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Director Provider Contracting Jobs in Texas (NOW HIRING)

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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 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.

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 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.

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 Network Development- Mid Atlantic Region (Virginia, Pennsylvania or North Carolina state...

Curative HR LLC

Austin, TX • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 22 days ago

Job description

About Curative

Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at $1.275B, Curative is scaling rapidly and investing in AI-powered service, deeper member engagement, and a smart network designed for today's workforce.

Our north star guides everything we do: healthcare only works when people can actually use it. That belief drives every decision we make: from how we design our plan, support our members, to how we collaborate as a team.

If you want to do meaningful work with a team that moves fast, experiments boldly, and cares deeply, Curative is the place to do it. We're growing fast and looking for teammates who want to help transform health insurance for the better.

SUMMARY
The Director Network Development oversees the development and management of insurance networks, focusing on improving affordability and quality outcomes while managing provider relationships and negotiation strategies. This role is crucial for building and maintaining a strong network of healthcare providers, ensuring access to care for members, and optimizing network performance. This is a fully remote position. Looking for candidates for the following specific states in the Mid Atlantic region: Virginia, Pennsylvania and North Carolina.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Manages contract negotiations with Major Health System and large physician groups and ancillary providers; conducting several negotiations simultaneously to meet growth demands
  • Deep understanding and experience with all clinical specialties to ensure contract terms and conditions address the coding structures which are most impacted by negotiations
  • Proactively builds relationships that nurture provider partnerships to support the local market strategy
  • Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing
  • Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain competitive position
  • Identify and manages initiatives that improve total medical cost and quality; including renegotiation of existing agreements
  • Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms
  • Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review analysis of reports as part of negotiation and reimbursement modeling activities.
  • Assists in resolving elevated provider service complaints; researching and negotiating with internal/external partners/customers to resolve complex and/or escalated issues.
  • Manages key provider relationships and is accountable for critical interface with providers and business staff
  • Coach and support newer team members on strategies and approaches to successful negotiations
  • Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape
  • Partner with Regulatory Affairs to ensure all network filings are timely and accurate; including participation with Compliance to ensure adherence to established guidelines supporting Mental Health Parity
  • This position assumes and performs other duties as assigned.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:

  • Superior problem solving, decision-making, negotiating skills, contract language and financial acumen
  • Experience with complex Hospital / Health Systems, Large Physician Groups and Ancillary provider contracting and negotiations
  • Experience negotiating delegated credentialing agreements
  • Experience in developing and managing key provider relationships including senior executives
  • Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners
  • Intimate understanding and experience with larger, more complex integrated delivery systems managed care, and provider business models
  • Team player with proven ability to develop strong working relationships within a fast- paced organization
  • The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations
  • Customer centric and interpersonal skills are required

EDUCATION and/or EXPERIENCE

  • Bachelor's degree (B. A.) from four-year college or university;
  • 7+ years of work experience beyond degree within provider contracting and/or health insurance.
  • Must have current hospital and/or large group and ancillary contracting experience in appropriate state
  • Existing relationships with major health systems and large physician groups in appropriate state is required

WORK ENVIRONMENT

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

  • Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
  • The noise level in the work environment is usually: Mild
  • For this position the percentage of expected Travel is: 5-10% of the time

Perks & Benefits 

  • Curative Health Plan (100% employer-covered medical premiums for you and 50% coverage for dependents on the base plan.)

    • $0 copays and $0 deductibles (with completion of our Baseline Visit )

    • Preventive and primary care built in

    • Mental health support (Rula, Televero, Two Chairs, Recovery Unplugged)

    • One-on-one care navigation

    • Chronic condition programs (diabetes, weight, hypertension)

    • Maternity and family planning support

    • 24/7/365 Curative Telehealth

    • Pharmacy benefits 

  • Comprehensive dental and vision coverage

  • Employer-provided life and disability coverage with additional supplemental options

  • Flexible spending accounts 

  • Flexible work options: remote and in-person opportunities 

  • Generous PTO policy plus 11 paid annual company holidays

  • 401K for full-time employees

  • Generous Up to 8-12 weeks paid parental leave, based on role eligibility.

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