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Remote Provider Network Management Jobs in Illinois

Dearborn Group

Sr Network Development Spec

Lombard, IL · Remote

$61K - $136K/yr

Bachelor degree and 8 years of health/dental provider network, sales, marketing, or negotiation ... Experience initiating and managing financial negotiations. * Requires traveling nationally up to 70 ...

Guardianlife

Dental Standards Leader

Chicago, IL · On-site +1

$86K - $141K/yr

Provider Network Management, Group Distribution, Underwriting, Claims, Operations, Dental Standards ... Will consider candidates with required qualifications in other locations and or Remote. Salary ...

Nourish

Provider Recruiting Manager

Chicago, IL · 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 ...

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Remote Provider Network Management information

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.

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.

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 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 most commonly searched types of Provider Network Management jobs in Illinois? The most popular types of Provider Network Management jobs in Illinois are:
What are popular job titles related to Remote Provider Network Management jobs in Illinois? For Remote Provider Network Management jobs in Illinois, the most frequently searched job titles are:
What job categories do people searching Remote Provider Network Management jobs in Illinois look for? The top searched job categories for Remote Provider Network Management jobs in Illinois are:
What cities in Illinois are hiring for Remote Provider Network Management jobs? Cities in Illinois with the most Remote Provider Network Management job openings:
Remote Provider Network Management jobs near you

Sr Network Development Spec

Dearborn Group

Lombard, IL • Remote

$61K - $136K/yr

Full-time

Medical, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

At Dearborn, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job SummaryResponsible for complex contracting of dentists within a specific assigned territory or by assignment. Responsible for achieving annual network growth goals. Conduct initial outreach to dental offices and regular follow ups thereafter as necessary, overcoming objections with the intent to contract with the dentists at identified locations. Use sales skills along with targeted messaging to conduct outreach or cold calls. Perform outreach or contracting activities either through personal appointments or telephone. Responsible for the initial relationship development with new dentists and assist with the transition of those relationships to Network Support.

JOB REQUIREMENTS:
* Bachelor degree and 8 years of health/dental provider network, sales, marketing, or negotiation experience OR Associate degree and 10 years of health/dental provider network, sales, marketing, or negotiation experience OR 12 years of health/dental provider network, sales, marketing, or negotiation experience
* Customer service skills.
* Clear and concise verbal and written communication skills.
* PC proficiency to include MS Office.
* Detail oriented.
* Experience adjusting strategy and tactics to deliver desired outcomes.
* Experience initiating and managing financial negotiations.

* Requires traveling nationally up to 70% of the time
PREFERRED JOB REQUIREMENTS:
* Telephone, inside and external sales experience.
* Contracting and negotiation skills.
* Business problem solving experience.
* Dental office experience.

# LI-NV1

#LI-Remote

** Note: Although this is a telecommute/remote role, we cannot consider candidates that reside in AK, HI, NY or CA.**

Relocation will not be offered; sponsorship is not available.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Dearborn, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan,pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package forassociates.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

Dearborn Group Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$61,500.00 - $136,100.00

Exact compensation may vary based on skills, experience, and location.

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