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Remote Provider Network Management Jobs in Maryland

ASEC

Network Engineer

Lexington Park, MD · On-site +1

$135K - $150K/yr

... rule management, and secure remote connectivity. * Working knowledge of network monitoring ... ASEC is committed to providing access and reasonable accommodation in its services, activities ...

ASEC

Senior Network Engineer

Lexington Park, MD · On-site +1

$150K - $165K/yr

Configure routers, switches, firewalls, load balancers, and network management systems. * Maintain ... Support connectivity between live platforms, simulators, command centers, and remote training ...

NTT DATA Services

Network Manager

Annapolis, MD · On-site +1

Provide end-to-end oversight for all WAN, LAN, MAN, firewall, and transport network components ... Oversee capacity planning, performance analysis, and lifecycle management. * Ensure network ...

NTT DATA Services

Network Manager

Annapolis, MD · On-site +1

Provide end-to-end oversight for all WAN, LAN, MAN, firewall, and transport network components ... Oversee capacity planning, performance analysis, and lifecycle management. * Ensure network ...

Lucyrx

Director, Provider Relations

Bethesda, MD · Remote

$118K - $139K/yr

Experience leading provider relations or network operations teams in a PBM, managed care, or ... We're a nimble, remote-first team with a bold mission to redefine pharmacy benefits-and we're just ...

Booz Allen Hamilton, Inc.

RF Network Engineer

Aberdeen, MD · On-site +1

$77K - $176K/yr

Remote Work: No Job Number: R0245184 Location: Aberdeen Proving Ground,MD,US Share job via: Share ... Experience with Network Management Systems * Experience with executing on-the-move and at-the-halt ...

Booz Allen Hamilton, Inc.

Network Engineer

Annapolis, MD · On-site +1

$77K - $176K/yr

Provide customers insight into their network through monitoring and performance management ... Remote : If this position is listed as remote, there may still be occasions when you are required ...

Rockwell Automation

$114K - $172K/yr

Provide network and remote connectivity hardware/software support for internal and external customers * Design, manage, and troubleshoot highly available ISP circuits, multi-homed BGP architectures ...

Ignite IT

Senior Network Security Engineer

Suitland, MD · Remote

$63 - $82.50/hr

... remote-access and site-to-site VPN, RSA SecurID Authentication Manager or comparable MFA ... Provide daily, weekly, monthly, and annual operational support for assigned security systems ...

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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 Maryland?

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

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

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

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

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

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

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

Remote Provider Network Management jobs near you

Provider Network Specialist

Linthicum, MD • On-site, Remote

Maryland Physicians Care
5 - 10K employees
Learn more about Maryland Physicians Careexternal

$67K - $72K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

Job description

Job Type
Full-time
Description
Summary:
Assesses network access and generates reports, including Geo Access, for provider network analysis and planning. Identifies recruitment opportunities and assists in the analysis and development of cost-effective, contractual agreements with healthcare providers and institutions that can be administered efficiently and that follow state and federal regulatory requirements.
About Maryland Care Management, Inc. (MCMI)
Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.
Why join us?
MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans.
Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives.
What You'll Do:
  • Evaluates current contracts, and applies managed care reimbursement principles (capitation, per diems, creative reimbursement, etc.) to identify cost savings, while maintaining quality.
  • Researches current and new contract operational procedures; coordinates with appropriate departments, to streamline processes wherever possible.
  • Coordinates implementation of new contracts with departments involved.
  • Coordinates internal review and determine/evaluate administrative feasibility throughout the continuum of the contracting process.
  • Initiates contract flow process; ensures appropriate signatures, and data entry to system.
  • Acts as team lead and trainer for Provider Data Coordinators.
  • Ensures appropriate legal / regulatory review of contracts prior to execution.
  • Monitors provider availability and accessibility to ensure provider network coverage.
  • Creates and reviews Geo Access reports and makes recommendations for future provider network build-out.
  • Assists with onsite contractual reviews; ensures 100% accuracy and timeliness of information/modification data entry in provider files of Geo Access system.
  • Assists with training of providers regarding MPC processes and benefits; conducts follow-up training to ensure policy compliance and education continuity; disseminates written correspondence as necessary to address issues, problems, and new information, as needed.

Requirements
Knowledge and Skills:
  • The ability to review and comprehend contracts and services.
  • The ability to present information effectively in one-on-one and small group settings to providers and employees.
  • The ability to use advanced reason to define problems, collect data, establish fact, draw valid conclusions, and design, implement, and manage appropriate action plans.
  • Advanced and meticulous organization and coordination.
  • Must be able to successfully utilize geographic accessibility data, and Microsoft Office Suite and common computer and office hardware.

Education and Work Experience:
  • Bachelor's degree in business, health, management systems or closely related field is preferred, although an equivalent combination of formal education and experience may substitute for a degree.
  • Experience with large provider organizations, ancillary and hospital providers, clinical terminology.
  • Working experience with Geo Access or equivalent system is required.

EEOC Statement:
Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment.
As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive.
We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population.
Salary Description
67-72k

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