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Remote Provider Network Development Jobs in Oregon

Kargo

Network Security Engineer

OR · Remote

$104K - $142K/yr

Configure and maintain firewalls, VPNs, network segmentation, NAC, and secure remote access ... Provide security guidance and training to internal teams. Experience * 3+ years of experience in ...

DMI

Senior Network Engineer

$97K - $102K/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.

Lumen Technologies

Manager Network Operations

OR · Remote

$105K - $141K/yr

Location and Hours This position is a remote, work-from-home role based in the United States. The ... Manage and monitor workload and development plans for team What We Look For in a Candidate ...

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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
Infographic showing various Remote Provider Network Development job openings in Oregon as of July 2026, with employment types broken down into 86% Full Time, 6% Part Time, and 8% Contract. Highlights an 100% Remote job distribution.
Provider Performance Specialist

Provider Performance Specialist

Samaritan Health Services

Corvallis, OR • Remote

Other

Posted 11 days ago

Samaritan Health Services rating

7.5

Company rating: 7.5 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

231st of 886 rated healthcare providers

Job description

  • This is a remote position in which we are able to employ in the following states: Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin
  •  
  • JOB SUMMARY/PURPOSE
    • Serves as a primary operational partner to assigned providers and clinics, supporting performance improvement initiatives aligned with the Plan Performance operating model. Focuses on provider education delivery, escalation management, and execution of quality, access, and documentation initiatives across Medicaid and Medicare Advantage lines of business.
  • DEPARTMENT DESCRIPTION

    • Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage and Commercial Large Group plans. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.

  • EXPERIENCE/EDUCATION/QUALIFICATIONS
    • Bachelor’s degree in Healthcare Administration, Public Health, Health Informatics, or a related field, or equivalent related experience required.
    • Three (3) years of experience in a healthcare payer, provider organization, managed care environment, or population health program required.
    • Experience in the following preferred:
      • Working directly with providers, clinics, or care teams.
      • HEDIS, Stars, or Risk Adjustment programs or initiatives.
      • Medicaid or Medicare Advantage environments.
      • Quality improvement, population health, provider relations, care coordination or project management.
      • Working in value-based care programs.
      • Clinical operations, medical office workflows, or practice administration.
  • KNOWLEDGE/SKILLS/ABILITIES
    • Working understanding of provider network workflows, preventative care and chronic condition management concepts, healthcare quality programs, and basic risk adjustment concepts.
    • Knowledge of Medicaid managed care operations and Medicare Advantage.
    • Strong communication and facilitation skills, strong verbal and written communication skills, ability to translate complex concepts into practical actions, excellent organization and follow through, and ability to operate independently within defined strategy.
    • Ability to assimilate and interpret operational performance dashboards, explain performance metrics to non-technical audiences, identify performance gaps using structured reports, and track improvement actions and outcomes.
    • Ability to work with Excel reports, provider scorecards, gap lists, and performance tracking tools. Ability to develop KPIs and provider performance scorecards.
    • Ability to build professional relationships with clinic staff and providers, deliver structured provider education, facilitate performance improvement discussions, and support workflow adoption within practices.
    • Basic functional understanding of preventive care gap closure, annual wellness/annual visit workflows, documentation importance for patient complexity, and quality measure improvement activities.
  • PHYSICAL DEMANDS

    • Rarely
      (1 - 10% of the time)

      Occasionally
      (11 - 33% of the time)

      Frequently
      (34 - 66% of the time)

      Continually
      (67 – 100% of the time)

      CLIMB - STAIRS

      LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs

      LIFT (Knee to chest: 24"-54") 0 – 20 Lbs

      LIFT (Waist to Eye: up to 54") 0 - 20 Lbs

      CARRY 1-handed, 0 - 20 pounds

      BEND FORWARD at waist

      KNEEL (on knees)

      STAND

      WALK – LEVEL SURFACE

      ROTATE TRUNK Standing

      REACH - Upward

      PUSH (0 - 20 pounds force)

      PULL (0 - 20 pounds force)

      SIT

      CARRY 2-handed, 0 - 20 pounds

      ROTATE TRUNK Sitting

      REACH - Forward

      MANUAL DEXTERITY Hands/wrists

      FINGER DEXTERITY

      PINCH Fingers

      GRASP Hand/Fist

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