ZipRecruiter

Log In

2

Remote Provider Network Development Jobs in Colorado

Vero Networks

Network Operations Manager

Denver, CO · On-site +1

$905K/yr

OPERATIONS MANAGER, NETWORK OPERATIONS POSITION SUMMARY This position a remote role and is ... Participate in development of policies and procedures to maximize system uptime, performance, and ...

Zayo Group LLC

Senior Network Automation Engineer

Boulder, CO · Remote

$107K - $147K/yr

Company Description Zayo provides mission-critical bandwidth to the world's most impactful ... This position is remote and can be based anywhere in the US or Canada** Responsibilities: Alarming ...

next page

Showing results 1-20

All JobsProvider Network Development JobsRemote Provider Network Development JobsRemote Provider Network Development Jobs in Colorado

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:
Remote Provider Network Development jobs near you
Associate Director, Network Pricing - Remote in PST or MST

Associate Director, Network Pricing - Remote in PST or MST

UnitedHealth Group

Englewood, CO • On-site, Remote

Full-time

Retirement

Posted 8 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 145 frontline employees who took The Breakroom Quiz

191st of 886 rated healthcare providers

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
The Associate Director of Healthcare Economics - Network Pricing supports Provider Network contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting (VBC agreements, physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.). This onsite/hybrid/telecommute position engages our West Region team conducting ACO support along with unit cost and contract valuation analysis related to provider negotiations and medical cost management strategies. Responsibilities also include managing unit cost budgets, target setting, performance reporting, and associated financial models.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Develop and execute data management strategies with business partners in United Health Networks and United Health Clinical to help our contracted entities/internal partners be successful
  • Provide consultative advice on use of data as subject matter expert and interpret/summarize analytical findings
  • Collaborate with partners to identify, investigate, and communicate cost and utilization patterns for inefficiencies and potential opportunities in various member populations to help reduce overall total cost of care
  • Solves complex problems and finds innovative sustainable solutions
  • Influence pricing strategies and network configuration decisions using a data driven approach
  • Evaluate financial impacts of network configurations across hospital, ancillary and physician provider types
  • Work with cross-functional teams across the organization to make strategic decisions supported by data
  • Serve as subject matter expert on data, reporting and methodologies supporting our contracts and relationships
  • Resolve business problems and direct others to resolve business problems that affect multiple functions or disciplines
  • Make decisions about product, service or process decisions that will impact multiple functions and/or customer accounts (internal or external)

This role will involve extensive external meetings, and some travel, to negotiate with providers, share performance results and explain complex financial models.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • 5+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools including experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
  • 3+ years of healthcare managerial experience
  • Moderate or higher level experience with SAS and SQL
  • Proficiency in MS Excel
  • Demonstrated career progression within healthcare economics, health care pricing, network management, or related discipline
  • Well versed in PowerPoint
  • Ability to travel 15% of the time within the West US Region
  • Ability to work remotely or office-based focused on supporting West Region office locations (PST OR MST)

Preferred Qualifications:
  • 3+ years of experience working with large databases to produce a focused analysis with proficiency in SAS/SQL for data manipulation and reporting
  • Experience with advanced statistical functions for financial modeling
  • Successful leadership experience
  • Knowledge of Commercial, Medicare, and Medicaid PPO and HMO revenue and expense, as well as delegation financial modeling
  • Detailed knowledge of Commercial, Medicare, and Medicaid payment methodologies for hospital, ancillary, and physician services
  • Expert level of proficiency in performing financial impact analysis, risk management, and claims data manipulation
  • Moderate proficiency in Power BI, Tableau or other analytic visualization software
  • Demonstrated advanced written and verbal communications skills including negotiation and presentation

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

What UnitedHealth Group employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply