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Remote Provider Network Development Jobs in Monmouth Junction, NJ

Covera Health

Senior Provider Network Analyst

New York, NY · Remote

$96K - $127K/yr

We are a remote-first company with employees located across the U.S., and this role is fully remote ... Annual Professional Development Stipend to invest in courses, books, or any other professional ...

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All JobsProvider Network Development JobsRemote Provider Network Development JobsRemote Provider Network Development Jobs in Monmouth Junction, NJ

Remote Provider Network Development information

See Monmouth Junction, NJ salary details

$32

$49

$63

How much do remote provider network development jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for remote provider network development in Monmouth Junction, NJ is $49.84, according to ZipRecruiter salary data. Most workers in this role earn between $37.60 and $63.94 per hour, depending on experience, location, and employer.

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 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 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 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 cities near Monmouth Junction, NJ are hiring for Remote Provider Network Development jobs?

Cities near Monmouth Junction, NJ with the most Remote Provider Network Development job openings:

Remote Provider Network Development jobs near you
Infographic showing various Remote Provider Network Development job openings in Monmouth Junction, NJ as of August 2026, with employment types broken down into 79% Full Time, and 21% Part Time. Highlights an 100% Remote job distribution, with an average salary of $103,677 per year, or $49.8 per hour.

Specialist, Provider Network Administration - Remote

New York, NY • Remote

Molina Healthcare
Health Care and Social Assistance • 10K+ employees

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

171st of 315 rated insurance

People enjoy working here

Good employer

Recommended by students

Learn more about Molina Healthcareexternal

Full-time

Posted 25 days ago

Job description

JOB DESCRIPTION Job Summary

Provides support for provider network administration activities.  Responsible for accurate and timely validation and maintenance of critical provider information on all claims and provider databases, and ensures adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
 

Essential Job Duties

Receives information from outside parties for update of provider-related information in applicable computer system(s). 
Reviews/analyzes data by applying job knowledge to ensure appropriate information has been provided.
Maintains department quality standards for provider demographic data with affiliation and fee schedule attachment.
Ensures accurate entries of information into health plan systems.
Audits loaded provider records for quality and financial accuracy, and provides documented feedback.
Assists in resolution of configuration issues with applicable teams.
Provides support for provider network administration projects.
 

Required Qualifications

At least 3 years of health care experience, to include experience in claims, provider services, provider network operations, and/or hospital/physician billing, or equivalent combination of relevant education and experience.
Claims processing experience, including coordination of benefits, subrogation, and/or eligibility criteria.
Attention to detail, and ability to facilitate accurate data entry/review.
Data entry/processing skills.
Customer service skills.
Ability to manage multiple priorities and meet deadlines.    
Effective verbal and written communication skills. 
Microsoft Office suite and applicable software programs proficiency.
 

Preferred Qualifications

Experience with medical terminology, Current Procedural Terminology (CPT), International Classification of Diseases (ICD-9, ICD-10) codes, etc. 
Intermediate Microsoft Excel skills.
 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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