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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.
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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

Licensing and Credentialing Manager (Telemedicine)

Beacon Talent

Denver, CO • Remote

$95K - $110K/yr

Full-time

PTO

Posted yesterday

Job description

LICENSING & CREDENTIALING MANAGER

Confidential (Venture-Backed Telehealth Company) · Operations · Remote · Full-time Stage: Series B · $95K–$110K + performance-based incentives

1 · ABOUT THE COMPANY

Our client is a venture-backed health-tech company modernizing one of the most outdated corners of post-acute care: getting essential medical equipment and supplies into patients' homes. They've built an AI-powered platform that brings ordering, telehealth, prescriptions, insurance, and fulfillment into a single experience. Fresh off a Series A and scaling quickly, they're expanding their clinical footprint across states.

2 · THE ROLE

As Licensing & Credentialing Manager, you'll own provider licensing and credentialing for our partner telehealth practices. As the company grows across states, your job is to make sure every clinician is licensed, credentialed, enrolled, and ready to see patients on time. You'll own the trackers, the deadlines, and the follow-up — and nothing lapses on your watch.

3 · WHAT YOU'LL DO

  • Run end-to-end credentialing and re-credentialing for telehealth clinicians — including CAQH and primary source verification — so every provider is cleared to deliver care without delay.
  • Manage multi-state licensing for our providers: applications, renewals, and tracking across boards, so the company can enter new states on schedule.
  • Own payer enrollment so providers go live with Medicare, Medicaid, and commercial payers before go-live — protecting revenue from day one.
  • Maintain audit-ready provider files and stay ahead of every expirable — licenses, DEA, certifications, NPIs — so nothing ever slips.
  • Build the trackers and systems that make credentialing repeatable, not a scramble, as volume grows.
  • Partner with Clinical Operations and Compliance to keep the growing provider network credentialed and compliant as the company scales.

4 · WHAT WE'RE LOOKING FOR

Must-Have

  • 5+ years in healthcare credentialing, licensing, or provider enrollment.
  • Hands-on experience credentialing and licensing providers (MDs, DOs, NPs, PAs, RNs), including CAQH and payer enrollment.
  • Exceptional organization and attention to detail across high volumes of applications, deadlines, and renewals.
  • A proactive communicator who follows through with providers, boards, and payers.
  • Comfort operating in a fast-paced, high-growth environment.

Nice to Have

  • Multi-state telehealth credentialing experience.
  • Familiarity with 1099 clinician models.
  • Experience with a headless EMR.

5 · WHO THRIVES HERE

This role is a great fit if you…

  • Optimize for results that matter and know when "done and correct" beats polish for its own sake.
  • Move fast without creating mess — speed paired with clarity is your default.
  • Fix the root cause when something breaks, building trackers and processes that outlast any single application.
  • Take ownership and go a step beyond what's asked, rather than waiting to be told.
  • Are serious about the work and easy to work with — driven without taking yourself too seriously.

7 · BENEFITS & PERKS

  • Fully remote
  • Unlimited PTO