Provider Contracts Manager
$79K - $106K/yr
... provider contracting process is conducted in accordance with departmental policies, procedures and regulatory requirements Reviews managed-care contracts and ensures language and rates are within ...
$79K - $106K/yr
... provider contracting process is conducted in accordance with departmental policies, procedures and regulatory requirements Reviews managed-care contracts and ensures language and rates are within ...
$79K - $106K/yr
... provider contracting process is conducted in accordance with departmental policies, procedures and regulatory requirements Reviews managed-care contracts and ensures language and rates are within ...
Bellaire, TX · On-site
$79K - $106K/yr
... contracting process is conducted in accordance with departmental policies, procedures and ... We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens ...
Bellaire, TX · On-site
$79K - $106K/yr
... contracting process is conducted in accordance with departmental policies, procedures and ... We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens ...
Dallas, TX · Remote
$240K - $315K/yr
The Vice President of Network Management is responsible for the contracting strategy, development, and management of a high-performing provider network for a defined geographic area within Oscar ...
Quick apply
Dallas, TX · Remote
$240K - $315K/yr
The Vice President of Network Management is responsible for the contracting strategy, development, and management of a high-performing provider network for a defined geographic area within Oscar ...
Skills & Qualifications High School Diploma/GED A minimum of five (5) years of applicable hospital managed-care experience, in a facility contracting, provider relations, or hospital business office ...
Skills & Qualifications High School Diploma/GED A minimum of five (5) years of applicable hospital managed-care experience, in a facility contracting, provider relations, or hospital business office ...
Skills & Qualifications • High School Diploma/GED • A minimum of five (5) years of applicable hospital managed-care experience, in a facility contracting, provider relations, or hospital business ...
Skills & Qualifications • High School Diploma/GED • A minimum of five (5) years of applicable hospital managed-care experience, in a facility contracting, provider relations, or hospital business ...
Houston, TX · On-site
$144K - $181K/yr
Partner with Provider Contracting, Network Operations, Medical Management, Quality, Claims, Credentialing, and Operations to drive provider performance. Identify provider network gaps, access ...
Houston, TX · On-site
$144K - $181K/yr
Partner with Provider Contracting, Network Operations, Medical Management, Quality, Claims, Credentialing, and Operations to drive provider performance. Identify provider network gaps, access ...
Houston, TX · On-site
$120 - $180/hr
Partner with Provider Contracting, Network Operations, Medical Management, Quality, Claims, Credentialing, and Operations to drive provider performance. Identify provider network gaps, access ...
Houston, TX · On-site
$120 - $180/hr
Partner with Provider Contracting, Network Operations, Medical Management, Quality, Claims, Credentialing, and Operations to drive provider performance. Identify provider network gaps, access ...
Houston, TX · On-site
$120 - $200/hr
Partner with Provider Contracting, Network Operations, Medical Management, Quality, Claims, Credentialing, and Operations to drive provider performance. * Identify provider network gaps, access ...
Houston, TX · On-site
$120 - $200/hr
Partner with Provider Contracting, Network Operations, Medical Management, Quality, Claims, Credentialing, and Operations to drive provider performance. * Identify provider network gaps, access ...
Houston, TX · On-site +1
$112K - $193K/yr
As an Associate Director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network ...
Houston, TX · On-site +1
$112K - $193K/yr
As an Associate Director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network ...
Houston, TX · Remote
$112K - $193K/yr
As an Associate Director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network ...
Houston, TX · Remote
$112K - $193K/yr
As an Associate Director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network ...
Dallas, TX · On-site
$150 - $230/hr
Minimum of 3-5 years of legal experience specifically within the healthcare sector, with experience with provider contracting, HIPAA, and Business Associate Agreements. * Startup DNA: Demonstrated ...
Dallas, TX · On-site
$150 - $230/hr
Minimum of 3-5 years of legal experience specifically within the healthcare sector, with experience with provider contracting, HIPAA, and Business Associate Agreements. * Startup DNA: Demonstrated ...
Experience with complex Hospital / Health Systems, Large Physician Groups and Ancillary provider contracting and negotiations * Experience negotiating delegated credentialing agreements * Experience ...
New
Experience with complex Hospital / Health Systems, Large Physician Groups and Ancillary provider contracting and negotiations * Experience negotiating delegated credentialing agreements * Experience ...
New
Experience with complex Hospital / Health Systems, Large Physician Groups and Ancillary provider contracting and negotiations * Experience negotiating delegated credentialing agreements * Experience ...
New
Experience with complex Hospital / Health Systems, Large Physician Groups and Ancillary provider contracting and negotiations * Experience negotiating delegated credentialing agreements * Experience ...
New
Austin, TX · On-site +1
$175K/yr
Experience with complex Hospital / Health Systems, Large Physician Groups and Ancillary provider contracting and negotiations * Experience negotiating delegated credentialing agreements * Experience ...
New
Austin, TX · On-site +1
$175K/yr
Experience with complex Hospital / Health Systems, Large Physician Groups and Ancillary provider contracting and negotiations * Experience negotiating delegated credentialing agreements * Experience ...
New
Houston, TX · On-site
Provides computer entries of authorization request/provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of ...
Houston, TX · On-site
Provides computer entries of authorization request/provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of ...
El Paso, TX · On-site
Provide computer entries of authorization request/provider inquiries by phone, mail, or fax. Including: Verify member eligibility and benefits, Determine provider contracting status and ...
El Paso, TX · On-site
Provide computer entries of authorization request/provider inquiries by phone, mail, or fax. Including: Verify member eligibility and benefits, Determine provider contracting status and ...
Provide computer entries of authorization request/provider inquiries by phone, mail, or fax. Including: Verify member eligibility and benefits, Determine provider contracting status and ...
Provide computer entries of authorization request/provider inquiries by phone, mail, or fax. Including: Verify member eligibility and benefits, Determine provider contracting status and ...
$114K - $115K/yr
Provide contractor market knowledge (including general availability of skills, rate guidelines) * Provide guidance on relevant contingent workforce legislation * Rate consultation and management to ...
$114K - $115K/yr
Provide contractor market knowledge (including general availability of skills, rate guidelines) * Provide guidance on relevant contingent workforce legislation * Rate consultation and management to ...
Dallas, TX · Remote
$80K - $100K/yr
Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field * 5+ years of experience in healthcare payer contracting, provider contracting, or managed care ...
Quick apply
Dallas, TX · Remote
$80K - $100K/yr
Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field * 5+ years of experience in healthcare payer contracting, provider contracting, or managed care ...
Goodfellow Air Force Base, TX · On-site
$74K/yr
Specialized experience is experience that may have been gained while providing business advice to customers and performing all pre-award/post-award functions, using a wide range of contracting ...
Goodfellow Air Force Base, TX · On-site
$74K/yr
Specialized experience is experience that may have been gained while providing business advice to customers and performing all pre-award/post-award functions, using a wide range of contracting ...
$53.5K - $58.9K
11% of jobs
$60.9K is the 25th percentile. Wages below this are outliers.
$58.9K - $64.3K
39% of jobs
$68.8K is the 75th percentile. Wages above this are outliers.
$64.3K - $69.7K
30% of jobs
$69.7K - $75.1K
15% of jobs
$75.1K - $80.5K
4% of jobs
$80.5K - $85.9K
1% of jobs
$85.9K - $91.3K
0% of jobs
$91.3K - $96.7K
0% of jobs
$96.7K - $102.1K
0% of jobs
$102.1K - $107.5K
0% of jobs
$107.5K - $112.9K
0% of jobs
$53.5K
$69.1K
$112.9K
| Aspect | Provider Contracting | Provider Relations Specialist |
|---|---|---|
| Primary Focus | Negotiating and managing provider contracts | Building and maintaining provider relationships |
| Responsibilities | Contract negotiations, rate setting, compliance | Provider communication, issue resolution, outreach |
| Required Skills | Negotiation, understanding of contracts, industry regulations | Communication, customer service, relationship management |
| Work Environment | Office-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.
The most popular types of Provider Contracting jobs in Texas are:
Cities in Texas with the most Provider Contracting job openings:

$79K - $106K/yr
Full-time
Medical
Posted 12 days ago
8.3
Based on 176 frontline employees who took The Breakroom Quiz
73rd of 1,061 rated hospitals
We're searching for a Provider Contracts Manager, someone who works well in a fast-paced setting. In this position, you'll handle the analysis, completion, implementation and ongoing follow-up of primary care, specialist and ancillary provider contracts, while developing and maintaining positive relationships with providers and internal customers. You'll interact daily with attorneys, directors, managers and peers, and will manage and complete major departmental projects, including recommending project plans.
Think you've got what it takes?
Job Duties & Responsibilities
Identifies providers who are eligible for participation in the provider network and who meet network and member needs
Conducts face-to-face and telephonic outreach to providers to initiate and follow up on contracts and credentialing materials
Ensures the provider contracting process is conducted in accordance with departmental policies, procedures and regulatory requirements
Reviews managed-care contracts and ensures language and rates are within established parameters and guidelines
Facilitates the credentialing process for new providers and ensures contracts are executed by both parties and filed appropriately
Serves as a subject matter expert for provider contract configuration within the claims payment system
Serves as a subject matter expert on provider contract templates and responds to requests for contract interpretation
Prepares documentation needed for RFPs, readiness reviews, regulatory audits and other contractual audits
Develops and maintains standard pricing grids, fee schedule crosswalks and reports to monitor contract performance
Attends weekly meetings with the manager to discuss the status of projects and contracting efforts
Communicates provider trends to management in a timely manner
Completes ad hoc reports and projects within assigned deadlines
Skills & Qualifications
High school diploma or equivalent, required
4 years of applicable health care experience in a contracting, provider relations, business development or provider business office role, required
Bachelor's degree, preferred
A bachelor's degree may substitute for a portion of the required experience
Get the full story on Breakroom