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Remote Provider Network Management Jobs in Florida

paradigm

Provider Relations Specialist

Lombard, IL · Remote

... network strategy by assisting in relationship management, contracting activities, and vendor ... This is a remote work opportunity DUTIES AND RESPONSIBILITIES: * Serve as a day-to-day point of ...

Phsorg

The Director of Provider Network Servicing and Value-Based Payments is a senior leadership role ... management. The position partners closely with Provider Contracting, Medical Economics, Clinical ...

New

CompassMSP

Network Engineer - Level I

Coral Gables, FL · On-site +1

Who You Are This position is for a technology consultant to support the network, applications, and users for managed clients. An ideal candidate will have real world experience providing direct ...

CompassMSP

Network Engineer - Level I

Coral Gables, FL · On-site +1

Who You Are This position is for a technology consultant to support the network, applications, and users for managed clients. An ideal candidate will have real world experience providing direct ...

CompassMSP

Network Engineer - Level I

Coral Gables, FL · On-site +1

Who You Are This position is for a technology consultant to support the network, applications, and users for managed clients. An ideal candidate will have real world experience providing direct ...

IQ Fiber

Manager, Network Engineering

Jacksonville, FL · On-site +1

This is a remote role* Essential Duties and Responsibilities: * Lead, mentor, and develop a team of ... provider environment. * 2+ years of people-management experience leading technical teams. * Deep ...

Nourish

Provider Recruiting Manager

Miami, FL · Remote

... our provider network and ensure more patients can access the care they need. You will report ... This role is full-time and open to remote candidates. Key Responsibilities: * Lead, coach, and ...

Aston Carter

Remote Medical Coder

Jacksonville, FL · On-site +1

$75/hr

Provide well-written, expert responses to operational healthcare scenarios for use in model ... Able to work independently in a remote setting while managing priorities, deadlines, and ...

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Remote Provider Network Management information

What is remote provider network management?

A Remote Provider Network Management role involves overseeing relationships and contracts with healthcare providers, such as doctors, hospitals, and clinics, while working remotely. Professionals in this field are responsible for recruiting new providers, maintaining communication, ensuring compliance with regulations, and addressing network issues. They play a key part in expanding and maintaining a healthcare organization's provider network to ensure members have access to quality care. This job typically requires strong organizational, negotiation, and communication skills, as well as familiarity with healthcare regulations and provider credentialing processes.

What are the key skills and qualifications needed to thrive as a remote provider network management professional?

To thrive in Remote Provider Network Management, you need expertise in healthcare provider relations, contract negotiation, and a solid understanding of health plan regulations, often supported by a degree in healthcare administration or a related field. Familiarity with provider network management software, data analytics tools, and knowledge of regulations like HIPAA are typically required. Excellent communication, problem-solving abilities, and attention to detail are essential soft skills for building strong partnerships and managing network performance. These skills and qualifications ensure efficient network operations, regulatory compliance, and high-quality service for both providers and members.

How does a remote provider network management professional typically collaborate with healthcare providers and internal teams?

Remote Provider Network Management professionals frequently coordinate with healthcare providers via virtual meetings, emails, and secure online portals to address contract negotiations, credentialing, and performance issues. They also work closely with internal departments such as claims, quality assurance, and customer service to ensure seamless provider onboarding and ongoing support. Effective communication and strong relationship-building skills are essential, as much of the collaboration happens through digital channels. This setup allows for flexibility but requires self-motivation and proactive engagement to maintain strong provider networks.

What is the difference between Remote Provider Network Management vs Remote Provider Relations Specialist?

AspectRemote Provider Network ManagementRemote Provider Relations Specialist
CredentialsHealthcare administration, network management certificationsCustomer service, healthcare communication certifications
Work EnvironmentHealthcare organizations, insurance companies, remote office settingsHealthcare providers, insurance companies, remote customer support
Industry UsageManaging provider networks, credentialing, contractingBuilding provider relationships, resolving provider issues

Remote Provider Network Management focuses on overseeing healthcare provider networks, including credentialing and contracting. In contrast, Remote Provider Relations Specialists primarily handle communication and relationship-building with providers. Both roles require healthcare knowledge but differ in their core responsibilities and focus areas.

What are the most commonly searched types of Provider Network Management jobs in Florida?

The most popular types of Provider Network Management jobs in Florida are:

What are popular job titles related to Remote Provider Network Management jobs in Florida?

For Remote Provider Network Management jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Remote Provider Network Management jobs in Florida look for?

The top searched job categories for Remote Provider Network Management jobs in Florida are:

What cities in Florida are hiring for Remote Provider Network Management jobs?

Cities in Florida with the most Remote Provider Network Management job openings:

Remote Provider Network Management jobs near you

Provider Relations Specialist

paradigm

Lombard, IL • Remote

Full-time

Posted 4 days ago

Job description

Paradigm is seeking a full-time, fully remote Provider Relations Specialist to join our team.  In this pivotal role, you will leverage your 4+ years of experience in provider relations and contract development to support our provider network strategy, maintain strong relationships, and contribute to cost-effective care solutions.

The Provider Relations Specialist supports Paradigm's provider network strategy by assisting in relationship management, contracting activities, and vendor coordination. This role is responsible for helping to maintain strong provider relationships, coordinating single case agreements, and supporting cost-effective care solutions. The associate will contribute to the execution of strategies developed by the Director and will serve as a liaison with providers, vendors, and internal stakeholders to ensure alignment with Paradigm's financial and operational goals.

This is a remote work opportunity

DUTIES AND RESPONSIBILITIES:

  • Serve as a day-to-day point of contact for providers regarding inquiries, documentation, and follow-up on active negotiations.
  • Facilitate key provider relationships including performing monthly reviews, QBR's and annual stewardships with select providers.
  • Support management of key vendor/partner relationships including but not limited to participating in monthly reviews, QBR's and annual stewardships.
  • Support the execution and tracking of single case agreements (SCAs), letters of agreement (LOAs), and other provider arrangements.
  • Maintain accurate contract records and provider contact logs, support preparation of documentation and materials for provider discussions.
  • Assist in coordinating provider onboarding and education related to Paradigm programs and expectations.
  • Help monitor vendor deliverables and escalate issues to the Director as appropriate.
  • Assist in data tracking and reporting related to vendor and partner performance.
  • Compile and analyze data to support provider engagement, payment strategy, and network optimization initiatives.
  • Prepare summary reports or visualizations for internal and external stakeholders as requested.
  • Assist with identifying trends or provider issues based on contract and billing data.
  •  

QUALIFICATION REQUIREMENTS:

  • Excellent provider-facing and internal communication skills.
  • 4+ years of experience in provider relations and contract development.
  • Excellent written and verbal communication skills.
  • Familiarity with reference-based pricing models, single case agreements, and facility contracting concepts.
  • Solid organizational skills including attention to detail and multitasking skills.
  • Strong working knowledge of Workers Compensation fee schedules, CMS methodology, medical coding and other standard billing practices.
  • Strong organizational skills and ability to manage multiple priorities effectively.
  • Some Commercial healthcare experience strongly preferred.
  • Bachelor's Degree in appropriate field of study or equivalent work experience.
 

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