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Provider Contract Jobs in Powder Springs, GA (NOW HIRING)

paradigm

Provider Contract Lead

Atlanta, GA · On-site

$85K - $114K/yr

Develops and implements provider network and contract strategies, identifying the ambulatory surgery centers and specialists in geographic locations in which to concentrate resources for purposes of ...

paradigm

Provider Contract Lead

Atlanta, GA

$85K - $114K/yr

Develops and implements provider network and contract strategies, identifying the ambulatory surgery centers and specialists in geographic locations in which to concentrate resources for purposes of ...

Paradigm

Provider Contract Lead

Atlanta, GA · On-site

$80K - $90K/yr

Executes provider contracts for acceptable reimbursement rates as determined by client requirements and prevailing market ranges. * Maintain a system to track contract negotiation and sales activity ...

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Provider Contract information

See Powder Springs, GA salary details

$9

$30

$93

How much do provider contract jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for provider contract in Powder Springs, GA is $30.13, according to ZipRecruiter salary data. Most workers in this role earn between $14.13 and $26.88 per hour, depending on experience, location, and employer.

What is a provider contract?

A provider contract is a formal agreement between a healthcare provider, such as a doctor or hospital, and a health insurance company or managed care organization. This contract outlines the terms under which the provider will deliver medical services to insured members, including reimbursement rates, covered services, and billing procedures. Provider contracts help ensure that patients receive agreed-upon care at predetermined costs and establish the responsibilities of both the provider and the insurer. These agreements are essential for maintaining a network of healthcare professionals who serve plan members.

What is the difference between Provider Contract vs Medical Billing Specialist?

AspectProvider ContractMedical Billing Specialist
CredentialsTypically requires healthcare administration, legal, or business certificationsRequires coding, billing, and healthcare reimbursement certifications
Work EnvironmentHealthcare facilities, insurance companies, or legal officesMedical offices, billing companies, or healthcare providers
Industry UsageUsed in healthcare contracting, negotiations, and legal agreementsUsed in processing insurance claims and patient billing

While Provider Contract specialists focus on creating and managing agreements between healthcare providers and payers, Medical Billing Specialists handle the coding and submission of claims for reimbursement. Both roles are essential in healthcare finance but serve different functions within the revenue cycle.

What are some common challenges faced by professionals in provider contract roles, and how can they be addressed?

Professionals in provider contract roles often encounter challenges such as navigating complex regulatory requirements, ensuring contract compliance, and balancing the interests of both healthcare providers and payers. Additionally, they may need to negotiate terms that are both competitive and sustainable for their organization. These challenges can be addressed by staying up-to-date with industry regulations, developing strong negotiation and communication skills, and fostering collaborative relationships with internal legal, compliance, and finance teams.

What are the key skills and qualifications needed to thrive as a provider contract specialist, and why are they important?

To excel as a Provider Contract Specialist, you need strong analytical abilities, knowledge of healthcare regulations, contract negotiation skills, and typically a bachelor's degree in business, healthcare administration, or a related field. Familiarity with contract management software, healthcare reimbursement systems, and proficiency in Microsoft Office are commonly required. Excellent attention to detail, communication, and relationship-building skills help you collaborate effectively with providers and internal stakeholders. These competencies ensure accurate contract execution, regulatory compliance, and mutually beneficial agreements in a complex healthcare environment.
What cities near Powder Springs, GA are hiring for Provider Contract jobs? Cities near Powder Springs, GA with the most Provider Contract job openings:
Provider Contract jobs near you

Provider Contract Lead

paradigm

Atlanta, GA • On-site

$85K - $114K/yr

Full-time

Posted 8 days ago

Job description

Develops and implements provider network and contract strategies, identifying the ambulatory surgery centers and specialists in geographic locations in which to concentrate resources for purposes of establishing a sufficient network of participating providers to serve and exceed the needs of our clients.

DUTIES AND RESPONSIBILITIES:

  • Executes provider contracts for acceptable reimbursement rates as determined by client requirements and prevailing market ranges.
  • Maintain a system to track contract negotiation and sales activity on an ongoing basis through company provided software applications.
  • Directs the preparation and negotiations of provider contracts and oversees negotiation of contracts in concert with established company templates and guidelines with ambulatory surgery centers, physicians, hospitals, and other health care providers as needed.
  • Oversees the maintenance of all Provider contract information for given territory.  Works with legal and corporate on an as needed basis to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.
  • Seeks, contacts and creates single case agreements (SCA) to fulfill GAP’s as needed by the business.
  • Develops relationships with providers and offers feedback if there are deficiencies in their response time, scheduling time and/or providing medical documentation in a timely manner.
  • Perform additional duties as identified and directed by management.
  • Maintain reliable and predictable attendance during scheduled work hours.
  • Utilizes AI tools to support day-to-day tasks, improve efficiency, and enhance output quality. Adopts new technologies as trained and applies them in alignment with established processes and guidelines.
  • Demonstrates a customer-first mindset by developing a broad and deep (where appropriate) understanding of Paradigm organization, products, operations, and customers. Prioritizes collaboration to meet customer needs and expectations and takes personal accountability for service quality.
  • Responsible for complying with Paradigm Information Security requirements and policies, for safeguarding Paradigm or Paradigm related passwords, and for notifying Paradigm of any Information Security incidents per policy SEC 10-12 Information Security Incident Management.

QUALIFICATION REQUIREMENTS:

  • Bachelor’s Degree in a related field (Business Administration, etc.,) or equivalent experience.
  • 3 to 5 years of experience in Healthcare Administration, Network Development, Managed Care, and/or Provider Services.
  • Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
  • Ability to maintain attendance to support required quality and quantity of work.
  • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
  • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
  • Superior interpretation and research skills to readily identify problems, get to the root cause and achieve prompt resolution to problems and issues including analytical skills
  • Ability to organize, coordinate, and accomplish a high volume of work with minimum impact on quality
  • Exceptional interpersonal relations skills.
  • Superior verbal and written communication skills.
  • Knowledge of Excel and Word.
  • This position may require up to 10% travel.

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