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Remote Provider Network Development Jobs in Alaska

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Psychiatrist - Remote

Anchorage, AK · Remote

$119 - $242/hr

Coordinate treatment planning and care delivery with UpLift's network of therapists. * Provide ... Remote *Estimated effective hourly earnings are for licensed Psychiatrists and are illustrative ...

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Remote Provider Network Development information

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 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 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 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 are popular job titles related to Remote Provider Network Development jobs in Alaska? For Remote Provider Network Development jobs in Alaska, the most frequently searched job titles are:
What job categories do people searching Remote Provider Network Development jobs in Alaska look for? The top searched job categories for Remote Provider Network Development jobs in Alaska are:
What cities in Alaska are hiring for Remote Provider Network Development jobs? Cities in Alaska with the most Remote Provider Network Development job openings:
Remote Provider Network Development jobs near you
Provider Enrollment Specialist - Anchorage, AK - (Remote)

Provider Enrollment Specialist - Anchorage, AK - (Remote)

Gainwell Technologies

Anchorage, AK • On-site, Remote

$37K - $53K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 21 days ago

Gainwell Technologies rating

7.7

Company rating: 7.7 out of 10

Based on 72 frontline employees who took The Breakroom Quiz

106th of 186 rated software companies

Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
HMS is hiring Provider Enrollment Specialists for the Alaska MMIS Fiscal Agent contract. The Specialists are responsible for interfacing with providers, working with applications, and completing data entry duties related to provider enrollment.
Your role in our mission
  • Processes and returns moderately complex provider applications and requests, ensuring accuracy and completeness.
  • Enters, verifies, and maintains provider data within systems to ensure up-to-date and accurate information.
  • Handles written correspondence and responds to internal and external inquiries related to provider enrollment.
  • Researches issues, documents resolutions, and tracks all provider inquiries to ensure proper follow-up.
  • Ensures compliance with policies and procedures while providing clear guidance to providers and supporting overall operations.

What we're looking for
  • Minimum of one year of experience in credentialing, medical billing, or healthcare.
  • Demonstrated professionalism when communicating with providers and customers.
  • Strong organizational skills with the ability to work independently, manage multiple tasks, and meet aggressive deadlines.
  • Detail-oriented with the ability to follow directions and accurately track and follow up on assignments and enrollment applications.
  • Proficient in computer systems, including Microsoft Office, with strong analytical, problem-solving, and decision-making skills.

What you should expect in this role
  • Hybrid role with ability to work in the Anchorage, AK office preferred, with the possibility of working remotely from another state for the right candidate.
  • The person will need to work Alaska Standard Time (AKST) hours.
  • For positions assigned to WFH, reliable high-speed internet connection is required.

This posting is intended for pipelining. We will accept applications on an ongoing basis.
#LI-HYBRID
#LI-MA1
The pay range for this position is $37,500 - $53,500 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

What Gainwell Technologies employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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