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Healthcare Provider Network Contractor Jobs in Texas

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Senior Director, Network Contracting

Dallas, TX · On-site

$179 - $235/hr

The Senior Director of Network Contracting is responsible for developing and managing complex ... Act as a primary point of contact between the organization and healthcare providers for contracting ...

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Healthcare Provider Network Contractor information

What is a healthcare provider network contractor?

A Healthcare Provider Network Contractor is a professional responsible for negotiating, establishing, and maintaining agreements between healthcare providers (such as hospitals, clinics, and physicians) and health insurance companies or managed care organizations. They ensure that a network of qualified healthcare providers is available to patients under a specific insurance plan. Their work involves contract negotiations, compliance monitoring, and fostering relationships to ensure quality care and cost-effectiveness. This role is essential for ensuring that patients have access to a broad range of healthcare services within their insurance network.

What are the key skills and qualifications needed to thrive as a healthcare provider network contractor?

To thrive as a Healthcare Provider Network Contractor, you need expertise in contract negotiation, knowledge of healthcare regulations, and a background in business or healthcare administration. Familiarity with provider management systems, claims processing software, and relevant certifications such as Certified Managed Care Professional (CMCP) are commonly required. Exceptional relationship-building, communication, and analytical skills help you collaborate effectively with providers and internal stakeholders. These skills are crucial for building strong, cost-effective networks that ensure quality care and compliance within the healthcare system.

What are some common challenges faced by healthcare provider network contractors when negotiating contracts with providers?

Healthcare Provider Network Contractors often encounter challenges such as aligning provider expectations with organizational reimbursement structures, navigating regulatory requirements, and managing tight timelines for network expansion. Successfully negotiating contracts requires balancing cost-effectiveness for the organization with competitive terms that appeal to providers. Additionally, they must maintain positive relationships with providers while ensuring compliance with state and federal regulations, which can be complex and frequently updated.

What is the difference between Healthcare Provider Network Contractor vs Healthcare Provider Relations Specialist?

AspectHealthcare Provider Network ContractorHealthcare Provider Relations Specialist
CredentialsRelevant certifications, such as CPC or CPC-H, often requiredSimilar certifications, with additional focus on communication skills
Work EnvironmentContract-based, often remote or office settings, working with networksOffice or healthcare facility, engaging directly with providers and internal teams
Employer & Industry UsageInsurance companies, healthcare networks, and third-party administratorsHospitals, health plans, and healthcare organizations
Search & Comparison IntentUnderstanding contractual roles in provider networksManaging provider relationships and communication

The Healthcare Provider Network Contractor primarily focuses on establishing and managing provider networks through contractual agreements, often working with insurance companies or networks. In contrast, the Healthcare Provider Relations Specialist emphasizes building and maintaining relationships with healthcare providers, ensuring effective communication and collaboration within healthcare organizations.

What are popular job titles related to Healthcare Provider Network Contractor jobs in Texas?

For Healthcare Provider Network Contractor jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Healthcare Provider Network Contractor jobs in Texas look for?

The top searched job categories for Healthcare Provider Network Contractor jobs in Texas are:

Healthcare Provider Network Contractor jobs near you
Infographic showing various Healthcare Provider Network Contractor job openings in Texas as of August 2026, with employment types broken down into 2% As Needed, 68% Full Time, 14% Part Time, 15% Contract, and 1% Nights. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution.

Senior Director, Network Contracting

Oscar Health

Dallas, TX • Remote

$178K - $234K/yr

Full-time

PTO

Posted 18 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

260th of 311 rated insurance

Job description

Hi, we're Oscar. We're hiring a Senior Director to join our Network Contracting.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.

About the role:

The Senior Director of Network Contracting is responsible for developing and managing complex provider network strategies, negotiating complex contracts, and fostering strong relationships with healthcare providers, facilities, and ancillary organizations for complex This role leads the market provider contracting team and collaborates with key internal and external stakeholders to enhance network performance, manage costs, and ensure high-quality care delivery. This role is responsible for developing and implementing strategies related to network development, cost containment, and relationship 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 position, open to candidates who reside in: Dallas, Texas. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $178,848 - $234,738 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities:

  • Develop and implement complex contracting strategies in partnership with multiple Market Leaders that align with the company's overall network development and cost management objectives.
  • Lead and mentor the provider contracting team, setting clear goals and expectations.
  • Collaborate with the Network Monitoring & Performance team to identify network gaps and develop strategies to expand provider relationships and access to care.
  • If necessary, be able to source and identify OON provider targets that align with Oscars overall Market strategy
  • Lead complex contract negotiations with hospitals, physicians, ancillary service providers, and other healthcare entities.
  • Develop and execute standard and complex contracting agreements that drive financial performance, ensure access to quality care, and support cost control efforts.
  • Ensure timely resolution of provider issues related to contract terms, reimbursement, and network participation.
  • Ensure all provider agreements comply with relevant federal, state, and local regulations.
  • Act as a primary point of contact between the organization and healthcare providers for contracting-related activities.
  • Build and maintain strong working relationships with providers to foster collaboration and network stability.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 12+ years of experience in healthcare provider contracting, network development, or related areas.
  • 7+ years experience negotiating complex contracts with hospitals, physician groups, and other healthcare providers.
  • 5+ years of leadership or managerial experience in a healthcare setting.

Bonus points:

  • Strong understanding of healthcare delivery systems, reimbursement models, and managed care principles.

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