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Remote Provider Network Development Jobs in Arkansas

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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 the most commonly searched types of Provider Network Development jobs in Arkansas? The most popular types of Provider Network Development jobs in Arkansas are:
What are popular job titles related to Remote Provider Network Development jobs in Arkansas? For Remote Provider Network Development jobs in Arkansas, the most frequently searched job titles are:
What job categories do people searching Remote Provider Network Development jobs in Arkansas look for? The top searched job categories for Remote Provider Network Development jobs in Arkansas are:
What cities in Arkansas are hiring for Remote Provider Network Development jobs? Cities in Arkansas with the most Remote Provider Network Development job openings:
NCDR Afib Abstractor (Remote, FT or PT)

NCDR Afib Abstractor (Remote, FT or PT)

American Data Network

Little Rock, AR • On-site, Remote

Full-time

Posted 4 days ago


Job description

Why ADN? Join the American Data Network family and become an integral part of a dynamic and purpose-driven organization. At ADN, we're not just a company; we're a community of passionate professionals dedicated to making a difference in healthcare. Embark on a journey where your work goes beyond a job description - it becomes a meaningful contribution to the improvement of patient care. We foster a culture of integrity, excellence, continuous learning, collaboration, and a genuine commitment to making a positive impact. If you're ready to be part of a trusted advisor in healthcare data services and shape the future of quality and patient safety, come build your career with us at American Data Network. Make every day count, and make a difference with ADN.
Job Summary: Performs primary data abstraction duties for NCDR Afib Registry and ensures high levels of abstraction accuracy for assigned accounts via validation activities. Demonstrates strong communication, documentation, organizing, and planning skills to ensure strong leadership of multiple accounts concurrently.
Responsibilities:
  • Collects and abstracts data from patient medical records, especially those related to cardiac care. This includes information on diagnoses, treatments, procedures, and outcomes.
  • Ensures the accuracy and completeness of the abstracted data. This involves cross-referencing information from multiple sources within a patient's medical record.
  • Adheres to specific clinical data abstraction guidelines and standards, such as those set by the American College of Cardiology.
  • Enters the abstracted data into a database or registry, often using specialized software. This includes maintaining and updating the data as necessary.
  • Participates in quality assurance processes to ensure data integrity. This involves routine audits of the data or the abstraction process.
  • Remains informed about developments in cardiac care and data management to ensure ongoing competency in the role.

Qualifications:
  • Experience abstracting in the NCDR Afib Registry within the last 2 years is required.
  • Familiar with medical records, billing/documentation practices, Microsoft Office, and standard healthcare quality concepts
  • Ability to work independently.
  • Relies on experience and judgment to plan/accomplish goals.
  • Maintains a strict level of confidentiality in all aspects of work.
  • Demonstrates a high standard of accuracy and attention to detail.
  • Excellent interpersonal and communication skills.
  • Remote position.
  • MSN, BSN, or RN preferred.
  • CPHQ preferred.