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Remote Provider Network Development Jobs in Oregon

AllOne Health, Inc.

Provider Recruiter - Remote

The Provider Recruiter is responsible for leading clinical provider network recruitment, onboarding, and network expansion activities to ensure members have access to a comprehensive, high-quality ...

WellSense Health Plan

Claims Adjudicator

$18.27 - $25.72/hr

Our Investment in You: · Full-time remote work · Competitive salaries · Excellent benefits Key ... procedures, provider network development and contract issues, processing system issues ...

DMI

Senior Network Engineer

$103K - $142K/yr

About DMI DMI is a leading provider of digital services and technology solutions, headquartered in ... development, DMI supports public sector agencies and commercial enterprises around the globe.

Kaseya Careers

Sr. Network Security Engineer

OR · Remote

$58.50 - $76.50/hr

... development, test, and production environments. * Provide technical security expertise and ... Extensive experience with VPN - site-to-site and remote-access * Intimate understanding of ...

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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 Oregon? The most popular types of Provider Network Development jobs in Oregon are:
What are popular job titles related to Remote Provider Network Development jobs in Oregon? For Remote Provider Network Development jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Remote Provider Network Development jobs in Oregon look for? The top searched job categories for Remote Provider Network Development jobs in Oregon are:
Remote Provider Network Development jobs near you
Provider Recruiter - Remote

Provider Recruiter - Remote

AllOne Health, Inc.

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

Job description

AllOne Health is in the business of care; and service is what matters most.

As a leader in workplace behavioral health, we’ve proven that a company’s success is directly linked to the health and well-being of their employees.

By joining our team, you will make a difference in the lives of our clients and their communities. The meaningful work that we do includes counseling, providing work-life resources, wellness and more through our Employee Assistance Programs (EAP).

We are currently seeking a Provider Recruiter to work remotely. This is a full-time, exempt position.

Position Summary:

The Provider Recruiter is responsible for leading clinical provider network recruitment, onboarding, and network expansion activities to ensure members have access to a comprehensive, high-quality mental health provider network.
This role is critical for expanding and maintaining a robust provider network, ensuring compliance, and delivering high-quality care to members.

What You’ll Do:

  • Recruitment & Outreach: Identify, recruit, and contract with mental health providers to meet network needs.
  • Provider Engagement: Conduct outreach to potential providers with underrepresented specialties and markets.
  • Onboarding & Contracting: Facilitate the contracting process with providers, ensuring terms promote high-quality care and cost-effectiveness; collaborate with Legal, Compliance, and Credentialing teams to meet regulatory and organizational standards.
  • Credentialing Support: Assist providers through the credentialing process, ensuring required licenses, certifications, and qualifications are met.
  • Education & Process Improvement: Provide guidance on recruitment procedures, support process improvements in recruitment and onboarding, and prepare reports, presentations, and program documents.
  • Compliance & Documentation: Maintain accurate records of outreach, contracts, and onboarding milestones; ensure all communications and documentation comply with policies and requirements.
  • Cross-Functional Collaboration: Work with Marketing, Legal, Compliance, and Provider Relations teams to align strategies, develop materials, and track KPIs.

What You’ll Need:

  • Bachelor’s degree in human resources, Psychology, or a related field strongly preferred.
  • Proven experience in provider recruitment or a related field.
  • Strong interpersonal and communication skills.
  • Knowledge of healthcare regulations and provider network requirements.
  • Previous full cycle recruiting experience.
  • Proficiency in contract negotiation and compliance.
  • Ability to manage multiple projects and complex workflows.

Company Perks:

  • We don’t want you to wait - Immediate medical (Blue Cross/Blue Shield), dental, and vision insurance is available
  • Self-Care is a top priority – We offer desirable work schedules and a generous amount of Paid Time Off
  • Thinking about your future? – We have a 401(k)-retirement program with a company match
  • Of course, we know that life happens - Employee Assistance Program (EAP) benefits are available to you and your family
  • …and many more!

AllOne Health is an AA/EO employer and actively seeks candidates from diverse backgrounds

Apply