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Provider Contracting Specialist Jobs (NOW HIRING)

Williams College

Contracting Specialist

Williamstown, MA · On-site

$87K - $97K/yr

The Contracting Specialist will lead all aspects of contract administration, including ... Assisting departments in selecting final bids; providing clarity regarding their questions on the ...

Williams College

Contracting Specialist

Williamstown, MA · On-site

$87K - $97K/yr

The Contracting Specialist will lead all aspects of contract administration, including ... Assisting departments in selecting final bids; providing clarity regarding their questions on the ...

Williams College

Contracting Specialist

Williamstown, MA · On-site

$87K - $97K/yr

The Contracting Specialist will lead all aspects of contract administration, including ... Assisting departments in selecting final bids; providing clarity regarding their questions on the ...

Infojini Inc

Contracting Specialist

New York, NY · On-site

Contracting Specialist Location: Staten Island, NY Duration: Fulltime Client: Direct Client ... Administers the implementation and maintenance of provider contracts, including alternative payment ...

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Provider Contracting Specialist information

See salary details

$31.5K

$69.7K

$133K

How much do provider contracting specialist jobs pay per year?

As of Aug 26, 2026, the average yearly pay for provider contracting specialist in the United States is $69,738.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,500.00 and $84,500.00 per year, depending on experience, location, and employer.

What is a provider contracting specialist?

Provider Contracting Specialists are professionals who negotiate, implement, and manage contracts between healthcare providers and insurance companies or managed care organizations. They ensure that agreements meet regulatory requirements and organizational standards while securing favorable terms for their employer. Their responsibilities often include analyzing reimbursement rates, maintaining relationships with healthcare providers, and resolving contract-related issues. Their work is crucial in helping healthcare networks maintain a robust provider base and deliver services to patients efficiently.

How does a provider contracting specialist typically collaborate with internal teams during the contract negotiation process?

Provider Contracting Specialists work closely with various internal teams such as legal, network management, and finance to ensure contracts align with organizational goals and compliance requirements. They often facilitate communication between these departments, gathering input on contract terms, reimbursement rates, and regulatory considerations. By collaborating with these teams, specialists help streamline the negotiation process, address any potential issues proactively, and ensure contracts support both provider relations and business objectives.

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

To thrive as a Provider Contracting Specialist, you need a solid understanding of healthcare contracts, negotiation strategies, and health insurance regulations, typically supported by a bachelor's degree in business, healthcare administration, or a related field. Familiarity with contract management software, claims processing systems, and regulatory compliance tools like Medicare and Medicaid guidelines is essential. Excellent interpersonal skills, attention to detail, and strong problem-solving abilities help build effective relationships and ensure accurate contract execution. These skills are crucial for securing favorable contracts, maintaining compliance, and supporting organizational goals within the complex healthcare industry.

What is the difference between Provider Contracting Specialist vs Insurance Contract Analyst?

AspectProvider Contracting SpecialistInsurance Contract Analyst
CredentialsTypically requires healthcare or business-related certifications, relevant experienceOften requires insurance or actuarial certifications, analytical skills
Work EnvironmentHealthcare organizations, insurance companies, or healthcare consulting firmsInsurance companies, healthcare payers, or risk management departments
Employer & IndustryHealthcare providers, insurance carriers, healthcare consulting

The Provider Contracting Specialist focuses on negotiating and managing provider agreements within healthcare organizations, ensuring favorable terms and compliance. In contrast, the Insurance Contract Analyst primarily analyzes insurance contracts, assessing risk and compliance for insurance companies. Both roles require strong negotiation and analytical skills but differ in their focus on provider relationships versus insurance policy analysis.

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Provider Contracting Specialist jobs near you
Infographic showing various Provider Contracting Specialist job openings in the United States as of August 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 78% Physical, 2% Hybrid, and 20% Remote job distribution, with an average salary of $69,738 per year, or $33.5 per hour.

Provider Contracting Specialist

Prime Health Services

Franklin, TN • On-site

Full-time

Re-posted 11 days ago

Job description

Job Type
Full-time
Description
Provider Contracting Specialist (Healthcare Network Development)
Location: Franklin, TN (In-Office)
We're seeking a Provider Contracting Specialist to help expand and strengthen our national healthcare network. In this role, you will identify, recruit, and negotiate agreements with physicians, provider groups, and ancillary facilities to join our PPO network.
This position is ideal for someone who enjoys relationship-building, negotiation, and working in a fast-paced healthcare environment with measurable goals.
What You'll Do
  • Recruit and onboard healthcare providers (physicians, facilities, ancillary providers) into the PPO network
  • Negotiate reimbursement rates and contract terms aligned with company and regulatory guidelines
  • Manage contracting activities within assigned geographic regions
  • Build and maintain strong relationships with provider offices and group administrators
  • Support network expansion initiatives, including specialty networks and client-specific projects
  • Analyze proposed reimbursement rates to ensure alignment with internal guidelines
  • Track progress and maintain accurate records in internal systems
  • Participate in outreach campaigns via phone, email, and targeted initiatives
  • Resolve provider contract issues and escalate as needed
  • Collaborate with internal stakeholders to execute contracts efficiently

Requirements
What We're Looking For
  • Bachelor's degree in Business, Healthcare Administration, Communications, or a related field (or equivalent experience)
  • 1+ year of experience in healthcare, managed care, or provider contracting
  • Strong communication and negotiation skills
  • Ability to manage multiple priorities in a deadline-driven environment
  • Analytical mindset with attention to detail
  • Proficiency with Microsoft Office tools (Excel, Word, Outlook)
  • Self-motivated, adaptable, and comfortable working with performance goals and metrics

What Sets You Apart
  • Experience with provider network development or payer contracting
  • Familiarity with workers' compensation, group health, or liability networks
  • Background in healthcare sales, recruiting, or provider relations

Why Join Us
  • Opportunity to play a direct role in expanding a national healthcare network
  • Exposure to contract negotiation and healthcare economics
  • Clear path for growth into Network Development or Contracting Leadership roles
  • Collaborative, team-oriented environment
  • Competitive compensation with performance expectations

Work Environment
  • Office-based role with occasional travel for provider meetings as needed
  • Fast-paced, goal-oriented team environment

About Prime Health Services
Since 2001, Prime Health Services (PHS) has been a leader in medical cost containment and provider network development. Our nationwide PPO Network supports insurance carriers, TPAs, self-insured employers, and government entities with tailored, tech-driven solutions that deliver quality healthcare at discounted rates.

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