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Payor Contracting Jobs in Washington (NOW HIRING)

USHP

General Cardiologist in Camp Springs, MD

Suitland, MD · On-site

$381K - $431K/yr

Additionally, partners benefit from comprehensive operational support, including recruiting, payor contracting, finance, and marketing services that enhance both efficiency and patient care.

USHP

General Cardiologist in Reston, VA

Reston, VA · On-site

$368K - $416K/yr

Additionally, partners benefit from comprehensive operational support, including recruiting, payor contracting, finance, and marketing services that enhance both efficiency and patient care.

USHP

General Cardiologist in Winchester, VA

Alexandria, VA · On-site

$378K - $427K/yr

Additionally, partners benefit from comprehensive operational support, including recruiting, payor contracting, finance, and marketing services that enhance both efficiency and patient care.

USHP

General Cardiologist in Reston, VA

Alexandria, VA · On-site

$378K - $427K/yr

Additionally, partners benefit from comprehensive operational support, including recruiting, payor contracting, finance, and marketing services that enhance both efficiency and patient care.

US Health Partners

Cardiology Physician

Reston, VA · On-site

$369K - $416K/yr

Additionally, partners benefit from comprehensive operational support, including recruiting, payor contracting, finance, and marketing services that enhance both efficiency and patient care.

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Payor Contracting information

What is payor contracting?

Payor Contracting refers to the process in healthcare where providers, such as hospitals or physician groups, negotiate agreements with insurance companies or government programs (the payors) regarding reimbursement terms for healthcare services. These contracts specify rates, covered services, payment schedules, and other important terms. Effective payor contracting ensures that healthcare organizations receive fair compensation for the care they provide and helps patients access care through their insurance plans.

What are the key skills and qualifications needed to thrive in payor contracting?

To excel in Payor Contracting, you need strong analytical skills, knowledge of healthcare reimbursement, and experience with contract negotiation, usually supported by a degree in healthcare administration, business, or a related field. Familiarity with contract management systems, claims processing software, and regulatory compliance tools is typical. Excellent communication, attention to detail, and relationship-building abilities are crucial soft skills for this role. These competencies ensure effective negotiation, compliance, and mutually beneficial agreements between healthcare providers and payors.

What are some common challenges faced by professionals in payor contracting, and how can they be addressed?

Professionals in Payor Contracting often encounter challenges such as negotiating favorable reimbursement rates, navigating complex regulatory requirements, and managing multiple contract renewals simultaneously. These can be addressed by staying informed about industry trends, fostering strong relationships with payors, and maintaining meticulous contract documentation. Collaboration with legal, compliance, and finance teams is crucial to ensure all agreements align with organizational goals and regulatory standards, ultimately leading to more successful contract outcomes.

What is the difference between Payor Contracting vs Payor Credentialing?

AspectPayor ContractingPayor Credentialing
Required CredentialsExperience in healthcare contracts, negotiation skillsLicenses, certifications, provider credentials
Work EnvironmentContract negotiations, provider agreementsVerification of provider credentials, compliance
Employer & Industry UsageHealth insurance companies, provider networksHospitals, clinics, insurance payers
Search & Comparison IntentUnderstanding contract processes, negotiationsVerifying provider credentials, compliance standards

Payor Contracting focuses on negotiating and establishing provider agreements with insurance payers, requiring negotiation skills and contract knowledge. Payor Credentialing involves verifying provider credentials and ensuring compliance, emphasizing licensing and certification verification. Both roles are essential in healthcare administration but serve different functions within the payer-provider relationship.

What are popular job titles related to Payor Contracting jobs in Washington?

For Payor Contracting jobs in Washington, the most frequently searched job titles are:

What job categories do people searching Payor Contracting jobs in Washington look for?

The top searched job categories for Payor Contracting jobs in Washington are:

What cities in Washington are hiring for Payor Contracting jobs?

Cities in Washington with the most Payor Contracting job openings:

Payor Contracting jobs near you

General Cardiologist in Camp Springs, MD

USHP

Annapolis Junction, MD • On-site

$361K - $408K/yr

Other

Medical, Dental, Vision, Life, Retirement

Re-posted 23 days ago

Job description

Cardiology Opportunity

Join a family-like, well-established, and high-performing cardiology practice with an experienced administrative team with decades of community tenure.

Dedicated clinical staff assigned to each physician.

Be part of an innovative organization where advancing the field of cardiovascular medicine is at the core of what we do.

Access advanced patient care technology through cutting-edge, hospital-grade imaging, diagnostic tools, and technology to support advanced cardiovascular care.

Enjoy the advantages of a private practice environment with broad shared administrative services, enabling both practice growth and professional leadership development.

Shared services in HR, marketing, compliance, IT, and payor negotiations.

Market-competitive base compensation with a three-year salary guarantee.

Additional compensation based on productivity.

Ownership and leadership tracks available.

Comprehensive benefits including: 4% 401(K) match, life, disability, medical, dental, vision, and Rx coverage.

Paid malpractice insurance.

Stipends for CME, medical license, and professional organization dues.

Ability to be voted into and participate in USHP's Regional and National Clinical Governance Boards – influencing business decisions and policies locally and nationwide.

Prime Mid-Atlantic Location – Close to Washington D.C., Philadelphia, and New York City, with easy access to beaches and mountains.

Strong Economy & Job Market – Opportunities in healthcare, biotechnology, cybersecurity, government, and education.

Rich History & Culture – Historic landmarks, world-class museums, vibrant arts, and diverse culinary scenes.

Outdoor & Waterfront Living – Chesapeake Bay, hiking trails, boating, fishing, and scenic state parks.

Quality Education – Highly ranked public schools and renowned universities, including Johns Hopkins and the University of Maryland.

Diverse Communities – Urban centers, suburban neighborhoods, and charming small towns to fit any lifestyle.

Capitol Cardiology Associates is a leading cardiovascular practice in Maryland, dedicated to delivering exceptional patient care across six convenient locations in Prince George's County: Bowie, Camp Springs, Hyattsville, Lanham, Largo, and Laurel. Our team of highly skilled, board-certified cardiologists thrives in a collaborative, patient-centered environment that emphasizes professional growth, advanced technology, and innovative care delivery.

US Health Partners (USHP) is a physician-led, national cardiovascular care and vascular surgery network committed to transforming heart health across the United States. With a team of over 800, USHP serves more than 525,000 patients across +30 locations in 4 states, delivering best-in-class outcomes through excellence, innovation, and compassion. USHP is driven by a category-defining vision, advancing the future of cardiovascular care through collaborative care models and the adoption of cutting-edge technologies.

Through its strategic growth model, USHP provides capital, expertise, and access to a vast national network—enabling clinicians to retain clinical autonomy while accelerating practice expansion. Additionally, partners benefit from comprehensive operational support, including recruiting, payor contracting, finance, and marketing services that enhance both efficiency and patient care.

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