiency and maintain compliance with the business unit's policies and standards, government laws and regulations
  • Implement development activities for the recruitment and contracting of provider networks in new and prospective markets, and existing market expansions.
  • Support new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources
  • Perform complex financial analyses to identify medical cost improvement opportunities, develop strategies to reach financial goals, and execute contracting strategies to meet goals and objectives
  • Oversee contracting and network development staff and external consultants in the development of provider networks for new and expansion markets
  • Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning
  • Ability to travel

Education/Experience: Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of combined contracting, network development or provider relations experience. Previous experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements. Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff. License/Certification: Valid driver's license.

Applicants must be in the state of Missouri to be considered for this role. This is a remote position that will require regular travel for internal and provider-facing meetings. The home office is in the St. Louis, MO area.

Pay Range: $141,500.00 - $261,400.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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