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Provider Contract Jobs (NOW HIRING)

Imedica

ACO Provider Contract Manager IV

Madison, WI

$100K - $172K/yr

Contract Lifecycle and Management * Negotiate and draft contracts: Negotiate terms with providers, ensuring they align with Medica's financial goals and standard template agreements. * Manage ...

Medica

ACO Provider Contract Manager IV

Omaha, NE · On-site

$100K - $172K/yr

Contract Lifecycle and Management * Negotiate and draft contracts: Negotiate terms with providers, ensuring they align with Medica's financial goals and standard template agreements. * Manage ...

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How much do provider contract jobs pay per hour?

As of Jun 19, 2026, the average hourly pay for provider contract in the United States is $31.82, according to ZipRecruiter salary data. Most workers in this role earn between $14.90 and $28.37 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 a provider contractor?

A provider contractor is a healthcare professional or organization contracted to deliver services to a healthcare provider or insurance company. They typically work under a formal agreement, often requiring relevant certifications or licenses, and may operate on a full-time or part-time basis depending on the scope of services needed.

What jobs pay 2000 a day?

High-paying jobs that can reach $2,000 a day often include specialized roles such as anesthesiologists, surgeons, corporate lawyers, and certain executive positions. These roles typically require advanced education, certifications, and significant experience, and may involve high-stakes environments or freelance consulting in fields like IT or finance.

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 contract job pays the most?

In the provider contract field, specialized roles such as healthcare contract managers, senior contract analysts, or compliance directors tend to offer the highest pay. These positions often require extensive experience, certifications, and negotiation skills, and they can command six-figure salaries depending on the industry and location.

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 job makes $10,000 a month without a degree?

A provider contract role typically involves negotiating and managing agreements between healthcare providers and insurance companies, which can pay $10,000 or more monthly for experienced professionals. Success in such roles often depends on industry knowledge, negotiation skills, and experience rather than formal degrees.
What cities are hiring for Provider Contract jobs? Cities with the most Provider Contract job openings:
What are the most commonly searched types of Provider jobs? The most popular types of Provider jobs are:
What states have the most Provider Contract jobs? States with the most job openings for Provider Contract jobs include:
Provider Contract jobs near you
Provider Contract Specialist III - Hybrid

Provider Contract Specialist III - Hybrid

Blue Cross Blue Shield of Arizona

Phoenix, AZ • On-site

Full-time

Posted 27 days ago

Blue Cross Blue Shield Of Arizona rating

6.0

Company rating: 6.0 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

243rd of 261 rated insurance

Job description

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
  • Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
  • Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
  • Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
  • Onsite: daily onsite requirement based on the essential functions of the job
  • Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
This position is hybrid within the state of AZ only. This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona.
Purpose of the job
Network Adequacy and sufficiency, negotiates and contracts with healthcare providers (such as physicians, behavioral health, ancillary providers, and hospitals) for Arizona Medicaid (AHCCCS) and Dual Eligible Special Needs Plan (D-SNP) business segments, including incorporating value-based payment methodologies into agreements as available and applicable.
Qualifications
REQUIRED MINIMUM QUALIFICATIONS
Required Work Experience
  • 3 years of experience in Healthcare field (Applies to All Levels)

Required Education
  • High-School Diploma or GED in field of study (Applies to All Levels)

Required Licenses
  • Valid Arizona Driver License, with an acceptable driving record (Applies to All Levels)

Required Certifications
  • N/A

PREFERRED QUALIFICATIONS
Preferred Work Experience
  • 5+ years of experience in provider contract negotiations, contract analysis and modeling, alternative payment methodologies, centers of excellence or equivalent experience in healthcare field.

Preferred Education
  • Undergraduate degree in Business Administration, Healthcare Administration or equivalent experience in Medicaid or Medicare such as practice administration, provider, or members services, claims and encounters

Preferred Licenses
  • N/A

Preferred Certifications
  • N/A
ESSENTIAL job functions AND RESPONSIBILITIES
  • Identify, recruit, and negotiate contracts with various types of providers such as physicians, behavioral health, ancillary providers, facilities (Hospitals/Skilled Nursing) and other healthcare provider specialties.
  • Lead contracting process and negotiations for large provider groups, hospitals, ACOs, including value-based agreements or alternative payment models (Level 2-3).
  • Initiate and lead committees or workgroups to identify provider partnerships and other network development strategy (Level 2-3).
  • Understand and interpret various analyses of the financial structure of contracts to ensure it meets financial targets.
  • Recommend language corrections and changes in contract documents to allow for easier administration and ensure compliance with corporate and regulatory guidelines.
  • Keep informed of new or updated contracting methodologies, contract languages, and contracting systems, procedures, forms, and manuals.
  • Oversee contract setup to ensure accurate claims processing of new and amended contracts.
  • Consult and coordinate with various internal departments, external Blue Plans or business partners, providers, business entities, and government agencies as a representative of the contracting team.

  • The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
  • Perform all other duties as assigned.
competencies
REQUIRED MINIMUM COMPETENCIES
Required Job Skills
  • Intermediate-Advanced PC proficiency and office equipment skills (Applies to All Levels)
  • Intermediate-Advanced skill in word processing, spreadsheet, and database software (Applies to All Levels)

Required Professional Competencies
  • Ability to present and interact at a professional level (Applies to All Levels)
  • Ability to negotiate contract terms and conditions (Applies to All Levels)
  • Maintain confidentiality and privacy (Applies to All Levels)
  • Ability to prioritize and manage work assignments and work independently (Applies to All Levels)
  • Knowledge necessary to analyze reports based on available data and then make decisions based on reported data (Applies to All Levels)
  • Capable of investigative and analytical research (Applies to All Levels)
    • Establish and maintain working relationships in a collaborative team environment (Applies to All Levels)
    • Identify root causes and initiate solutions (Applies to All Levels)
    • Proven track record negotiating large provider groups, ancillary providers andhospitals (Applies to Levels 2 - 3)

Required Leadership Experience and Competencies
  • Demonstrated leadership experience (Applies to Level 3)
  • Mentor and train entry level staff and teammates (Applies to Level 3)

PREFERRED COMPETENCIES
Preferred Job Skills
  • Familiarity with SharePoint, DocuSign, Power BI/Tableau, automated workflow applications

Preferred Professional Competencies
  • Knowledge of provider reimbursement methodologies contracts and networks (Applies to All Levels )

Preferred Leadership Experience and Competencies
  • Ability to positively influence others (Applies to Level 3)
  • Considered role model for co-workers (Applies to Level 3

Our Commitment
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.

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