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Provider Contracting Jobs (NOW HIRING)

Colorado Access

Director of Provider Contracting

Denver, CO · On-site

$150K - $185K/yr

We are looking for a DIRECTOR OF PROVIDER CONTRACTING who can help shape our vision and support our mission. Here is what the position will look like. Department Director Responsibilities: * Develop ...

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 ...

Humana

Senior Provider Contracting Professional

The Senior Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and terms. Maintains ...

Humana

Senior Provider Contracting Professional

The Senior Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and terms. Maintains ...

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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.

More about Provider Contracting jobs

What cities are hiring for Provider Contracting jobs?

Cities with the most Provider Contracting job openings:

What are the most commonly searched types of Provider Contracting jobs?

The most popular types of Provider Contracting jobs are:

What states have the most Provider Contracting jobs?

States with the most job openings for Provider Contracting jobs include:

Provider Contracting jobs near you
Infographic showing various Provider Contracting job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 76% Full Time, 15% Part Time, and 6% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution.

Provider Contracting Coordinator

Astrana Health

Monterey Park, CA • Hybrid

$24 - $27/hr

Full-time

Posted 14 days ago

Job description

About the Role:
We are currently seeking a highly motivated Contracting Coordinator. This role will report to the Supervisor - Provider Contracting and enable us to continue to scale in the healthcare industry. This is a hybrid role where the expectation is to work both in office and at home on a weekly basis.
  • Prepares, generates, assembles, mails, tracks and follows up on all agreements
  • Initiates, negotiates, generates, and tracks Physician Letters of Agreement, contracts and amendments from initial draft to full execution utilizing approved standardized contract templates/amendments
  • Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes
  • Build, organize and maintain both digital and hard copies of providers & vendors agreements
  • Draft agreements in conjunction with various specifications. Update's boilerplates to reflect any changes deemed necessary or as required by NCQA, Center for Medicaid/Medicare Services (CMS) and/or any other governing bodies
  • Collaborate with other departments to investigate any discrepancies or missing pieces of information
  • Communicate and follow up with providers & vendors to obtain missing information such as NPI, tax ID, other necessary information and to ensure agreements are return with proper signatures and fully executed
  • Follow up with providers and vendors to make sure they received agreements and to return in a timely manner
  • Communicate changes in agreements with other departments
  • To effectively interface with providers, vendors, and other departments to successfully monitor and implement agreements in place
  • Engage in administrative tasks to assists with other departments when requested
  • Maintaining and protecting information of confidentiality
  • High school diploma and Associate's degree or equivalent from two-year college
  • Proven PC skills - Excel, Word, Access, Outlook, PowerPoint
  • Excellent communication, reading, spelling and editing skills
  • Detail-oriented and be able to engage in exhaustive investigation when initial information is vague
  • Intermediate to expert knowledge of Microsoft Word, Windows Explorer and internet research
  • Basic to intermediate knowledge of Microsoft Excel
  • Ability to understand and work with proprietary software applications
  • Organizational ability and ability to exercise good judgment
  • Typing speed 50+ WPM and knowledge of 10 key desired
  • Ability to contract negotiations, which include contract template reviews and drafting of agreements
  • Great organization skills and willing to handle large amount of filing
You're great for this role if:
  • Highly motivated and able to work with multiple teams simultaneously
  • Understanding of healthcare and managed care contracting terminology
  • Understanding of healthcare regulations and provider payment reimbursement methodologies
  • Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr, Monterey Park, CA 91754.
  • The target pay range for this role is between $24.00 - $27.00. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. 

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