ZipRecruiter

Log In

2

Remote Provider Network Development Jobs in Ohio

next page

Showing results 1-20

All JobsProvider Network Development JobsRemote Provider Network Development JobsRemote Provider Network Development Jobs in Ohio

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 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

Provider Relations Representative

Key Benefit Administrators

Columbus, OH • Remote

Full-time

Posted 15 days ago

Job description

Key Benefit Administrators is currently seeking a Provider Relations Representative to join the team. We are excited to speak to qualified candidates about opportunity. This position includes a comprehensive benefit package and competitive salary!

About Key Benefit Administrators

We are on a mission to improve health and stabilize insurance costs for local communities. KBA was founded in 1979 as a privately owned full-service group benefit administration firm specializing in self-funded medical plans and is now one of the country's largest independently owned third party administrators. We pride ourselves on having supportive leadership, a family atmosphere, and a high performing culture - ask our employees - they have agreed that we are a Top Workplace since 2013.

Check us out here:

Website | Glassdoor | Top Workplace

Position Summary:

The Provider Relations Representative will be responsible for the strategic direction, while maintaining successful oversight of all network relationships, network development, coordination, compliance, and contract functions of network management for the Key Family. 

Essential Duties and Responsibilities:

  • Relationship oversight of all current and potential networks.
  • Serves as a liaison between network relationships and network partners, Sales, Direct to Employer team and other operational teams within Key Family. 
  • Provide superior, professional, ongoing, consistent communication and service with designated networks and clients, to maintain a positive, long-term relationship. 
  • Maintain market intelligence on competitive landscape.
  • Detailed review, negotiation, editing and sign-off, in coordination with legal and VP, of all new and renewing network contracts.
  • Establishment and coordination of directly contracted hospital and/or provider systems within designated communities, creating formal direct to employer opportunities and/or informal partnerships. 
  • Oversee elevated network issues to resolution escalating to VP as necessary. 
  • Be available for occasional network/client related travel as needed.
  • Perform additional related duties as assigned. 

Does this sound like you?

  • 3+ years of network related experience in a healthcare or Third-Party Administrator (TPA) setting preferred.
  • Proven abilities in written and verbal communication, as well as presentation skills.
  • Highly proficient in Microsoft Office products, such as Microsoft Excel and Microsoft Word.
  • Ability to multi-task and work under deadlines.
  • Strong organizational, problem solving and analytical skills.
  • Highly experienced in relationship management with networks, clients and/or brokers.
  • Ability to work proficiently, independently, and timely in a fast-paced environment and be adaptable in a dynamic work environment.
  • People and team oriented.
  • Knowledge of conducting remote meetings using Zoom is a plus.
  • Detailed understanding of operational areas of health insurance is a plus.
  •  

If you are unable to complete an application for the Provider Relations Representative position due to a disability, contact Human Resources by calling 800-560-3539 to ask for an accommodation or an alternative application process.

All qualified applicants for the Provider Relations Representative position will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender.

DDNP002

Apply