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Provider Contracting Jobs in Arizona (NOW HIRING)

CareMore Health

Network Support Manager (US)

Tucson, AZ · On-site +1

$81K - $122K/yr

Experience with provider contracting language and operational requirements. Primary duties may include, but are not limited to : * May oversee the day to day training, guidance and management of ...

CareMore Health

Network Support Manager (US)

Tucson, AZ · On-site

$81K - $122K/yr

Experience with provider contracting language and operational requirements. Primary duties may include, but are not limited to : * May oversee the day to day training, guidance and management of ...

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Provider Contracting information

What is provider contracting?

Provider contracting is the process by which healthcare organizations, such as insurance companies or health plans, establish agreements with medical providers, such as hospitals, physicians, and clinics. These contracts outline the terms of service, payment rates, and responsibilities for both parties. The goal is to ensure that patients have access to a network of qualified providers at agreed-upon costs, while providers receive timely and consistent reimbursement for their services.

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

To thrive as a Provider Contracting Specialist, you need strong negotiation skills, analytical abilities, and a background in healthcare administration or business, often supported by a bachelor's degree. Familiarity with contract management software, claims processing systems, and regulatory compliance tools is typically required. Exceptional communication, relationship-building, and attention to detail are vital soft skills for success in this role. These competencies ensure effective contract negotiations, compliance with regulations, and the development of strong provider networks that benefit both patients and organizations.

What are some common challenges faced in a provider contracting role, and how can they be managed effectively?

Professionals in Provider Contracting often encounter challenges such as negotiating mutually beneficial agreements, keeping up with evolving healthcare regulations, and balancing provider expectations with organizational goals. Effective management of these challenges requires strong communication and negotiation skills, as well as staying current on industry trends and compliance requirements. Building collaborative relationships with providers and internal teams, maintaining clear documentation, and leveraging data analytics can help streamline the contracting process and achieve successful outcomes.

What is the difference between Provider Contracting vs Provider Relations Specialist?

AspectProvider ContractingProvider Relations Specialist
Primary FocusNegotiating and managing provider contractsBuilding and maintaining provider relationships
ResponsibilitiesContract negotiations, rate setting, complianceProvider communication, issue resolution, outreach
Required SkillsNegotiation, understanding of contracts, industry regulationsCommunication, customer service, relationship management
Work EnvironmentOffice-based, healthcare organizations, insurance companies

Provider Contracting focuses on negotiating and managing provider agreements, ensuring compliance and optimal rates. In contrast, Provider Relations Specialists prioritize maintaining strong provider relationships, addressing concerns, and facilitating communication. Both roles are essential in healthcare administration but serve different functions within the provider network.

Provider Contracting jobs near you
Infographic showing various Provider Contracting job openings in Arizona as of August 2026, with employment types broken down into 2% As Needed, 77% Full Time, 14% Part Time, 2% Temporary, and 5% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

Senior Director, Network Contracting

Oscar Health

Tempe, AZ • Hybrid

$178K - $234K/yr

Full-time

PTO

Posted 15 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

260th of 311 rated insurance

Job description

Hi, we're Oscar. We're hiring a Senior Director to join our Network Contracting.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.

About the role:

The Senior Director of Network Contracting is responsible for developing and managing complex provider network strategies, negotiating complex contracts, and fostering strong relationships with healthcare providers, facilities, and ancillary organizations for complex This role leads the market provider contracting team and collaborates with key internal and external stakeholders to enhance network performance, manage costs, and ensure high-quality care delivery. This role is responsible for developing and implementing strategies related to network development, cost containment, and relationship management with healthcare providers that align with organizational goals within a specific market/region.

You will report into the Vice President, Network Management.

Work Location: This position is based in our Tempe, Arizona office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid

Pay Transparency: The base pay for this role is: $178,848 - $234,738 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses.

Responsibilities:

  • Develop and implement complex contracting strategies in partnership with multiple Market Leaders that align with the company's overall network development and cost management objectives.
  • Lead and mentor the provider contracting team, setting clear goals and expectations.
  • Collaborate with the Network Monitoring & Performance team to identify network gaps and develop strategies to expand provider relationships and access to care.
  • If necessary, be able to source and identify OON provider targets that align with Oscars overall Market strategy
  • Lead complex contract negotiations with hospitals, physicians, ancillary service providers, and other healthcare entities.
  • Develop and execute standard and complex contracting agreements that drive financial performance, ensure access to quality care, and support cost control efforts.
  • Ensure timely resolution of provider issues related to contract terms, reimbursement, and network participation.
  • Ensure all provider agreements comply with relevant federal, state, and local regulations.
  • Act as a primary point of contact between the organization and healthcare providers for contracting-related activities.
  • Build and maintain strong working relationships with providers to foster collaboration and network stability.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 12+ years of experience in healthcare provider contracting, network development, or related areas.
  • 7+ years experience negotiating complex contracts with hospitals, physician groups, and other healthcare providers.
  • 5+ years of leadership or managerial experience in a healthcare setting.

Bonus points:

  • Strong understanding of healthcare delivery systems, reimbursement models, and managed care principles.

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