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Remote Provider Network Development Jobs in Colorado

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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 Colorado? For Remote Provider Network Development jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Remote Provider Network Development jobs in Colorado look for? The top searched job categories for Remote Provider Network Development jobs in Colorado are:
What cities in Colorado are hiring for Remote Provider Network Development jobs? Cities in Colorado with the most Remote Provider Network Development job openings:
Supervisory Management & Program Analyst

Supervisory Management & Program Analyst

Veterans Health Administration

Lakewood, CO • On-site, Remote

$125K - $197K/yr

Full-time

PTO

This job post has expired today. Applications are no longer accepted.


Veterans Health Administration rating

8.1

Company rating: 8.1 out of 10

Based on 993 frontline employees who took The Breakroom Quiz

68th of 886 rated healthcare providers


Job description

Summary
This position serves as a Supervisory Management and Program Analyst within the Office of Integrated Veteran Care (IVC), Integrated External Network (IEN), and in the Network Development Directorate at the VA Central Office-Integrated Veteran Care, in Topeka, KS. This position could be in either Lakewood, CO, or Washington, DC.
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Duties
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***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE APPROVED DUTY LOCATION***
Duties:

  • Monitors Program Office provider network adequacy oversight issues (e.g., ensuring adequate network coverage as it relates to geographic provider need/gaps, integration with Program Office operations, and sufficiency of overall Veteran Community Care) and coordinates Program Office efforts to administer and improve the network of private-sector health care providers engaged with the Program Office mission.
  • Leads Program Office projects related to private-sector health care and provider data, collaborating with Agency and private industry organizations to collect data, conduct analyses, and report on contracted private-sector health care key performance indicators including provider, staff, and Veteran satisfaction.
  • Provides administrative and technical supervision for accomplishing the work of the unit, including making selections for subordinate positions, resolving employee complaints, serving as deciding official for serious disciplinary actions, and approving training, within-grade increases, overtime, and travel.
  • Develops and leads communications efforts and campaigns to inform stakeholders of private-sector health care provider network data, operations, and related information, targeting Bureau management, field organizations, Agency management, Veterans, Congress, contractors, and private-sector health care organizations.
  • Creates, facilitates, prioritizes, and negotiates resolution of Program Office issues with private-sector health care providers and networks, while considering differing organizational and stakeholder needs and requirements.

Work Schedule: Monday - Friday, 8:00 am -4:30 pm - Position location will be discussed during the interview process.
Recruitment & Relocation Incentives: Not authorized
Telework: This position may be authorized for telework. Ad-Hoc-Telework eligibility will be discussed during the interview process.
Requirements
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Conditions of employment
  • You must be a U.S. Citizen to apply for this job
  • To be considered for this position, you must complete all required steps in the process. In addition to the application and questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the job.
  • Selective Service Registration is required for males born after 12/31/1959
  • Physical Requirements: The work required does not inherently include any physical requirements essential for successful job performance that could not otherwise be performed with accommodation or workplace adjustment. A pre-placement physical examination is not required.
  • Subject to background/security investigation
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) - See "Required Documents" below for details.

As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
  • your performance and conduct;
  • the needs and interests of the agency;
  • whether your continued employment would advance organizational goals of the agency or the Government; and
  • whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your probationary, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
Qualifications
You may qualify based on your experience as described below:
Specialized Experience: You must have one (1) year of specialized experience equivalent to at least the next lower grade GS-13 in the normal line of progression for the occupation in the Federal Service. Examples of specialized experience would typically include, but are not limited to: Supporting provider network adequacy reviews by monitoring performance data, conducting quantitative and qualitative analyses to help assess program effectiveness, directing network adequacy assessments using time-distance and appointment availability standards across community care programs, identifying geographic access gaps and leading corrective action planning in coordination with stakeholders, developing and implementing network expansion strategies, prioritizing underserved populations, assisting with development of standardized reporting tools and procedures, preparing reports on key performance indicators for contracted private-sector healthcare providers.
For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.
Education
There is no educational substitution at this grade level.
Additional information
Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement. To determine if you need a RA, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments.
Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.
This job opportunity announcement may be used to fill additional vacancies.
Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced Federal competitive service employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit appropriate documentation and be found well-qualified (have a final rating of 80 or more before any Veterans preference points) for this vacancy. Information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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About Veterans Health Administration

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, serving millions of Veterans each year. Located in Phoenix, AZ, and many other parts of the US, the VHA operates under the Department of Veteran Affairs, as suggested by their official website va.gov. The VHA is dedicated to providing the highest level of comprehensive care to its veterans. The organization offers a broad spectrum of medical, surgical, and rehabilitative care, including mental health services, research, and pharmacy benefits.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Phoenix, AZ, US