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Director Provider Contracting Jobs in Raleigh, NC

WakeMed

Director, Managed Care Contracting

Raleigh, NC · On-site

Overview The Director, Managed Care Contracting is responsible for utilizing business and industry ... With a mission to improve the health and well-being of our community, we are committed to providing ...

EmergeOrtho

Director of Payor Relations

Durham, NC · On-site +1

Innovation Opportunity - Drive forward-thinking approaches to value-based care, contracting, and ... Monitor, analyze, and provide strategic insights on CMS reimbursement & payment policy changes ...

EmergeOrtho

Director of Payor Relations

Durham, NC · On-site +1

The Director of Payor Relations will drive success through revenue generation achieved via managed care contracting, value-based performance, commercial bundled arrangements, and innovative market ...

Bavariannordic

Manager, Retail Contracting

Durham, NC · Remote

$120K - $155K/yr

Senior Director, NA Access, Pricing and Contracting Salary Range: $120k - 155k About Bavarian ... Provide retail-specific insights, assumptions, and program mechanics that feed into business case ...

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All JobsProvider Contracting JobsDirector Provider Contracting JobsDirector Provider Contracting Jobs in Raleigh, NC

Director Provider Contracting information

See Raleigh, NC salary details

$37.9K

$98.1K

$168.7K

How much do director provider contracting jobs pay per year?

As of Aug 1, 2026, the average yearly pay for director provider contracting in Raleigh, NC is $98,063.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $127,800.00 per year, depending on experience, location, and employer.

What does a Director of 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 of 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 job categories do people searching Director Provider Contracting jobs in Raleigh, NC look for? The top searched job categories for Director Provider Contracting jobs in Raleigh, NC are:
Director Provider Contracting jobs near you
Infographic showing various Director Provider Contracting job openings in Raleigh, NC as of July 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $98,063 per year, or $47.1 per hour.

Director, Managed Care Contracting

WakeMed

Raleigh, NC • On-site

Full-time

Re-posted 4 days ago

WakeMed rating

7.7

Company rating: 7.7 out of 10

Based on 135 frontline employees who took The Breakroom Quiz

159th of 887 rated healthcare providers

Job description

Overview
The Director, Managed Care Contracting is responsible for utilizing business and industry expertise, accepts responsibility for all activities in the Managed Care department applying to and impacting WakeMed facilities' managed care contracts including budgeting, analysis, contract modeling, negotiation meetings and monitoring and reporting of payor contracts' compliance. Directs organizations efforts at building relationships with area managed care plans. Directly manages and develops a portfolio of managed care contracts. Directs contracting strategy for hospitals, Healthplexes, hospital outpatient departments, Home Health and Rehab divisions. Develops payment models for facility managed care contracts. Oversees facility what-if modeling analysis performed in STRATA modeling tool. Oversees the following noncontracting Managed Care responsibilities: hospital contract loading in EPIC, hospital payment variances, facility credentialing. Works with CFO, Vice President of Finance, Finance Directors and financial analysts to analyze feasibility of different payment methodologies/utilization patterns and the impact on WakeMed. Monitors market trends and competitive managed care products to develop strategy recommendations. Works with WakeMed's accountable care organization to coordinate contracting efforts and outcomes beneficial to WakeMed providers. When requested, interfaces with external and third party auditors; prepares and defends contract questions and challenges; maintains quality of work and creates value through knowledge and experience with governmental regulations and processes. Adheres to service and workforce excellence by maintaining knowledge of third-party regulations (CMS, NCDHHS, DOI, etc.) for all payors, including governmental and commercial payors. Oversees problem solving related to contract terms, payment promptness, payor-member issues, and physician-payor relations. Works closely with other Finance teams to ensure reported data is reliable. Plans and organizes activities for personnel to ensure deadlines and goals are met. Supervises and trains staff to improve and maintain the accuracy and timeliness of contacts.
Department Description
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org .
EOE
Licensure
Certified Healthcare Financial Professional Or Certified Public Accountant Or Certified Revenue Cycle Representative Preferred
Education
Bachelor's Degree Business Administration Or Healthcare Management Or Accounting Required - With College Courses Finance Required - And Master's Degree Related Field Preferred
Experience
10 Years Managed Care Contracting Required - And 5 Years Healthcare - Multi-Hospital System Preferred

What WakeMed employees say

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About WakeMed

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Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Raleigh, NC, US

Year founded

1961

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