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Remote Provider Network Management Jobs in Wyncote, PA

Ztek Consulting INC

Sr. Network Engineer

Philadelphia, PA · Remote

$106K - $145K/yr

Philadelphia, PA or Louisville, KY (Remote) Duration: Contract Looking for this Network Engineer to ... Network Traffic Management and Monitoring * Monitor and manage network traffic using tools such as ...

YO AI Labs

AI Consulting Expert - Remote

Philadelphia, PA · Remote

$100 - $200/hr

Provide actionable feedback and recommendations to improve AI model performance. * Collaborate ... management consulting, corporate strategy, business transformation, or operations. * Experience ...

Cbs America, Inc.

SAP IS-U Manager

Devon, PA · On-site +1

Provide guidance on best practices, industry standards, and SAP roadmap (S/4HANA Utilities, cloud ... Stakeholder & Network Management * Actively network within the SAP IS-U community, including ...

HOPPECKE Batteries

Be Seen First

National Sales Manager - Motive Power

Hainesport, NJ · Remote

$95K - $110K/yr

Provide day-to-day operational leadership, coaching and performance management for the North ... Ability to work independently in a remote environment while remaining an effective team player ...

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All JobsProvider Network Management JobsRemote Provider Network Management JobsRemote Provider Network Management Jobs in Wyncote, PA

Remote Provider Network Management information

See Wyncote, PA salary details

$21.6K

$104.6K

$159.5K

How much do remote provider network management jobs pay per year?

As of Sep 1, 2026, the average yearly pay for remote provider network management in Wyncote, PA is $104,581.00, according to ZipRecruiter salary data. Most workers in this role earn between $79,000.00 and $125,600.00 per year, depending on experience, location, and employer.

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.

Remote Provider Network Management jobs near you

Manager, Network Contracting (Northeast Region)

Philadelphia, PA • Remote

Oscar Health
Insurance Services • 1 - 5K employees

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

262nd of 315 rated insurance

Respectful managers

Uninterrupted breaks

Learn more about Oscar Healthexternal

$111K - $146K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

Hi We're Oscar. We're hiring a Manager to join our Network Contracting Team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Manager of Network Contracting is responsible for leading a team of direct reports focused on negotiating, executing, and analyzing contracts with large, national and/or complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. The Manager, Network Contracting handles dispute resolution and settlement negotiations, ensuring compliance with company standards and regulatory requirements. This role leverages negotiation skills and working knowledge of provider financial issues to optimize contracts, and collaborates with providers, hospitals and health systems to achieve successful contracting outcomes, all while supporting cost-saving initiatives and the growth of the provider network for a defined market or region.

You will report into the Director, Network Contracting & Services.

Work Location: This is a remote position based in the field, open to candidates who reside in New Jersey, New York, Pennsylvania or Virginia. Your daily work will involve a blend of work from your home office and frequent local travel for client meetings. Occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role in New Jersey and New York is: $111,780 - $146,711. The base pay for this role in all other locations is $100,602 - $132,040 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with the company's overall network adequacy, development and cost management objectives.
  • Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
  • Oversee a small team of contracting associates and specialists, facilitating leadership, guidance, and mentorship by setting strategic objectives, monitoring team performance, providing training and development opportunities, and fostering a collaborative and innovative work environment.
  • Conducts comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
  • Utilizes data and analytics of provider financial issues and competitor strategies to inform negotiation and contracting decisions and to support the team in doing so.
  • Key player in implementation of contracting policies and workflows; monitors and ensures effective and efficient contracting processes are in place.
  • Monitor key metrics for network performance, cost, and provider satisfaction, and provide reports to leadership for assigned accounts.
  • Ensure you and your team are providing timely resolution of provider issues related to contract terms, reimbursement, and network participation.
  • Build and maintain positive relationships with healthcare providers to ensure network stability and quality.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 4+ years in healthcare network contracting, including executing contracts with health systems, hospitals or national providers,  provider relations, or network management
  • 2+ years of experience managing complex Provider Network strategies and negotiating complex contracts
  • 2+ years of people management experience
  • 2+ years experience in Health Insurance (Individual and/or Medicare Advantage) and/or Healthcare industry

Bonus points:

  • Bachelor's degree or equivalent professional working experience

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. 

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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