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Provider Contracting Jobs (NOW HIRING)

Cigna

As Provider Contracting Advisor , you'll serve as an important part of the Provider Contracting Team and report to the AVP, Provider Contracting. In this role, you'll assist in developing our ...

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Provider Contracting information

See salary details

$59.5K

$76.8K

$125.5K

How much do provider contracting jobs pay per year?

As of Jun 11, 2026, the average yearly pay for provider contracting in the United States is $76,846.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $77,500.00 per year, depending on experience, location, and employer.

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.
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 June 2026, with employment types broken down into 60% Full Time, 2% Part Time, 36% Contract, and 2% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $76,846 per year, or $36.9 per hour.

Provider Relations and Contracting Specialist

FRONTPATH HEALTH COALITION

Perrysburg, OH

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

Job description

Benefits:
  • 401(k)
  • 401(k) matching
  • Competitive salary
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

The role of the Provider Relations and Contracting Specialist is to provide FrontPath members and their enrollees with access to a broad and cost-effective provider network. The role focusses on retaining and growing the network providers through building ongoing and trusted working relationships with providers and through delivering excellent provider service. The Provider Relations and Contracting Specialist coordinates the resolution of provider issues with appropriate FrontPath leader or staff.
Major Areas of Responsibility:
Leads the provider contracting process with new and current participating providers, including standard processes for review of requests for participation, contracting and negotiations for facility, ancillary and professional providers.
Oversees, conducts and documents facility, ancillary and professional delegated and direct recredentialing cycles. Ongoing monthly review of CAQH Summary reports to identify any listings related to FrontPath providers.
Maintains an accurate and up-to-date provider database for use in network management, claims repricing and the provider directory. This includes weekly and monthly reporting of provider files to TPAs and weekly updates to the provider directory.
Assists the FrontPath customer service specialist, and coordinates distribution of problems for resolution to the appropriate FrontPath leader or staff. Conducts personal follow-up with providers, brokers or TPAs on provider related issues and topics.
Manages the implementation process (provider adds) for all new providers and for implementation of new negotiated facility and ancillary provider rates.
Coordinates FrontPath resources to respond appropriately to provider inquiries on claims repricing topics and issues.
Manages communications with providers; provide appropriate educational opportunities and resources; respond to provider claims inquiries, requests for fee schedules and related information.
Oversees Claimshop user access for members and providers, including loading into ClaimShop and periodic reverification with provider groups and members.
Negotiates Single Case Agreements with out of network providers or large case agreements with existing tertiary participating providers at the request or with the approval of the plan sponsor.
Assists in the claims repricing function by processing assigned Pend Codes as required in a timely manner.
Works collaboratively with internal and external stakeholders to foster strong relationships between FrontPath and network providers to provide value and access to FrontPath members.
Carries out other duties as assigned.
Experience Required:
Minimum Bachelors degree from an accredited college or university or equivalent relevant work experience.
3 + years related work experience, primarily including provider contracting or claims oversight functions.
Demonstrated knowledge relative to local provider and purchaser markets.
Demonstrated ability and proven track record to create and foster strategic relationships with key stakeholders at provider organizations.
Demonstrated ability to use analytics to inform rate negotiations and strategic decision-making.
Excellent oral, written, and interpersonal communication skills.
Proven ability to work within a team and to foster teamwork.
Strong planning, problem-solving, time management, organizational and prioritization skills.
Demonstrated skill in use of Word, Excel, Access, Power Point, Outlook.
This is a full-time position reporting to the President and Chief Executive Officer.