ZipRecruiter

Log In

1

Payor Contracting Jobs in Washington (NOW HIRING)

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.

Somatus, Inc.

VP, Clinical Performance

Mclean, VA · On-site

Analyze, interpret and apply healthcare payor claims data around $PMPM, Unit/1000, $$/Unit metrics ... Assists, as appropriate, with the contracting process with providers and evaluates the medical ...

previous page

Showing results 41-60

All JobsPayor Contracting JobsPayor Contracting Jobs in Washington

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

Interventional Cardiologist in Northern Virginia | $50K Sign-On + Equity | Carient Heart and Vascula

US Health Partners

Reston, VA • On-site

Other

Medical, Dental, Vision, Life, Retirement

Re-posted 12 days ago

Job description

Position Summary

Degree Required: MD or DO Board Eligible or Board Certified

Position: Full Time; Monday–Friday with group shared call coverage

Work Environment: Physician-led, independent group practice environment with ASC procedures and hospital rounding

Visa Sponsorship: No

Practice Highlights:

  • 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

Benefits:

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

  • 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

Where You'll Live:

  • Diverse Landscapes: From mountains to beaches, Virginia offers abundant outdoor recreation and scenic beauty.

  • Proximity to Major Cities: Easy access to Washington, D.C., Baltimore, and Richmond for work, culture, and entertainment.

  • Strong Education Options: Highly rated public and private schools, plus top colleges and universities.

  • Rich History & Culture: Historic sites, museums, and vibrant arts communities abound throughout the state.

  • Family-Friendly Communities: Safe neighborhoods, parks, and recreational activities make it ideal for families.

Where You'll Work:

Carient Heart & Vascular is a leading provider of comprehensive cardiovascular care in Northern Virginia, offering a full spectrum of services across eight convenient locations. With a team of 19 board-certified physicians and a dedicated group of advanced practice providers, Carient delivers state-of-the-art diagnostics and treatments in a patient-centered environment. Physicians at Carient are recognized as leaders in the field, with expertise spanning interventional cardiology, vascular surgery, clinical cardiac electrophysiology, nuclear cardiology, and cardio-oncology. Many have been named among the region’s top cardiologists by Washingtonian and Northern Virginia Magazine. Carient is committed to advancing cardiovascular care through clinical research, education, and a collaborative approach to patient health.

Who You'll Work For:

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.

Apply