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Remote Provider Network Management Jobs (NOW HIRING)

CHPW

Provider Network Analyst

Seattle, WA · On-site +1

$35.10 - $53.71/hr

Have a minimum of two (2) years of experience managing large amounts of complex data and ... Monitor Medicare network to identify access and gap issues and provide analysis for resolution in ...

Partner with PPHP

Provider Network Specialist

The Provider Network Specialist is responsible for supporting provider contracting activities ... Manage contracting workflows and contract status within designated systems to ensure visibility ...

Zeel

Provider Relations Associate, Remote

New York, NY · Remote

$43K - $54K/yr

Zeel is hiring a remote Provider Outreach & Support Associate to help grow and support our network ... Able to manage multiple responsibilities without losing track of details * Comfortable working ...

Zeel

Provider Relations Associate, Remote

New York, NY · On-site +1

$45K/yr

Zeel is hiring a remote Provider Outreach & Support Associate to help grow and support our network ... Able to manage multiple responsibilities without losing track of details * Comfortable working ...

Cigna

Sr. Network Contract Manager- New England

Build and maintain strong provider relationships to support network growth and value-based business opportunities. * Coordinate closely with matrix partners (i.e., Claims, Medical Management ...

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Remote Provider Network Management information

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$22K

$106.6K

$162.5K

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

As of Jun 30, 2026, the average yearly pay for remote provider network management in the United States is $106,570.00, according to ZipRecruiter salary data. Most workers in this role earn between $80,500.00 and $128,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Provider Network Management professional, and why are they important?

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 a Remote Provider Network Management role?

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.
More about Remote Provider Network Management jobs
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What are the most commonly searched types of Provider Network Management jobs? The most popular types of Provider Network Management jobs are:
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What job categories do people searching Remote Provider Network Management jobs look for? The top searched job categories for Remote Provider Network Management jobs are:
Remote Provider Network Management jobs near you
Manager of Provider Network Central Florida

Manager of Provider Network Central Florida

Solis Health Plans

Orlando, FL • Remote

$100K - $115K/yr

Full-time

Posted 14 days ago

Job description

POSITION SUMMARY


The Manger of Network Central Florida directs and develops a healthcare provider network. Designs and administer policies and services that comply with all contractual and regulatory requirements. Develops, executes, and maintains a provider network strategy. Works in concert with medical management and sales to develop strategies to meet market growth and medical cost targets. Provides service and education to network physicians/providers.


ESSENTIAL DUTIES AND RESPONSIBILITIES


To perform this job, an individual must perform each essential function satisfactorily, with or without reasonable accommodation, including, but not limited to:


Key Responsibilities

  • Serves as a communication link between providers and the company.
  • Serves as a business unit representative on enterprise initiatives around network management and leads projects with significant impact.
  • Leads a team of department managers in developing and executing strategic departmental initiatives.
  • Monitors primary care and specialty risk arrangements for Medicaid and Medicare product lines.
  • Performs data analysis and develops specific actions to manage medical cost trends.
  • Develops best practice to assist risk partners in managing financial risk.
  • May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.
  • Identifies areas to improve provider service levels.
  • Educates/enhances relationships within the provider community.
  • Manages Network integrity and compliance.
  • Manages claims projects as necessary/required.
  • Manages provider loads as necessary/required.
  • Special projects as assigned or directed.
  • Prepares financial projections and conducts analysis.



SUPERVISORY RESPONSIBILITY

  • Yes.


QUALIFICATIONS AND EDUCATION


Required Qualifications


  • Requires a Bachelor's Degree in Business, Healthcare or related field.
  • Preferred A Master's Degree in a related field.
  • Candidate Experience Required:
  • 7 years of experience in the healthcare sector (preferably at HMO or PPO).
  • 5 years of experience in HMO provider/hospital/ancillary contracting and network development.
  • 3 years of management experience.


Preferred Qualifications


  • Intermediate Demonstrated leadership skills Disciplined, hands-on and process-oriented leader.
  • Advanced Other Knowledge of regulatory requirements concerning Medicare and Medicaid.
  • Advanced Other Knowledge of provider contracts and health care reimbursement.
  • Intermediate Other Understanding of regulatory compliance management and reporting requirements.
  • Ability to manage complex transactions and service models.
  • Demonstrated proficiency in establishing and driving medical cost management programs.
  • Ability to negotiate effectively with internal/external stakeholders, large hospital and physician healthcare systems.



WORKING CONDITIONS


The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

  • The noise level in the work environment is usually moderate.
  • Works in the field
  • Interacts with patients, family members, staff, visitors, government agencies, etc., under a variety of conditions and circumstances.

This work requires the following physical activities: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lifts, and moves intermittently during working hours. May be sitting for a prolonged period.


The work schedule is approximate, and hours/days may change based on company needs. All full-time employees are required to complete forty (40) hours per week as scheduled, including weekends and holidays as needed. May require some OT during varying seasons of the year.


PHYSICAL DEMANDS


The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.


The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.


PERFORMANCE MEASUREMENTS

  • Duties accomplished at the end of the day/month.
  • Attendance/punctuality.
  • Compliance with Company regulations.
  • Safety and Security.
  • Quality of work.


This Job Description may be modified at any time at the discretion of the employer as business operations may deem necessary. This does not constitute an employment agreement and may not include all duties.

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate.


Employee Acknowledgement:


I have read this job description and understand what is expected of me while I occupy this role.