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Remote Provider Network Development Jobs in Ohio

CareSource

Program Manager National Networks

Dayton, OH · On-site +1

$113K - $197K/yr

Serve as the liaison across areas such as Network Development & Contracting, Provider Operations, and Data / Analytics, IT / System Configuration. * Ensure alignment between enterprise teams and ...

Presence

Speech Development Pathologist

Ashley, OH · Remote

$40 - $55/hr

... of remote providers access to an award-winning platform, assessment and therapy materials ... continuing education, and networking opportunities to help them succeed. Through ongoing ...

Booz Allen Hamilton, Inc.

$77K - $176K/yr

Remote Work: No Job Number: R0240810 Location: Wright Patterson AFB,OH,US Share job via: Share ... Experience with the development of Standard Operating Procedures (SOP) for implementing new network ...

Trak Group

Senior Network Engineer

Hamilton, OH · Remote

$96K - $132K/yr

Senior Network Engineer Setting/Hours: 100% Remote | Full-time Join trak group in partnering with a ... Provide technical leadership, mentoring, and training to junior engineers and support staff.

Huntington

Network Engineer 3

Columbus, OH · On-site +1

$70K - $140K/yr

Provide Level 3/4 engineering support for the corporate enterprise network. * Verify hardware ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Huntington

Network Engineer 3

Columbus, OH · On-site +1

$70K - $140K/yr

Provide Level 3/4 engineering support for the corporate enterprise network. * Verify hardware ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

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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 the most commonly searched types of Provider Network Development jobs in Ohio?

The most popular types of Provider Network Development jobs in Ohio are:

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

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

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

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

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

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

Remote Provider Network Development jobs near you

Program Manager National Networks

CareSource

Dayton, OH • On-site, Remote

$113K - $197K/yr

Full-time

Posted 7 days ago

CareSource rating

7.7

Company rating: 7.7 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

204th of 309 rated insurance

Job description

Job Summary:
The National Network Program Manager will support day-to-day operations across National Network programs by managing deliverables, maintaining documentation, and coordinating the flow of information across teams. The Program Manager acts as the connective layer across network development, contracting, operations, and supporting functions to ensure alignment, accountability, and timely execution of critical initiatives.
Essential Functions:
  • Establish and maintain integrated program workplans across provider network initiatives (e.g., network expansion, contracting, onboarding, lifecycle optimization).
  • Facilitate recurring program cadence (weekly status reviews, risk reviews, leadership updates).
  • Track progress against key milestones and drive accountability for deliverables.
  • Develop and manage a centralized risk and issue log across all provider network initiatives.
  • Proactively identify risks, blockers, and interdependencies across workstreams.
  • Ensure risks, issues, and dependencies are clearly communicated and actioned.
  • Develop weekly executive summaries that are concise, structured, and presentation-ready.
  • Synthesize complex program information into clear insights: progress vs. plan, key risks/issues and mitigation actions, decisions required, upcoming milestones.
  • Utilize and promote AI-enabled tools to enhance project planning, execution, risk management, reporting, and stakeholder communications, improving efficiency, driving informed decision-making, and supporting successful project outcomes.
  • Build and maintain standardized templates for consistent reporting across initiatives.
  • Support leadership presentations (ELT, VP, governance forums).
  • Serve as the liaison across areas such as Network Development & Contracting, Provider Operations, and Data / Analytics, IT / System Configuration.
  • Ensure alignment between enterprise teams and market-level execution.
  • Drive clarity of roles, responsibilities, and handoffs.
  • Perform any other job related duties as requested.

Education and Experience:
  • Bachelor's degree in Project Management, Business, or Computer Science required
  • Master's in related field preferred
  • Equivalent years of relevant work experience may be accepted in lieu of required education
  • Five (5) years of project management experience required
  • Four (4) years of experience in provider network, development, contracting and provider lifecycle management preferred
Competencies, Knowledge and Skills:
  • Excellent proficiency with Microsoft Office tools, including Project, Word, PowerPoint, Excel, Visio, Teams, Outlook, etc.
  • Skilled with working in project management software
  • Demonstrates excellent analysis and reporting skills
  • Excellent decision making/problem solving skills
  • Exceptional interpersonal and relationship building skills
  • Excellent critical listening and thinking skills
  • Proven ability to effectively interact with all levels of the organization of management within and externally to the organization
  • Excellent written and verbal communication skills
  • Customer service oriented
  • Ability to shape the approach to needed results and gain consensus of the approach
  • Ability to proactively, effectively and efficiently lead a project team of 20+ core members and multiple vendors
  • Ability to manage a multimillion dollar project
  • Proven ability to prioritize work and team assignments to deliver projects on time, on budget, and meeting stakeholders expectations
  • Demonstrates a sense of urgency
  • Deep understanding of project management processes, techniques and tools, and development lifecycle (ideally Agile)
  • Strong experience in the healthcare payer industry and knowledge of Medicaid and Medicare
Licensure and Certification:
  • Project Management Professional (PMP) or equivalent certification/training required
  • Program Management Certification (PgMP) preferred
Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time
  • Travel is not typically required

Compensation Range:
$113,000.00 - $197,700.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
  • Fostering a Collaborative Workplace Culture
  • Cultivate Partnerships
  • Develop Self and Others
  • Drive Execution
  • Influence Others
  • Pursue Personal Excellence
  • Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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