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Provider Network Contract Manager Jobs in Florida

Paradigm

Provider Contract Manager

Tampa, FL · On-site

$100K - $120K/yr

The Provider Contract Manager will grow and enhance Paradigm's Provider Network by negotiating ... Monitor provider network performance and growth. * Focus on growth, efficiency and performance of ...

Phsorg

$53K - $91K/yr

Provider Network Management Relations Executive Summary: Build your Career. Make a Difference ... contract and corresponding fee schedules. * Resolves provider issues - claims, health services ...

MES Life Safety

Contract Manager

Miami, FL · On-site

$110K/yr

Description About Us Established in 2001, MES is the nation's largest provider of PPE, fire ... Summary The Contract Manager is responsible for proactively directing, managing, negotiating, and ...

Phsorg

Lead enterprise strategy, governance, and performance management for national, regional, and wrap ... Oversee contract conformance monitoring and financial analysis of $4B+ in provider payments

OnesourcePCS, LLC

Contract Manager

Pensacola, FL · On-site

$60K - $70K/yr

... providing care for our service members and their families! Benefits and Perks * Competitive ... Coordinates with Human Resources to evaluate and manage contract utilization * Maximizes efficiency ...

OnesourcePCS, LLC

Contract Manager

Pensacola, FL · On-site

$60K - $70K/yr

... providing care for our service members and their families! Benefits and Perks * Competitive ... Coordinates with Human Resources to evaluate and manage contract utilization * Maximizes efficiency ...

Elevance Health

Payor Contract Manager, Infusion

Tampa, FL · Hybrid

$111K - $166K/yr

Acts as the primary contract resource for internal teams; provides contract education to support ... network participation inquiries. Minimum Requirements: Requires a Bachelor's degree in Business ...

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Provider Network Contract Manager information

What is the difference between Provider Network Contract Manager vs Provider Contract Specialist?

AspectProvider Network Contract ManagerProvider Contract Specialist
CredentialsTypically requires a bachelor's degree in healthcare administration, business, or related field; certifications like CPC or CPMSM are commonSimilar credentials, often with healthcare or business background; certifications may include CPC or related
Work EnvironmentWorks within healthcare organizations or insurance companies, managing network contracts and negotiationsWorks in healthcare or insurance settings, focusing on contract review, processing, and compliance
Employer & Industry UsageUsed by health plans, provider networks, and insurance companies to manage provider agreementsCommonly employed in healthcare organizations and insurance firms for contract administration

The Provider Network Contract Manager oversees the negotiation and management of provider agreements, focusing on network development. The Provider Contract Specialist handles contract processing and compliance. While both roles require similar credentials and work in related environments, the manager has a broader strategic focus, whereas the specialist concentrates on contract details and administration.

What are some typical challenges faced by a Provider Network Contract Manager when negotiating contracts with healthcare providers?

A Provider Network Contract Manager often encounters challenges such as aligning payer and provider expectations, managing rate negotiations, and ensuring contract compliance with regulatory requirements. Balancing the need for competitive reimbursement rates while maintaining strong provider relationships can be complex, especially in markets with limited provider options. Additionally, contract managers must frequently collaborate with legal, finance, and clinical teams to address operational impacts and resolve disputes, making strong communication and negotiation skills essential.

What are the key skills and qualifications needed to thrive as a Provider Network Contract Manager, and why are they important?

To thrive as a Provider Network Contract Manager, you need expertise in healthcare contract negotiation, provider relations, and a solid understanding of insurance regulations, generally supported by a bachelor's degree in business, healthcare administration, or a related field. Familiarity with contract management software, data analysis tools, and knowledge of healthcare reimbursement systems is typically required. Strong communication, problem-solving, and relationship-building skills set top performers apart in this role. These abilities are crucial for building effective networks, ensuring compliance, and achieving cost-effective, high-quality care partnerships.

What is a Provider Network Contract Manager?

A Provider Network Contract Manager is a professional responsible for negotiating, developing, and managing contracts with healthcare providers such as hospitals, physicians, and clinics on behalf of insurance companies or healthcare organizations. Their main goal is to ensure that a network of providers delivers quality care to members at cost-effective rates. They also monitor contract compliance, analyze provider performance, and address any issues that may arise between providers and the organization. This role requires strong negotiation, communication, and analytical skills.
What are popular job titles related to Provider Network Contract Manager jobs in Florida? For Provider Network Contract Manager jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Provider Network Contract Manager jobs in Florida look for? The top searched job categories for Provider Network Contract Manager jobs in Florida are:
What cities in Florida are hiring for Provider Network Contract Manager jobs? Cities in Florida with the most Provider Network Contract Manager job openings:
Provider Network Contract Manager jobs near you
Infographic showing various Provider Network Contract Manager job openings in Florida as of July 2026, with employment types broken down into 55% Full Time, 19% Part Time, 1% Temporary, and 25% Contract. Highlights an 68% Physical, 3% Hybrid, and 29% Remote job distribution.

Provider Contract Manager

Paradigm

Tampa, FL • On-site

$100K - $120K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 26 days ago

Job description

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm's business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.
We're proud to be recognized-again! For the fourth year in a row, we've been certified by Great Place to Work®, and for the third consecutive year, we've earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.
Watch this short video for a brief introduction to Paradigm.
The Provider Contract Manager will grow and enhance Paradigm's Provider Network by negotiating contracts, amendments, establishing and maintaining relationships with providers to secure network participation contracts at company approved jurisdictional margins. The job role requires actively managing a team that involves mentoring /coaching the team, monitoring their progress that includes achieving their goals and assisting with their contracting initiatives.
DUTIES AND RESPONSIBILITIES:
  • Monitor provider network performance and growth.
  • Focus on growth, efficiency and performance of underdeveloped network segments/geographic locations by product line as assigned.
  • Directly manage, provide leadership and mentoring to any direct reports.
  • Maintain accurate and up-to-date provider data in organization's System.
  • Assist with the enforcement of departmental quality assurance processes and procedures.
  • Conduct regular reviews and audits of the provider network to ensure accurate data.
  • Conduct and coordinate provider recruitment efforts and related activities, with duties including but not limited to:
    • Utilize proprietary company information/programs as well as approved non-company systems/programs to identify provider prospects.
    • Recruit and contract with Provider's.
    • Foster and maintain productive professional relationships with Paradigm providers.
    • Communicate with and provide timely responses to provider inquiries in a manner that demonstrates the Paradigm way.
    • Maintain a thorough understanding of Paradigm's service offerings and pricing thresholds.
    • Participate in the development of marketing and outreach materials in collaboration with departmental instruction/needs.
    • Document outreach efforts, review results, and modify approach as needed to achieve departmental recruitment objectives in the appropriate contact management system.
    • Support ongoing process improvement activities related to provider recruitment and onboarding.
    • Prepare written reports, correspondence, presentations, orientation materials, and other documentation.
    • Perform research and analysis related to Provider network requirements and to identify opportunities for network expansion, with duties including but not limited to:
      • Conduct market research to identify gaps in in the provider network, opportunities for network expansion and trends.
      • Maintain knowledge of Paradigm Providers through direct dialogue.
      • Research competitors and utilize available data to monitor hospital and health system network, including service offerings and rates.
      • Facilitate the contracting process with Providers in collaboration with the SVP of Network Development.
    • Perform additional duties as identified and directed by management.
  • Leads adoption of AI-enabled tools within the team, ensuring effective integration into workflows. Coaches employees on appropriate usage, monitors impact on productivity and quality, and identifies opportunities for process improvement.
  • Demonstrates a customer-first mindset by reinforcing expectations of all employees as drivers of customer excellence by actively fostering engagement, clarity, accountability, and support, recognizing that a positive and consistent employee experience directly influences service quality and customer outcomes.
  • Responsible for complying with Paradigm Information Security requirements and policies, for safeguarding Paradigm or Paradigm related passwords, and for notifying Paradigm of any Information Security incidents per policy SEC 10-12 Information Security Incident Management.

SUPERVISORY RESPONSIBILITIES:
  • Mentor, train, and supervise team members directly and indirectly, review their work and provide effective constructive feedback to achieve their best performance and goal attainment
  • Set the tone for a strong Enterprise culture and high employee engagement.
  • Ensure all team members understand, are trained in, and comply with Paradigm's security requirements and policies.
  • Ensure all team members have the minimum level of IT system access required to effectively complete their Paradigm responsibilities.

QUALIFICATION REQUIREMENTS:
  • Minimum of 7-10 years' of contracting experience in the healthcare industry, specific to provider contracting of physicians, surgical facilities and ancillary services.
  • Minimum of 4-5 years of supervisory experience in managing a team of individuals that perform physician, surgical facility and ancillary services contracting.
  • Knowledgeable in interpreting and assessing CPT, HCP, DRG and Revenue codes.
  • Experience with Medicare fee schedules, Work Comp fee schedules, UCR and Billed Charge reimbursement methodologies.
  • College degree preferred. High school diploma or equivalent acceptable with commensurate experience.
  • Exceptional communication and telephone skills required, as well as a great deal of patience, understanding and tact.
  • Possess a high level of self-confidence and persistence; maintain an assertive approach in dealing with providers.
  • Must possess excellent organizational skills and ability to multi-task effectively.
  • Demonstrate the ability to prioritize heavy workload independently with minimal supervision.
  • Proficient computer and internet skills; familiarity with Microsoft applications required.
  • Will develop in-depth knowledge of department and company internal workflows, including but not limited to individual jurisdictional statutes, procedures, and negotiating protocols.
  • Inside sales experience a plus.
  • Bilingual (English/Spanish) a plus.
  • Workers' Compensation knowledge required.
  • Group Health knowledge required.

Paradigm Benefits:
  • Health and wellness- We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
  • Financial incentives - Paradigm's financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
  • Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
  • Volunteer time- We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
  • Learning and development: One of Paradigm's core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We're striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.
Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at leave.management@paradigmcorp.com.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law (§16.765). Poster link: Contract Compliance Law Poster
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