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Remote Provider Network Management Jobs in Iowa (NOW HIRING)

Network Engagement Representative

Nevada, IA · On-site +1

$28.06 - $44.20/hr

Acts as a strategic partner with provider offices and the organization to help build and manage ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

Robust management and administrative support team * Fully remote * Scheduled appointments * 15 minute patient encounters * Join our Provider Network Today! Company History Bastion is the first-of-its ...

Controller, Leadership Role | Hybrid/ Remote, Des Moines, IA | $125K-$145K + Benefits A financially ... This opportunity is ideal for experienced Accounting Managers, Senior Accountants ready for ...

Ability to provide prevention and intervention for multiple disease conditions through motivational ... Our program offers a customized model of remote care services that blends Chronic Care Management ...

This role applies structured change management methodologies to minimize resistance, drive user ... Provide mentorship and support to leaders to help them effectively sponsor and reinforce IT changes.

... provide selling opportunities, and how tailored risk management solutions might meet specific ... Network to attain positive, collaborative relationships with internal colleagues across divisions ...

In-house referral network to/from psychiatrists * Full operational support including scheduling ... Comfort managing a consistent outpatient caseload * Strong clinical judgment, communication skills ...

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

Vice-President, Provider Network Contracting

UnitedHealth Group

Des Moines, IA • Remote

$134K - $230K/yr

Full-time

Retirement

Posted 3 days ago

New


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

186th of 887 rated healthcare providers


Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

It's time for us to talk because at UnitedHealth Group, there's never better time to lead. Health care is changing and evolving at a pace that few could have predicted. Technology, ideas and bold vision are taking companies like UnitedHealth Group to new levels of performance. They can help you bring your impact to a whole new level. As a Director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 3 leader. 


If you reside in the state of Iowa, you will have the flexibility to work remotely* as you take on some tough challenges.

***The role supports healthcare providers in the State of Iowa so there is a preference for the candidate to be based in or near Iowa.***
 

Primary Responsibilities:

  • Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
  • Develop and execute strategies for a function or discipline that span a large business unit or multiple markets/sites
  • Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency
  • Direct others to resolve business problems that affect multiple functions or disciplines
  • Direct work that impacts entire functions and/or customer accounts (internal or external) 


In this influential, high-impact role, the emphasis will be on setting strategy and working across a matrixed organization to achieve desired results. The environment is fast paced and demanding, so you will be changing priorities often and reacting to the needs of the marketplace. 
 

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 

Required Qualifications:

  • 8 years of management experience in a network management-related role handling complex network providers with accountability for business results
  • 5 years of experience developing product pricing and utilizing financial modeling in making rate decisions
  • 5 years of experience with provider contracting
  • 3 years of experience developing and managing a medical cost and administrative budget
  • Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), Diagnosis Related Groups, Ambulatory Surgery Center Groups, etc.

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $134,600 - $230,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.  

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.  


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