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Provider Contracting Jobs (NOW HIRING)

Curana Health, Inc.

Summary The Senior Provider Contracting Executive leads the organization's physician, hospital, and health system contracting strategy. This role has enterprise responsibility for developing ...

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 ...

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 ...

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 ...

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Provider Contracting information

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.
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 July 2026, with employment types broken down into 89% Full Time, 3% Part Time, and 8% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution.
Senior Provider Contracting Executive

Senior Provider Contracting Executive

Curana Health, Inc.

Full-time

Re-posted 7 days ago

Curana Health rating

7.7

Company rating: 7.7 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

 

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it.

As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities.

Founded in 2021, we've grown quickly-now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for.

If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place-and we look forward to working with you.

For more information about our company, visit CuranaHealth.com.

Summary

The Senior Provider Contracting Executive leads the organization's physician, hospital, and health system contracting strategy. This role has enterprise responsibility for developing, negotiating, and executing provider agreements that support growth, market expansion, financial performance, and value-based care objectives.

This executive manages the provider contracting team and serves as a senior partner to clinical, legal, finance, and operational leaders, ensuring contracting strategies are aligned with care delivery models, regulatory requirements, and long-term organizational goals.

Essential Duties & Responsibilities

  • Provide executive leadership for physician, hospital, and health system contracting across all markets.

  • Lead, mentor, and develop the provider contracting team, setting clear expectations and accountability.

  • Own contracting strategy across fee-for-service and value-based care arrangements.

  • Lead complex provider and health system negotiations, serving as the primary escalation point.

  • Partner with clinical, finance, legal, and operations leaders to align contracts with reimbursement models, quality goals, and care delivery strategy.

  • Establish and monitor contracting performance metrics, including financial impact, network adequacy, and provider performance.

  • Analyze market trends, cost drivers, and utilization data to inform contracting decisions and executive recommendations.

  • Oversee the full contract lifecycle, including negotiation, execution, renewals, amendments, and compliance tracking.

  • Ensure contracting processes, systems, and documentation align with regulatory requirements and internal governance standards.

  • Support budgeting, forecasting, and financial modeling related to provider contracts.

  • Ensure audit readiness and adherence to federal, state, and payer requirements.

  • Other duties as assigned.

Qualifications

  • Bachelor's degree required; Master's degree preferred. Equivalent experience may be considered in lieu of degree.

  • Eight (8)+ years of experience in provider contracting, network strategy, or managed care operations, including senior-level leadership responsibility.

  • Deep expertise in physician, hospital, and health system contracting, including value-based arrangements.

  • Proven success leading high-stakes negotiations and managing complex provider relationships.

  • Strong executive presence with excellent communication and stakeholder management skills.

  • Demonstrated ability to use financial, quality, and utilization data to drive strategic decisions.

  • Experience building scalable contracting processes, governance models, and teams.

Employment Type: FULL_TIME

What Curana Health employees say

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Hours and flexibility

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