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Provider Contracting Jobs in Connecticut (NOW HIRING)

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Provider Contracting information

See Connecticut salary details

$62K

$80.1K

$130.8K

How much do provider contracting jobs pay per year?

As of Aug 1, 2026, the average yearly pay for provider contracting in Connecticut is $80,107.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,900.00 and $80,800.00 per year, depending on experience, location, and employer.

What is the highest paying contractor job?

In provider contracting, senior roles such as Contract Directors or Vice Presidents often have the highest salaries, especially in large healthcare organizations. These positions typically require extensive experience, negotiation skills, and knowledge of healthcare policies, with salaries reaching six figures or more depending on the organization and location.

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.

What is the 3 month rule for jobs?

In provider contracting, the 3 month rule typically refers to a policy where contracts or agreements are reviewed or renewed every three months to ensure compliance and performance. It may also relate to the timeframe within which providers must submit documentation or meet certain requirements to maintain their status or reimbursement eligibility.

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 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.

How much does a contract specialist earn?

A contract specialist typically earns between $50,000 and $80,000 annually, depending on experience, location, and industry. Salaries can vary based on certifications, such as the Certified Federal Contracts Manager (CFCM), and the complexity of contracts managed.

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 is a contracting provider?

A contracting provider is a healthcare professional or facility that enters into a formal agreement with insurance companies or payers to deliver services at negotiated rates. These providers must adhere to specific contractual terms, billing procedures, and quality standards to participate in insurance networks and ensure reimbursement. Contracting providers often need to maintain credentialing and compliance with industry regulations.
Provider Contracting jobs near you
Infographic showing various Provider Contracting job openings in Connecticut as of July 2026, with employment types broken down into 1% As Needed, 86% Full Time, 7% Part Time, and 6% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $80,107 per year, or $38.5 per hour.

Senior Manager, Medicare Product Implementation

CVS Health

Hartford, CT • On-site

$67K - $182K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 21 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,323 frontline employees who took The Breakroom Quiz

88th of 110 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

As the Senior Manager, Medicare Product Implementation, you will lead the end-to-end implementation and operational execution of assigned Medicare Advantage programs in coordination with internal stakeholders and external provider and/or vendor partners. You will be responsible for gathering and analyzing requirements, developing implementation plans, ensuring programs are implemented accurately, delivered compliantly, and maintained/operationalized effectively to support both business objectives and member experience including resolving benefit and member issues, and continuously improving program performance.

Responsibilities include:

  • Act as a top-level specialist and lead end-to-end implementation and ongoing operations for assigned Medicare Advantage programs, ensuring successful implementation, readiness for annual go-live, successful year-over-year delivery, and program operational effectiveness.
  • Develop, maintain, and manage key implementation deliverables, including project plans (establish timelines, identify milestones, track progress, identify risks, develop mitigation strategies, track performance metrics, and resource engagement), along with documentation of business and eligibility requirements, member journeys, operational workflows, and benefit crosswalks.
  • Facilitate and lead regular project and implementation meetings to drive cross-functional execution across strategy, compliance, eligibility, claims configuration, member materials, provider contracting, and other internal and external partners - providing updates and performance metrics to leadership and key stakeholders, addressing inquiries and resolving issues, and ensuring alignment, accountability, and timely delivery of project and program milestones.
  • Partner closely with Provider Contracting and Value-Based Care teams to support the design, implementation, and ongoing management of programs tied to value-based provider arrangements, ensuring alignment between benefit intent, design, provider performance, member experience including benefit access while maintaining strong working relationships.
  • Monitor program performance, member access, and utilization while identifying trends, root causes, and opportunities for improvement; identify and resolve operational issues related to eligibility, vendor processes, benefit configuration, and member experience.
  • Ensure programs are implemented and operated in compliance with CMS regulations, filed benefit intent, and internal policies; support audits, attestations, and regulatory inquiries.
  • Serve as the subject matter expert, make informed decisions and prioritize work across multiple programs and competing deadlines, providing input on operational feasibility, program design, and continuous improvement opportunities.
  • Create and maintain a culture of collaboration and cross-functional teamwork, ensuring effective communication and coordination across departments and with leadership.
  • Support bid-related activities including strategic discussions, benefit data entry, validation, change tracking, and quality assurance.
  • Other duties as assigned.

Required Qualifications

  • 7+ years of work experience with 5+ years working with Medicare Advantage including supplemental benefits and regulations.
  • Experience leading complex cross-functional initiatives that include collaboration and teamwork.
  • Experience with execution and delivery (planning, delivering, and supporting) including problem solving, decision making and communication (verbal and written) skills.
  • Experience with project/program management including creating and maintaining project plans.
  • Experience in a role that required you to be highly organized and detail oriented.
  • Experience managing competing priorities in a matrixed environment.
  • Proficiency with Microsoft Office and collaboration tools.


Preferred Qualifications

  • Experience with CMS Flexibilities - SSBCI and Uniformity Flexibility, or provider-based Medicare programs.
  • Experience supporting audits or compliance reviews.
  • Experience working with external value-based provider groups.


Education

  • Bachelor's degree or equivalent experience required.

Pay Range

The typical pay range for this role is:

$67,900.00 - $182,549.00


This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/15/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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