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Provider Contracting Jobs in Ohio (NOW HIRING)

CareSource

Provider Contracting Analyst II

Dayton, OH · On-site

$72K - $115K/yr

The Provider Contracting Analyst II supports the development, validation, and optimization of provider reimbursement strategies through advanced data analysis, financial modeling, and AI-enabled ...

ViaQuest

Shared Living Provider

Niles, OH · On-site

$100 - $150/day

Shared Living Provider- Contractor A Great Opportunity / $100-$150 per day stipend / Full Time Remote Status: Providing care from the comfort of your own home Being a Shared Living Provider is when ...

ViaQuest

Shared Living Provider

Lakewood, OH · On-site

$100 - $150/day

Shared Living Provider- Contractor A Great Opportunity / $100-$150 per day stipend / Full Time Remote Status: Providing care from the comfort of your own home Being a Shared Living Provider is when ...

ViaQuest

Shared Living Provider

Berea, OH · On-site

$100 - $150/day

Shared Living Provider- Contractor A Great Opportunity / $100-$150 per day stipend / Full Time Remote Status: Providing care from the comfort of your own home Being a Shared Living Provider is when ...

ViaQuest

Shared Living Provider

Rossford, OH · Remote

$100 - $150/day

Shared Living Provider- Contractor A Great Opportunity / $100-$150 per day stipend / Full Time Remote Status: Providing care from the comfort of your own home Being a Shared Living Provider is when ...

ViaQuest

Shared Living Provider

Cortland, OH · On-site

$100 - $150/day

Shared Living Provider- Contractor A Great Opportunity / $100-$150 per day stipend / Full Time Remote Status: Providing care from the comfort of your own home Being a Shared Living Provider is when ...

ViaQuest

Shared Living Provider

Lakewood, OH · Remote

$100 - $150/day

Shared Living Provider- Contractor A Great Opportunity / $100-$150 per day stipend / Full Time Remote Status: Providing care from the comfort of your own home Being a Shared Living Provider is when ...

ViaQuest

Shared Living Provider

Warren, OH · On-site

$100 - $150/day

Shared Living Provider- Contractor A Great Opportunity / $100-$150 per day stipend / Full Time Remote Status: Providing care from the comfort of your own home Being a Shared Living Provider is when ...

ViaQuest

Shared Living Provider

Rossford, OH · On-site

$100 - $150/day

Shared Living Provider- Contractor A Great Opportunity / $100-$150 per day stipend / Full Time Remote Status: Providing care from the comfort of your own home Being a Shared Living Provider is when ...

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All JobsProvider Contracting JobsProvider Contracting Jobs in Ohio

Provider Contracting information

See Ohio salary details

$55.5K

$71.7K

$117.1K

How much do provider contracting jobs pay per year?

As of Aug 22, 2026, the average yearly pay for provider contracting in Ohio is $71,686.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,400.00 and $72,300.00 per year, depending on experience, location, and employer.

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 Ohio as of August 2026, with employment types broken down into 2% As Needed, 81% Full Time, 12% Part Time, and 5% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $71,686 per year, or $34.5 per hour.

Provider Contracting Analyst II

CareSource

Dayton, OH • On-site

$72K - $115K/yr

Full-time

Re-posted 29 days ago

CareSource rating

7.7

Company rating: 7.7 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

206th of 311 rated insurance

Job description

Job Summary:
The Provider Contracting Analyst II supports the development, validation, and optimization of provider reimbursement strategies through advanced data analysis, financial modeling, and AI-enabled analytic tools. This role is responsible for evaluating provider payment methodologies, conducting contract repricing analyses, and delivering actionable insights to support contracting decisions. They apply modern analytics techniques-including automation and artificial intelligence-to enhance accuracy, scalability, and efficiency in reimbursement modeling and reporting.
Essential Functions:
  • Develop and maintain provider reimbursement models across multiple payment structures, including fee schedules, percent-of-Medicare, bundled payments, and case rate arrangements.
  • Perform contract repricing analyses using claims data to assess financial impact of proposed rate and contract changes.
  • Analyze key financial metrics, including billed charges, allowed amounts, units, and utilization trends, to identify cost drivers and performance variation.
  • Support benchmarking of provider reimbursement rates against applicable Medicare, Medicaid, and commercial benchmarks.
  • Assist in evaluating pricing approaches for unlisted or miscellaneous CPT/HCPCS codes by identifying comparable services.
  • Utilize SQL, Python, and business intelligence tools to analyze large, complex healthcare datasets.
  • Leverage automation and AI-assisted tools to improve efficiency in data processing, variance identification, and reporting.
  • Apply advanced analytical techniques to identify anomalies, outliers, and opportunities for cost containment.
  • Perform scenario modeling to evaluate the financial and operational implications of alternative reimbursement structures.
  • Partner with contracting, finance, and operational teams to support rate development and network strategy initiatives.
  • Provide analytical support for reimbursement assessments.
  • Collaborate with configuration, actuarial, data engineering, and clinical teams to ensure alignment between contract terms, system configuration, and analytical outputs.
  • Participate in requirements gathering, data validation, and issue resolution activities.
  • Support implementation and refinement of reimbursement logic within claims processing systems.
  • Perform any other job related duties as requested.

Education and Experience:
  • Bachelor's degree in Healthcare Administration, Data Analytics, Finance, Economics or related field required
  • Equivalent years of relevant work experience may be accepted in lieu of required education
  • Two (2) years of experience in healthcare reimbursement, provider contracting or claims data analysis required
  • Experience working with healthcare claims data and reimbursement methodologies required
  • Experience with data analytics tools, automation, or AI enabled technologies preferred

Competencies, Knowledge and Skills:
  • Understanding of healthcare reimbursement methodologies, including Medicare, Medicaid, and commercial payment models
  • Familiarity with CPT/HCPCS coding, DRGs, APCs, and related billing constructs
  • Knowledge of provider contracting structures and pricing strategies
  • Proficiency in SQL for data extraction, transformation, and analysis
  • Working knowledge of Python or similar languages for data analysis and automation
  • Familiarity with business intelligence tools such as Power BI or Tableau
  • Familiarity with analytics automation and AI-assisted tools
  • Strong analytical and quantitative reasoning skills
  • Ability to interpret complex data and translate it into actionable insights
  • High attention to detail with a focus on accuracy and validation
  • Ability to effectively communicate technical concepts to both technical and non-technical audiences
  • Strong written and verbal communication skills
  • Ability to work independently and collaboratively in a team environment
  • Ability to manage multiple priorities in a fast-paced environment
  • Strong time management and problem-solving skills

Licensure and Certification:
  • None

Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time
  • Travel is not typically required

Compensation Range:
$72,200.00 - $115,500.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
  • Fostering a Collaborative Workplace Culture
  • Cultivate Partnerships
  • Develop Self and Others
  • Drive Execution
  • Influence Others
  • Pursue Personal Excellence
  • Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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