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Remote Provider Network Development Jobs (NOW HIRING)

Meta

Network Development Manager

Menlo Park, CA · On-site +1

$106K/yr

We partner with telecommunications providers and infrastructure vendors to design, source, and ... We are seeking a Network Development Manager (NDM) to support the commercial development and ...

Centene

Director, Contracting & Network Development

$134K - $249K/yr

Oversee activities of the provider contracting, network development and/or provider relations ... This is a remote position that will require regular travel for internal and provider-facing ...

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

As of Sep 1, 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.

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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, 15% Part Time, 2% Temporary, and 5% Contract. Highlights an 2% In-person, and 98% Remote job distribution, with an average salary of $101,366 per year, or $48.7 per hour.

IPA, Network Provider Specialist [HOUSTON]

Nutex Health

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday

Job description

IPA, Network Provider Specialist [HOUSTON]

TheIPA,Provider Network Specialistmanages the physician network by developing and maintaining the assigned IPA/Medical Group. This individual provides service and education to network physicians/providers and achieves company targets by implementing network improvement plans. The representative offers professional work and is responsible for performing activities pertaining to IPA Provider Network Specialist. This job includes traveling to provider offices and working under general supervision. Positions at this level are assigned a broad range of duties in the occupation. The representative uses judgment in selecting appropriate guidelines and applying general policies and procedures.
ROLE TYPE: On the road

RESPONSIBILITIES

  • Completes new provider orientation for all applicable product lines.
  • Conducts provider group meetings to review monthly/quarterly data and outcomes.
  • Responsible for meeting minutes and follow-up on 'TO DO' items identified at meetings.
  • Conduct site visits to service providers, resolve issues, educate staff and providers on policies, and collect credentialing information.
  • Conduct site visits to service providers and educate staff and providers on submitting Risk Adjustment Factor Data and HEDIS information.
  • Maintains relationships with contracted HMOs to implement amendments to DOFR, delegation, policy, and procedures.
  • Returns all routine calls from providers within 24 hours to establish consistent and robust relationships with provider offices.
  • Provide oversight on inquiries and claims issues and follow up with providers to ensure problems have been resolved.
  • Maintains provider office tools, including provider manual.
  • Supports regional Network Improvement Plan targets by providing utilization reports, ER contingencies, Frequent Flier Reports, and other analytics available to improve /maintain regions.
  • Identifies network gaps and completes contracts for PCP, Specialist, and Ancillary networks with in-depth knowledge of different fee schedules (Medicare/Medical/ASP/AWP).
  • Identifies new cost-saving possibilities through working with various committees, such as UM and Claims.
  • Understands and explains risk contracts (shared risk/entire risk).
  • Strategizes for membership growth and retention.
  • Provide training, mentoring, and guidance to new representatives.
  • Works on special projects as assigned or directed.

QUALIFICATIONS

  • Knowledge of MS Office: Word, Excel, PowerPoint, Access Database.
  • Knowledge of MS Provider relations/customer service strategies.
  • Knowledge of MSO-VL and MMSE programs and services: Authorizations, Claims, Credentialing encounters, RAF, Star Ratings, IS/IR, etc.
  • Knowledge of Network development strategies and Provider Relations experience or similar background.
  • Knowledge of current MSO-VL and MMSE geo-access requirements.
  • Effective and efficient oral and written communication skills.
  • Knowledge of County provider demographics.
  • Skills in negotiating contract language and rate structures.
  • Skills to provide training and technical assistance to contracted providers.
  • Skills to evaluate and assess provider network to determine gaps and services needed.
  • Skills to identify and develop new providers to ensure accessibility.
  • Skills to monitor contract performance through site visits and data analysis.
  • Skills to facilitate contracted provider meetings.
  • Ability to represent the department or division professionally.
  • Ability to establish and maintain effective working relationships with contracted and potential providers.
  • Ability to resolve provider inquiries or requests promptly.

REQUIREMENTS

  • Bachelor's Degree in Marketing or Business Administration
  • Minimum of 2 years experience in Network Management within a managed care environment, health plan, or significant medical group administration.

BENEFITS:

  • 401(k) matching
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

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