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Director Provider Contracting Jobs in Texas (NOW HIRING)

Direct Jobs

Director, Provider Engagement

Houston, TX · On-site

$144.80 - $181/hr

Director, Provider Engagement, Salary: $144,800.00 - $181,000.00 Community Health Choice, Inc ... Partner with Provider Contracting, Network Operations, Medical Management, Quality, Claims ...

Nahse

Director, Provider Engagement

Houston, TX · On-site

$144.80 - $181/hr

Director, Provider Engagement, Salary: $144,800.00 - $181,000.00 Community Health Choice, Inc ... Partner with Provider Contracting, Network Operations, Medical Management, Quality, Claims ...

Oscar Health

Director, Provider Operations

Dallas, TX · On-site

$147K - $193K/yr

The Director, Provider Operations builds, scales and optimizes Oscar's provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy ...

Namely

Director, Provider Operations

Dallas, TX · On-site

$147.55 - $193.66/hr

The Director, Provider Operations builds, scales and optimizes Oscar's provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy ...

Oscar Health

Director, Provider Operations

Dallas, TX · Remote

$147K - $193K/yr

The Director, Provider Operations builds, scales and optimizes Oscar\'s provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and ...

Oscar Health

Director, Provider Operations

Dallas, TX · Remote

$147K - $193K/yr

The Director, Provider Operations builds, scales and optimizes Oscar's provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy ...

Oscar Health

Director, Provider Operations

Dallas, TX · Remote

$147K - $193K/yr

The Director, Provider Operations builds, scales and optimizes Oscar's provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy ...

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All JobsProvider Contracting JobsDirector Provider Contracting JobsDirector Provider Contracting Jobs in Texas

Director Provider Contracting information

What does a director provider contracting do?

A Director of Provider Contracting is responsible for negotiating and managing contracts between healthcare providers (such as hospitals, physicians, and clinics) and insurance companies or health plans. They ensure that agreements meet regulatory requirements, align with company goals, and provide high-quality, cost-effective care for members. Their role includes analyzing provider performance, maintaining strong relationships with providers, and collaborating with internal teams to optimize network performance. The Director often leads a team and plays a key role in strategic planning and financial management related to provider networks.

What is the difference between Director Provider Contracting vs Contract Manager?

AspectDirector Provider ContractingContract Manager
CredentialsTypically requires a bachelor’s degree in healthcare administration, business, or related field; often with experience in healthcare contractingUsually requires a bachelor’s degree in business, management, or related field; certifications like CPM or CPCM are common
Work EnvironmentHealthcare organizations, insurance companies, or managed care organizationsVarious industries including healthcare, manufacturing, and corporate sectors
Primary FocusNegotiating and managing provider contracts, ensuring compliance, and optimizing provider networksDrafting, analyzing, and managing contractual agreements across departments or projects

The main difference is that the Director Provider Contracting focuses specifically on healthcare provider agreements and network management, while the Contract Manager handles a broader range of contracts across different industries. Both roles require strong negotiation skills and contract knowledge, but the Director Provider Contracting is specialized in healthcare settings.

How does a director provider contracting typically collaborate with other departments within a healthcare organization?

A Director of Provider Contracting frequently works cross-functionally with departments such as network management, legal, finance, and clinical operations. This collaboration ensures that contracts align with organizational goals, comply with regulations, and support cost-effective, high-quality care delivery. Regular meetings and joint projects are common, and effective communication is key to balancing provider relationships with business objectives. Being proactive in building strong internal partnerships can greatly enhance contract negotiation outcomes and streamline implementation.

What are the key skills and qualifications needed to thrive as a director provider contracting, and why are they important?

To thrive as a Director Provider Contracting, you need strong expertise in healthcare contracting, negotiation, and provider relations, usually supported by a bachelor’s or master’s degree in business, healthcare administration, or a related field. Familiarity with contract management systems, healthcare reimbursement models, and regulatory compliance tools is typically required. Exceptional communication, analytical thinking, and leadership skills set top performers apart in this role. These abilities are crucial for building effective provider networks, ensuring regulatory compliance, and achieving organizational goals in a competitive healthcare environment.
What are popular job titles related to Director Provider Contracting jobs in Texas? For Director Provider Contracting jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Director Provider Contracting jobs in Texas look for? The top searched job categories for Director Provider Contracting jobs in Texas are:
What cities in Texas are hiring for Director Provider Contracting jobs? Cities in Texas with the most Director Provider Contracting job openings:
Director Provider Contracting jobs near you
Infographic showing various Director Provider Contracting job openings in Texas as of August 2026, with employment types broken down into 2% As Needed, 80% Full Time, 13% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Director, Provider Engagement

Direct Jobs

Houston, TX • On-site

$144.80 - $181/hr

Other

Medical, Dental, Vision

Posted 6 days ago

Job description

Job Number: 180655, Job Title: Director, Provider Engagement, Salary: $144,800.00 - $181,000.00

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

' Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

' Children's Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

' Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

' Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

JOB SUMMARY

The Director, Provider Engagement is responsible for leading the health plan's provider engagement strategy, provider relationship management, practice transformation initiatives, and performance optimization efforts across assigned provider networks. This leadership role drives provider collaboration to improve regulatory compliance, access to care, cost, quality, and Member outcomes.

The Director serves as the executive relationship lead for physician groups, health systems, ancillary providers, and key network partners, ensuring alignment between contractual requirements and organizational goals.

Strategic Planning:

Develop and execute enterprise provider engagement strategies aligned with organizational goals, network performance objectives, and market priorities.

Serve as executive relationship leader for high-priority provider organizations, physician groups, and strategic health systems.

Partner with Provider Contracting, Network Operations, Medical Management, Quality, Claims, Credentialing, and Operations to drive provider performance.

Identify provider network gaps, access concerns, operational inefficiencies, and improvement opportunities.

Lead provider segmentation strategies and engagement models based on market, specialty, performance, and contractual priorities.

Provider Performance, Education, and Practice Transformation
  • Lead quality and value-based provider performance educational sessions.
  • Establish strategic improvement plans with provider partners.
  • Oversee practice transformation initiatives and operational redesign efforts.
  • Monitor provider scorecards, dashboards, and corrective action initiatives.
Executive Provider Relations and Network Performance
  • Serve as senior liaison between providers and internal business units.
  • Lead executive-level provider meetings, joint operating committees, and governance forums.
  • Drive implementation of strategic initiatives impacting provider network performance.
  • Partner with analytics teams to develop provider performance insights and action plans.
  • Support market expansion, network optimization, and transformation initiatives.
Department Leadership and Team Development:
  • Lead, mentor, and develop Provider Engagement leadership and field-based teams.
  • Establish departmental performance standards, productivity expectations, service-level expectations, and accountability measures.
  • Build succession planning and team development strategies.
  • Foster a culture of provider partnership, responsiveness, and operational excellence.
Provider Operations, Issue Resolution, and Data Governance:
  • Provide leadership over provider relations operational workflows, issue resolution, and service excellence.
  • Ensure timely provider issue resolution related to claim payment issues, credentialing concerns, provider portal functionality, and operational barriers.
  • Provide oversight for provider directory requirements and related data governance activities.
QUALIFICATIONS:

Education/Specialized Training/Licensure: Bachelor's degree in Business Administration, Healthcare Administration, Public Health, or a related field required.

Work Experience (Years and Area): Ten (10) years of managed care or healthcare experience, including at least five (5) years of provider engagement, provider relations, or provider contracting experience.

Health plan experience and experience within the Houston market.

Management Experience (Years and Area): Five (5) years of direct people leadership experience.

Software Proficiencies: Microsoft 365 Suite.

Experience with QNXT and Salesforce.

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