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Remote Provider Network Development Jobs in New Jersey

Everest Re Group

Senior Network Engineer II

Warren, NJ · On-site +1

$119K - $140K/yr

Hybrid / Remote (Global Support Model) Reports To: Network Engineering & Operations Leadership ... Provide support for after-hours maintenance windows, emergency system changes, and weekend project ...

Everest

Senior Network Engineer II

Warren, NJ · On-site +1

$119K - $140K/yr

Hybrid / Remote (Global Support Model) Reports To: Network Engineering & Operations Leadership ... Provide support for after-hours maintenance windows, emergency system changes, and weekend project ...

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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 New Jersey?

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

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

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

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

Cities in New Jersey 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 New Jersey as of August 2026, with employment types broken down into 81% Full Time, and 19% Part Time. Highlights an 100% Remote job distribution.

Manager, Network Contracting (Northeast Region)

Oscar Health

New Brunswick, NJ • Remote

$111K - $146K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

262nd of 315 rated insurance

Job description

Hi We're Oscar. We're hiring a Manager to join our Network 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:

The Manager of Network Contracting is responsible for leading a team of direct reports focused on negotiating, executing, and analyzing contracts with large, national and/or complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. The Manager, Network Contracting handles dispute resolution and settlement negotiations, ensuring compliance with company standards and regulatory requirements. This role leverages negotiation skills and working knowledge of provider financial issues to optimize contracts, and collaborates with providers, hospitals and health systems to achieve successful contracting outcomes, all while supporting cost-saving initiatives and the growth of the provider network for a defined market or region.

You will report into the Director, Network Contracting & Services.

Work Location: This is a remote position based in the field, open to candidates who reside in New Jersey, New York, Pennsylvania or Virginia. Your daily work will involve a blend of work from your home office and frequent local travel for client meetings. Occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role in New Jersey and New York is: $111,780 - $146,711. The base pay for this role in all other locations is $100,602 - $132,040 per year. You are also eligible for employee benefits, 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.
  • Oversee a small team of contracting associates and specialists, facilitating leadership, guidance, and mentorship by setting strategic objectives, monitoring team performance, providing training and development opportunities, and fostering a collaborative and innovative work environment.
  • Conducts comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
  • Utilizes data and analytics of provider financial issues and competitor strategies to inform negotiation and contracting decisions and to support the team in doing so.
  • Key player in implementation of contracting policies and workflows; monitors and ensures effective and efficient contracting processes are in place.
  • Monitor key metrics for network performance, cost, and provider satisfaction, and provide reports to leadership for assigned accounts.
  • Ensure you and your team are providing timely resolution of provider issues related to contract terms, reimbursement, and network participation.
  • Build and maintain positive relationships with healthcare providers to ensure network stability and quality.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 4+ years in healthcare network contracting, including executing contracts with health systems, hospitals or national providers,  provider relations, or network management
  • 2+ years of experience managing complex Provider Network strategies and negotiating complex contracts
  • 2+ years of people management experience
  • 2+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry

Bonus points:

  • Bachelor's degree or equivalent professional working experience

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. 

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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