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Remote Provider Network Management Jobs (NOW HIRING)

LifeHealth

Provider Network Recruiter

Littleton, CO · Remote

This position is 100% Remote Key Responsibilities * Develop and implement innovative sourcing ... Manage the provider onboarding process, ensuring timely and accurate completion of all applications ...

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 ...

Oscar Health

Senior Director, Network Contracting

Dallas, TX · Remote

$178K - $234K/yr

... management with healthcare providers that align with organizational goals within a specific market/region. You will report into the Vice President, Network Management. Work Location: This is a remote ...

InstantServe LLC

Network Management Lead

Rockville, MD · On-site +1

$103K - $142K/yr

... provide proactive mechanisms for collaboration, communication, and problem solving with the BPA ... The network management lead should possess: * Experience with network design, architecture, and ...

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Remote Provider Network Management information

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$22K

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$162.5K

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

As of Aug 11, 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?

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.
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Remote Provider Network Management jobs near you

Provider Network Operations Advisor - Cigna Healthcare - Hybrid

Cigna

Richmond, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 27 days ago

Cigna Healthcare rating

8.4

Company rating: 8.4 out of 10

Based on 238 frontline employees who took The Breakroom Quiz

23rd of 887 rated healthcare providers

Job description

Join our team as a Provider Network Operations Advisor, playing a key role in creating and maintaining provider networks that deliver quality, affordability, and access to care. This role shapes provider network strategy across a matrixed group of partners, using data to driveinitiatives that support Cigna Enterprise goals and directly impact our clients and customers.

Key Responsibilities

Provider Data Resolution

  • Support the management and implementation of provider, hospital, and ancillary networks by researching and resolving provider data issues, including demographic, claims, and system loading errors.
  • Troubleshoot issues escalated by Market Network Advisors using Cigna systems such as HCPM, Cognos, and the Developer Database.
  • Respond to questions from the Contracting team and matrix partners related to provider locations, policies, and data accuracy.
  • Perform rate and fee schedule audits upon request.
  • Support accurate loading of provider contracts and reimbursement methodologies.

Market Guidebooks

  • Create, manage, and maintain Market Guidebooks, including rate updates, provider inclusion/exclusion, and audit documentation.
  • Advise Market leadership and the National Alternative Access Network Manager on market-specific network dynamics.
  • Participate in quarterly reviews, identify corrections, and assist with provider terminations, additions, and updates.

Alternative Access Network (AAN)

  • Serve as the market subject matter expert for Alternative Access Networks, including inclusion/exclusion criteria and anchor providers.
  • Develop and maintain the AAN field guide for Contracting teams.
  • Coordinate, edit, and approve AAN communications, such as provider notices and Sales materials.
  • Conduct provider research and approve mailing lists for new or expanded product offerings.
  • Perform ongoing network maintenance, answer questions, and resolve issues.
  • Partner with the Network Manager on Split TIN handling and loading for IFP.

Affordability

  • Facilitate monthly affordability calls and agendas.
  • Monitor opportunity detection tools and support total medical cost savings through provider research, claims analysis, action planning, and outcome monitoring.
  • Partner with Market Medical Directors and Data Analytics on savings opportunities.
  • Perform medical benchmarking and network modeling using HPN tools.

Compliance - Network Adequacy & State Filings

  • Partner with matrix teams to ensure accurate provider data for filings, including hospital listings and state-specific requirements for the Mid-Atlantic market.
  • Support recruitment efforts to address network adequacy gaps by validating provider locations, specialties, and viability.

HSCRC - State of Maryland

  • Represent the market on monthly state-facilitated calls.
  • Provide regulatory updates to Contracting leadership and the Market Medical Director.
  • Participate in AHEAD learning activities and support related initiatives.

Regulatory Compliance - Mid-Atlantic

  • Support subject matter expertise related to the No Surprises Act, CMS guidance, and federal and state regulations.
  • Partner with business owners to ensure workflows and policies are implemented in a timely manner.
  • Identify operational gaps and recommend process improvements.

Qualifications

  • Bachelor's degree or equivalent experience required.
  • 5+ years of experience in provider network management or healthcare insurance.
  • Project management experience preferred.
  • Strong analytical, problem-solving, and critical-thinking skills.
  • Excellent communication, stakeholder management, and organizational skills.
  • Healthcare compliance and regulatory experience preferred.
  • Knowledge of CMS regulations, NSA, and reimbursement structures preferred.
  • Ability to work independently and manage multiple priorities.
  • Proficiency in Microsoft Office; Cigna systems experience preferred.
  • Local market knowledge preferred.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 79,700 - 132,800 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.


At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.


About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

What Cigna Healthcare employees say

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About Cigna

Sourced by ZipRecruiter

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Bloomfield, CT, US

Social media

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