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Remote Provider Network Development Jobs in Maryland

Booz Allen Hamilton, Inc.

Network Engineer

Annapolis, MD · On-site +1

$77K - $176K/yr

Provide customers insight into their network through monitoring and performance management ... Remote : If this position is listed as remote, there may still be occasions when you are required ...

ASEC

Network Engineer

Lexington Park, MD · On-site +1

$135K - $150K/yr

Support connectivity between live platforms, simulators, command centers, and remote training ... ASEC is committed to providing access and reasonable accommodation in its services, activities ...

GetWellNetwork, Inc.

Network Engineer

Bethesda, MD · On-site +1

... our local and remote networks, VPN connections, and associated systems and processes. Support ... A SymphonyAI Group company, GW RhythmX leverages various firm assets, including $1B+ in R&D ...

NTT DATA Services

Network Manager

Annapolis, MD · On-site +1

Provide end-to-end oversight for all WAN, LAN, MAN, firewall, and transport network components ... While many positions offer remote or hybrid work options, these arrangements are subject to change ...

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Remote Provider Network Development information

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 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 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 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 are popular job titles related to Remote Provider Network Development jobs in Maryland?

For Remote Provider Network Development jobs in Maryland, the most frequently searched job titles are:

What job categories do people searching Remote Provider Network Development jobs in Maryland look for?

The top searched job categories for Remote Provider Network Development jobs in Maryland are:

What cities in Maryland are hiring for Remote Provider Network Development jobs?

Cities in Maryland with the most Remote Provider Network Development job openings:

Remote Provider Network Development jobs near you
Infographic showing various Remote Provider Network Development job openings in Maryland as of August 2026, with employment types broken down into 78% Full Time, and 22% Part Time. Highlights an 100% Remote job distribution.

Provider Network Specialist

Maryland Physicians Care

Linthicum, MD • On-site, Remote

$67K - $72K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Job description

Job Type
Full-time
Description
Summary:
Assesses network access and generates reports, including Geo Access, for provider network analysis and planning. Identifies recruitment opportunities and assists in the analysis and development of cost-effective, contractual agreements with healthcare providers and institutions that can be administered efficiently and that follow state and federal regulatory requirements.
About Maryland Care Management, Inc. (MCMI)
Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.
Why join us?
MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans.
Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives.
What You'll Do:
  • Evaluates current contracts, and applies managed care reimbursement principles (capitation, per diems, creative reimbursement, etc.) to identify cost savings, while maintaining quality.
  • Researches current and new contract operational procedures; coordinates with appropriate departments, to streamline processes wherever possible.
  • Coordinates implementation of new contracts with departments involved.
  • Coordinates internal review and determine/evaluate administrative feasibility throughout the continuum of the contracting process.
  • Initiates contract flow process; ensures appropriate signatures, and data entry to system.
  • Acts as team lead and trainer for Provider Data Coordinators.
  • Ensures appropriate legal / regulatory review of contracts prior to execution.
  • Monitors provider availability and accessibility to ensure provider network coverage.
  • Creates and reviews Geo Access reports and makes recommendations for future provider network build-out.
  • Assists with onsite contractual reviews; ensures 100% accuracy and timeliness of information/modification data entry in provider files of Geo Access system.
  • Assists with training of providers regarding MPC processes and benefits; conducts follow-up training to ensure policy compliance and education continuity; disseminates written correspondence as necessary to address issues, problems, and new information, as needed.

Requirements
Knowledge and Skills:
  • The ability to review and comprehend contracts and services.
  • The ability to present information effectively in one-on-one and small group settings to providers and employees.
  • The ability to use advanced reason to define problems, collect data, establish fact, draw valid conclusions, and design, implement, and manage appropriate action plans.
  • Advanced and meticulous organization and coordination.
  • Must be able to successfully utilize geographic accessibility data, and Microsoft Office Suite and common computer and office hardware.

Education and Work Experience:
  • Bachelor's degree in business, health, management systems or closely related field is preferred, although an equivalent combination of formal education and experience may substitute for a degree.
  • Experience with large provider organizations, ancillary and hospital providers, clinical terminology.
  • Working experience with Geo Access or equivalent system is required.

EEOC Statement:
Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment.
As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive.
We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population.
Salary Description
67-72k

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