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Remote Provider Network Development Jobs in Virginia

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Chantilly, VA · Remote

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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 Virginia? The most popular types of Provider Network Development jobs in Virginia are:
What are popular job titles related to Remote Provider Network Development jobs in Virginia? For Remote Provider Network Development jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Remote Provider Network Development jobs in Virginia look for? The top searched job categories for Remote Provider Network Development jobs in Virginia are:
What cities in Virginia are hiring for Remote Provider Network Development jobs? Cities in Virginia with the most Remote Provider Network Development job openings:
Remote Provider Network Development jobs near you
Market Development and Outreach Specialist - Remote in Roanoke, VA

Market Development and Outreach Specialist - Remote in Roanoke, VA

Sentara Healthcare

Roanoke, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 385 frontline employees who took The Breakroom Quiz

487th of 873 rated healthcare providers

Job description

City/State
Roanoke, VA
Work Shift
First (Days)
Overview:
Sentara Health Plans is hiring for a Market Development and Outreach Specialist - Remote in Roanoke, VA!
Position Status: Full-time, permanent (40 hours/week)
Position Location: This is a remote position based Roanoke, Virginia. The role includes travel of up to approximately 3 to 4 days per week in Halifax, Roanoke, Southwest Virginia, and the surrounding area. Use of personal vehicle required. Eligible for reimbursement for travel and lodging.
Standard Working Hours: 8 AM to 5 PM EST, M-F; Will include occasional weekends/as needed.
Overview
  • The Community Outreach Coordinator is a community development and member outreach role, responsible for a geographic area generating millions of dollars in annual revenue.
  • Creates marketplace opportunities to showcase Sentara Family Care's programs and services for Medicaid beneficiaries, advocates, and community leaders.
  • Initiates and develops community activities that drive membership growth or retention.
  • Initiates grass-roots stakeholder development in support of SFC goals.
  • Provides on-site management of events.
  • Demonstrates proficiency in understanding, analyzing, and articulating complex issues in the Medicaid program or in the community, including emerging health care issues.
  • Use of personal vehicle required.

Education
  • BLD - Bachelor's Level Degree REQUIRED

Certification/Licensure
  • None required

Experience
  • CRM Database- Previous Experience, eg. Salesforce REQUIRED
  • Customer Service- 3 years REQUIRED
  • Public Relations - 3 years REQUIRED
  • Outreach and Advocacy- 3 years REQUIRED

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-100052
Talroo - Health Plan
Managed Care, MCO, Health Plan, Health Insurance, Healthcare, Social Work, Bachelors, Degree, Market, Development, Outreach, Specialist, Marketing, Community, Member, Medicaid, Grassroots, Advocacy, Public Relations, Sales, Customer Service
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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