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Remote Provider Network Development Jobs in Georgia

Oscar Health

Associate, Network Contracting

Atlanta, GA · Remote

$87K - $114K/yr

... development and ensuring providers across our service area have the information and support they ... This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully ...

Oscar Health

Associate, Network Contracting

Atlanta, GA · Remote

$87K - $114K/yr

... development and ensuring providers across our service area have the information and support they ... This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully ...

Oscar Health

Associate, Network Recruiter

Atlanta, GA · Remote

$87K - $114K/yr

The Provider Network Associate supports the overall accessibility, availability and quality of ... You will report into the Senior Manager, Network Development Work Location: This is a remote ...

TEKsystems

Provider Network Representative

Atlanta, GA · Remote

$24/hr

Provider Network Representative Remote - Equipment Provided Pay rate: $24/hr Schedule : Monday - Friday 8am -5pm EST 3 Month Contract Description This role involves managing contract-related ...

Aledade

Field Marketing Manager (Remote)

Atlanta, GA · Remote

... providers. * Partner Cross-functionally with Network Development Leadership to Develop Strategic ... remote-first culture - you've come to the right place. What Does This Mean for You? At Aledade, you ...

AutomationDirect

Network Administrator

Cumming, GA · Remote

Maintain the current environment and provide daily network support for the company * Review ... remote access, network segmentation, access control, and secure connectivity between internal ...

Humana

Lead, Network Engineer - AI

Atlanta, GA · Remote

$97K - $134K/yr

Additionally, you will provide technical leadership to a team of network engineers. You will also ... Design resilient, standardized remote LAN solutions (access/distribution) including VLANs, spanning ...

Humana

Lead, Network Engineer - AI

Atlanta, GA · Remote

$97K - $134K/yr

Additionally, you will provide technical leadership to a team of network engineers. You will also ... Design resilient, standardized remote LAN solutions (access/distribution) including VLANs, spanning ...

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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 Georgia? The most popular types of Provider Network Development jobs in Georgia are:
What are popular job titles related to Remote Provider Network Development jobs in Georgia? For Remote Provider Network Development jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Remote Provider Network Development jobs in Georgia look for? The top searched job categories for Remote Provider Network Development jobs in Georgia are:
What cities in Georgia are hiring for Remote Provider Network Development jobs? Cities in Georgia with the most Remote Provider Network Development job openings:
Remote Provider Network Development jobs near you
Associate, Network Contracting

Associate, Network Contracting

Oscar Health

Atlanta, GA • Remote

$87K - $114K/yr

Other

PTO

Posted 19 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

239th of 281 rated insurance

Job description

Hi, we're Oscar. We're hiring an Associate, Network Contracting to join our Specialist Contracting team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.

About the role:

You will be responsible for managing contracts with key healthcare providers in Oscar's network (hospital/health systems and large national ancillary groups) to build and maintain a robust network; while also ensuring access to quality care and optimizing costs by analyzing provider performance and negotiating reimbursement rates, often involving complex contract terms and compliance with regulatory guidelines. Supporting cost saving initiatives, executing national network strategy, and ensuring high performing network development and ensuring providers across our service area have the information and support they need to provide best-in-class member care.

You will report into the Senior Director, Speciality Contracting.

Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $87,560 - $114,434 per year. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with the company's overall network adequacy, development and cost management objectives.
  • Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
  • Support comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
  • Utilize data and analytics of provider financial issues and competitor strategies to support informing negotiation and contracting decisions.
  • Meet defined metrics and SLAs including but not limited to provider outreach and contract completion.
  • Collaborate with the provider services team regarding the servicing, education and communication to our provider network.
  • Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to remediate deficiencies.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 3+ years of experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare operations, or a related field
  • 2+ years of experience supporting provider network strategy development and negotiating provider contracts
  • 1+ years experience running financial analyses on a markets or product lines, and working cross-functionally to support driving improvement opportunities
  • 1+ years experience navigating and organizing large data sets such as claim files and provider rosters

Bonus points:

  • Associate's degree or equivalent professional working experience.

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