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Remote Provider Network Management Jobs in Virginia

Orion ICS LLC

Remote Recruiter

Virginia Beach, VA · On-site +1

... network infrastructure, automation, engineering, and commercial functions. * Provide market intelligence, compensation trends, and talent availability insights to hiring managers and business leaders.

Vector Security

Manager, Service Projects

Gainesville, VA · On-site +1

$89K/yr

Gainesville, VA or Remote US/USA What You'll Do: * Special Project Team Oversight: * Ensure team is ... network management services that help businesses operate reliably and securely. For more than 50 ...

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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 popular job titles related to Remote Provider Network Management jobs in Virginia?

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

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

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

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

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

Remote Provider Network Management jobs near you

INFORMATION TECHNOLOGY SPECIALIST (NETWORK)

U.S. Marine Corps

Stafford, VA • On-site, Remote

$102K - $158K/yr

Full-time

Re-posted 9 days ago

Key responsibilities

  • Design, develop, test, implement, and support network solutions to meet operational requirements and standards.

  • Analyze network requirements, configure infrastructure, troubleshoot issues, and implement recovery procedures to improve system availability.

  • Coordinate with stakeholders to support project planning, system integration, testing, deployment, and implementation of network solutions.

Job description

Summary
This is a public notice flyer to notify interested applicants of anticipated vacancies. Applications will not be accepted through this flyer. Interested applicants must follow the directions in the "How to Apply" section of this flyer to be considered. There may or may not be actual vacancies filled from this flyer. Notice of Result letters will not be sent to applicants who respond to this flyer.
Learn more about this agency
Duties
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  • You will design, develop, test, implement, and support network solutions while ensuring systems meet operational requirements, maintain reliability, and comply with established engineering, security, and performance standards.
  • You will analyze network requirements, configure network infrastructure, optimize performance, troubleshoot technical issues, and implement recovery procedures that improve system availability and operational readiness.
  • You will coordinate with internal and external stakeholders to support project planning, system integration, testing, deployment, and implementation while ensuring network solutions satisfy technical and mission requirements.
  • You will administer configuration management activities by documenting system changes, maintaining configuration records, tracking software versions, and preserving complete audit histories throughout the system lifecycle.
  • You will provide technical guidance during system testing, conduct user training, support quality assurance activities, and ensure new or updated network capabilities are fully prepared for successful operational deployment.
  • You will monitor network performance, evaluate system capacity, resolve complex technical issues, and recommend improvements that strengthen reliability, security, and the overall effectiveness of enterprise network services.

Requirements
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Conditions of employment
  • Must be a US Citizen.
  • Must be determined suitable for federal employment.
  • Must participate in the direct deposit pay program.
  • New employees to the Department of the Navy will be required to successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit e-verify.gov
  • Within the Department of Defense (DoD), the appointment of retired military members within 180 days immediately following retirement date to a civilian position is subject to the provisions of 5 United States Code 3326.
  • Males born after 12-31-59 must be registered for Selective Service.
  • This position is covered under the Defense Acquisition Workforce Improvement Act (DAWIA). Certification in the Acquisition Functional Area and category assigned to the position is required within established category timeframes.
  • This is a Cyberspace Workforce position, work role SYSTEMS REQUIREMENT PLANNER, proficiency level BASIC the incumbent is required to obtain and maintain qualifications in DoDM 8140.03 Cyber Workforce Qualification and Department of Navy policies.
  • You will be required to obtain and maintain an interim and/or final security clearance prior to entrance on duty. Failure to obtain and maintain the required level of clearance may result in the withdrawal of a job offer or removal.
  • You will be required to complete ethics orientation within three months of appointment and submit a Confidential Financial Disclosure Report, OGE-450, within 30 days of appointment.
  • This position may require travel from normal duty station to CONUS and OCONUS and may include remote or isolated sites. You must be able to travel on military and commercial aircraft for extended periods of time.

Qualifications
Your experience must reflect skill in the following areas: attention to detail, customer service, oral communication, and problem solving.
1. Attention to Detail - Reviewed network configurations, system documentation, software versions, and configuration records to ensure accuracy, maintain complete audit trails, enforce security requirements, and support reliable implementation, testing, and deployment of network systems.
2. Customer Service - Collaborated with customers, system sponsors, project managers, and end users to understand operational requirements, provide technical support, deliver user training, resolve network issues, and ensure reliable system performance throughout implementation.
3. Oral Communication - Communicated technical information clearly to project teams, customers, managers, and system users by presenting system status, explaining network solutions, conducting formal and informal training, and coordinating implementation activities.
4. Problem Solving - Analyzed network performance, diagnosed connectivity and infrastructure issues, developed practical technical solutions, implemented configuration changes, resolved complex network problems, and ensured systems met operational, security, and performance requirements before deployment.
Your resume must also demonstrate at least one year of Specialized experience at or equivalent to the GS-11 grade level or NH-02 pay band in the Federal service or equivalent experience in the private or public sector. Specialized experience must demonstrate the following:
1. Expert Knowledge of how system components are installed, integrated, and optimized.
2. Knowledge of cybersecurity principles and organizational requirements (relevant to confidentiality, integrity, availability, authentication, non-repudiation).
3. Knowledge of risk management processes (e.g., methods for assessing and mitigating risk).
4. Knowledge of encryption algorithms (e.g., Internet Protocol Security [IPSEC], Advanced Encryption Standard [AES], Generic Routing Encapsulation [GRE], Internet Key Exchange [IKE], Message Digest Algorithm [MD5], Secure Hash Algorithm [SHA], Triple Data Encryption Standard [3DES]).
5. Knowledge of information security systems engineering principles.
6. Ensure that all systems components can be integrated and aligned (e.g., procedures, databases, policies, software, and hardware).
Additional qualification information can be found from the following Office of Personnel Management website: https://www.opm.gov/policy-data-oversight/classification-qualifications/competency-based-policy/general-schedule/2200/2210-competency-based-policy/competency-based-qualification-standard/
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment.
Education
This job does not have an education qualification requirement.
Additional information
This position is covered by the Department of Defense Priority Placement Program.
Several vacancies may be filled.
This position supports Marine Corps Programs in PM MCEN, within PAE Mission Systems.
Recruitment/Relocation expenses reimbursed: Yes-Relocation expenses (i.e. PCS) for candidates outside of the commuting area are authorized in accordance with applicable travel regulations and Department of Navy Policy.
Relocation incentives as described in 5 USC 5753 may be authorized in accordance with applicable command policy.
A tentative offer of employment will be rescinded if the selectee fails to meet the pre-employment requirements, including failure to report to any of the scheduled appointments.
Federal annuitant information: The selection of an annuitant is subject to the Department of Defense and Department of the Navy policy on the employment of annuitants. Policy information may be found at: http://www.secnav.navy.mil/donhr/Documents/CivilianJobs/FedCivAnnuitants.pdf.
Veteran's preference does not apply when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation with your application as described in the Required Documents section below.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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