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Remote Provider Network Development Jobs in Oregon

NV5

Remote Sensing Technician

... development/advancement opportunities. NV5 provides equal employment opportunities (EEO) to all ... Remote Employment Type: OTHER

Ascension

Senior Network Engineer Route Switch

$116K - $162K/yr

Remote Department: Core Tech Network Schedule: 8 hour shift, Monday-Friday Salary: $116,413 - $162 ... Equal Employment Opportunity Employer Equal employment opportunity employer Ascension provides ...

TechnologyAdvice

Account Director

OR · Remote

Proactively generate new revenue opportunities through cold outreach, personal network development ... LI-Remote Work authorization Employer work visa sponsorship and support are not provided for this ...

Ascension

Senior Network WAN Architect

Remote Department: Core Tech Network Schedule: 8 hour shift, Monday-Friday Salary: $154,946 - $215 ... Equal Employment Opportunity Employer Equal employment opportunity employer Ascension provides ...

Provider Solutions & Development

Neurology Physician

Salem, OR · Remote

$322K - $402K/yr

Remote work technology packages provided Practice Infrastructure: * Fully Remote - Deliver care ... With a growing network of over 20,000 care providers, more and more patients are being able to be ...

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

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.
SHP Provider Contract Consultant

SHP Provider Contract Consultant

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: Alabama, Alaska, 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, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin
  •  
  • JOB SUMMARY/PURPOSE
    • Responsible for the negotiation, development, implementation, and ongoing management of provider, hospital, and ancillary contracts across Medicaid, Medicare Advantage, and Commercial lines of business. Develops contracting strategies aligned with organizational financial, network adequacy, quality, and regulatory objectives. Leads complex negotiations, performs financial and reimbursement analysis, ensures regulatory compliance, and partners cross-functionally to support value-based payment initiatives and total cost of care management. Exercises independent judgment within established authority limits.
  • 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 Business Administration, Healthcare Administration, Finance, or a related field, or equivalent related experience required.
    • Three (3) years of progressive experience in provider contracting, network management, or managed care operations required.
    • Experience negotiating hospital and/or professional agreements required.
    • Experience in the following preferred:
      • Medicaid, Medicare Advantage, and Commercial lines of business.
      • Value-based payment models and risk-based contracting.
      • Contract lifecycle management systems.
      • Claims configuration and payment operations.
      • Supporting network adequacy reporting.
      • Delegation oversight and compliance auditing processes.
  • KNOWLEDGE/SKILLS/ABILITIES
    • Strong understanding of CMS and state regulatory requirements. Knowledge of healthcare reimbursement methodologies (Medicare-based, DRG, OPPS, capitation, case rates, VBP). Knowledge of claims configuration and payment operations. Understanding of delegation oversight and compliance auditing processes.
    • Strong financial modeling and analytical skills (advanced Excel proficiency).
    • Ability to manage multiple negotiations simultaneously. Negotiation and conflict resolution expertise.
    • Strong written and verbal communication skills. Ability to interpret complex legal and reimbursement language.
    • Strategic thinking with strong business acumen.
    • Ability to work independently with minimal supervision.
  • 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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