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Remote Provider Network Development Jobs (NOW HIRING)

Humana

Network Optimization Lead

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... network development. * 2 or more years' experience in provider relations * 2 or more years of ... Remote- Home * Typical Workdays/Hours: Monday - Friday, 8:00am - 5:00pm Central Standard Time (CST ...

New

Maryland Physicians Care

Provider Network Specialist

Linthicum, MD · On-site +1

$67K - $72K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Identifies recruitment opportunities and assists in the analysis and development of cost-effective ... Monitors provider availability and accessibility to ensure provider network coverage. * Creates and ...

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Remote Provider Network Development information

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

As of Aug 18, 2026, the average hourly pay for remote provider network development in the United States is $48.73, according to ZipRecruiter salary data. Most workers in this role earn between $36.78 and $62.50 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.

More about Remote Provider Network Development jobs

What cities are hiring for Remote Provider Network Development jobs?

Cities with the most Remote Provider Network Development job openings:

What are the most commonly searched types of Provider Network Development jobs?

The most popular types of Provider Network Development jobs are:

What states have the most Remote Provider Network Development jobs?

States with the most job openings for Remote Provider Network Development jobs include:

What job categories do people searching Remote Provider Network Development jobs look for?

The top searched job categories for Remote Provider Network Development jobs are:

Remote Provider Network Development jobs near you
Infographic showing various Remote Provider Network Development job openings in the United States as of August 2026, with employment types broken down into 78% Full Time, and 22% Part Time. Highlights an 100% Remote job distribution, with an average salary of $101,366 per year, or $48.7 per hour.

Network Optimization Lead

Humana

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 266 frontline employees who took The Breakroom Quiz

165th of 309 rated insurance

Job description

Become a part of our caring community
Join the Humana team as a Network Optimization Lead. In this role you will drive network optimization and value, manage compliance with network requirements - including network adequacy - for Humana's Illinois Medicaid plan. Reporting to the Network Optimization Principal, you will help analyze provider network performance, support Provider Contracting and project manage terminations. You will work closely with the Provider Relations team to understand and address network operational issues and advise on network composition and value-based payment strategy.Main Responsibilities
  • Contribute to strategy for Humana's Illinois Medicaid plan provider network, including contracting approaches, unique partnerships, and deployment of value-based care models to assure long-term, mutually successful provider relationships.
  • Analyze internal and external data, and market intelligence information.
  • Monitor network adequacy data to inform targeted contracting opportunities and manage resolution process in the event of network terminations.
  • Manage provider network strategic plans and their tactical execution, ensuring alignment to financial, operational and clinical goals.
  • Lead network governance meetings to identify network issues, ensure compliance with Illinois Department of Healthcare and Family Services (HFS) requirements, and support network operations.
  • Monitor performance against measurements and contractual commitments and requirements to ensure compliance. Work with health plan leadership to drive operational efficiencies and improve performance.
  • Solve complex network adequacy challenges.
  • Work with Network Optimization Principal, Provider Services Director, health plan finance, and clinical and quality teams to achieve strategic goals and priorities.

Use your skills to make an impact
Required Qualifications

  • Bachelor's degree and a minimum of 5 years of experience in Medicaid managed care operations, network contracting, network operations, and/or network development; or

    In lieu of a bachelor's degree, a minimum of 7 years of experience in Medicaid managed care operations, network contracting, network operations, and/or network development.

  • 2 or more years' experience in provider relations

  • 2 or more years of experience with Power BI, Excel- analyzing data and identifying gaps and solutions

  • Reside in the State of Illinois

Preferred Qualifications

  • Master's Degree.

  • Understanding of Illinois Medicaid contractual requirements and provider landscape.

  • Expertise in value-based payment models.

  • Knowledge of Humana's internal policies, procedures, and systems.

Additional Information

  • Workstyle: Remote- Home

  • Typical Workdays/Hours: Monday - Friday, 8:00am - 5:00pm Central Standard Time (CST)

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$115,200 - $158,400 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

What Humana employees say

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Benefits

Hours and flexibility

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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