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Provider Contracting Jobs in Nevada (NOW HIRING)

Vista Care

Host Home Provider

Henderson, NV · On-site

$3K - $3K/mo

Contracted monthly payments can range from $3,000 to $3,650 per month, depending on the support ... As a Shared Living Provider , you open your heart and home to a person with a disability, and you ...

Vista Care

Host Home Provider

Las Vegas, NV · On-site

$3K - $3K/mo

Contracted monthly payments can range from $3,000 to $3,650 per month, depending on the support ... As a Shared Living Provider , you open your heart and home to a person with a disability, and you ...

Vista Care

Host Home Provider

Boulder City, NV · On-site

$3K - $3K/mo

Contracted monthly payments can range from $3,000 to $3,650 per month, depending on the support ... As a Shared Living Provider , you open your heart and home to a person with a disability, and you ...

Vista Care

Host Home Provider

North Las Vegas, NV · On-site

$3K - $3K/mo

Contracted monthly payments can range from $3,000 to $3,650 per month, depending on the support ... As a Shared Living Provider , you open your heart and home to a person with a disability, and you ...

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Provider Contracting information

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 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.

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.
Provider Contracting jobs near you
Infographic showing various Provider Contracting job openings in Nevada as of June 2026, with employment types broken down into 63% Full Time, 5% Part Time, 30% Contract, and 2% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.
Manager, Provider Network Contracting

Manager, Provider Network Contracting

UnitedHealth Group

Las Vegas, NV • On-site

$91K - $163K/yr

Full-time

Retirement

Posted 22 days ago

UnitedHealth Group rating

7.5

Company rating: 7.5 out of 10

Based on 140 frontline employees who took The Breakroom Quiz

225th of 870 rated healthcare providers

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The health care system continues to evolve at an accelerated pace, with new models of care and provider networks emerging to better serve patients and communities. UnitedHealth Group plays a leading role in this transformation.
As a Manager within the Network Contracting team, you will help lead the development and ongoing support of provider networks while driving unit cost management through financial and network pricing analysis, modeling, and reporting. This role partners closely with business and clinical leaders to build competitive, sustainable networks that deliver affordable, predictable products for customers and business partners.
Primary Responsibilities:
  • Manage unit cost budgets, target setting, performance reporting, and associated financial and network pricing models
  • Lead the development of geographically competitive, broad-access, and stable provider networks that achieve unit cost and medical trend objectives
  • Evaluate and negotiate provider contracts in compliance with company templates, reimbursement standards, and established process controls
  • Ensure network composition includes an appropriate distribution of provider specialties across markets
  • Influence and contribute to forecasting, planning, and strategic decision-making activities
  • Establish and maintain strong business relationships with hospitals, physicians, pharmacies, ancillary providers, and large medical groups
  • Partner with senior leaders across lines of business to support network strategy and performance
  • Set team direction, resolve complex issues, and provide coaching, guidance, and performance management for direct reports

Leadership & Scope:
  • Manages and is accountable for professional employees and/or supervisors
  • Impact of work is primarily at the local or market level
  • Employees in roles designated as SCA must support a government Service Contract Act (SCA) agreement

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • 5+ years of experience in a network management or related role managing complex provider networks with accountability for business results
  • 3+ years of experience in provider contracting
  • 2+ years of experience with financial modeling, and medical cost and administrative budget management
  • 2+ years of people leadership or supervisory experience
  • Expert-level knowledge of Medicare reimbursement methodologies, including RBRVS, DRGs, Ambulatory Surgery Center Groupers, and related payment models
  • Driver's License and access to a reliable transportation

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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