provider contracting

Overview Quartz is seeking a healthcare reimbursement expert to join our organization as a Provider Contracting Strategist. This critical role will bring a deep understanding of the interdependencies between health plan and provider reimbursement strategies and rely on sound financial analysis to advise upon appropriate...

NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their...

Why should you consider a career with Colorado Access? We are a Colorado-based company, working to improve the health of our state. We care for individuals, families, and children who receive health care under Child Health Plan Plus (CHP+) and Health First Colorado (Colorado's Medicaid Program). Our focus is driving improvements in quality, member...

DescriptionManager-Provider Relations               Job Code: 22242         FLSA Status Job Family: ADMIN SUPPORT   Job Summary Identifies, evaluates and negotiates contracting opportunities to grow the existing business, develop new business and expand provider network. In-depth understanding of health care and managed care contracting...

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will invest in your professional development.Job SummaryThis position is responsible for...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of...

Become a part of our caring community The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent...

Planned Parenthood California Central Coast (PPCCC) is an equal opportunity employer, we welcome all applicants regardless of their race, religious creed, color, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, sex, gender identity, gender expression, age, sexual orientation, military or...

DescriptionWe'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....

Full-time Description Provider Contracting Specialist (Healthcare Network Development)Location: Franklin, TN (In-Office)We’re seeking a Provider Contracting Specialist to help expand and strengthen our national healthcare network. In this role, you will identify, recruit, and negotiate agreements with physicians, provider groups, and ancillary...

Anticipated End Date:2026-09-11Position Title:Provider Contract ConsultantJob Description:Provider Contract ConsultantHybrid 1: This role requires associates to be in-office 1 - 2  days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office...

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 strategic direction and oversee the management and maintenance of department deliverables striving for operational excellence (productivity, quality, SLAs,...

Job SummaryThis position is responsible for developing and implementing the methodology that results in competitive contract pricing while maintaining a broad network of hospitals, physicians, behavioral health and ancillary providers on a statewide basis. The role directs and oversees management and staff responsible for contracting, provider relations...

Manager-Provider Relations Job Code: 22242 Job Family: ADMIN SUPPORT Job Summary: Identifies, evaluates and negotiates contracting opportunities to grow the existing business, develop new business and expand provider network. In-depth understanding of health care and managed care contracting concepts, reimbursement, methodologies, and health benefit plan...

Description: Provider Contracting Specialist (Healthcare Network Development) Location: Franklin, TN (In-Office) We’re seeking a Provider Contracting Specialist to help expand and strengthen our national healthcare network. In this role, you will identify, recruit, and negotiate agreements with physicians, provider groups, and ancillary facilities to join...

Description: Provider Contracting Specialist (Healthcare Network Development) Location: Franklin, TN (In-Office) We’re seeking a Provider Contracting Specialist to help expand and strengthen our national healthcare network. In this role, you will identify, recruit, and negotiate agreements with physicians, provider groups, and ancillary facilities to join...

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.   We're a team that owns our work with accountability, makes data-driven decisions,...

Job SummaryIndependently manages a portfolio of provider contracts and serves as an experienced Senior individual contributor for contract development, provider negotiations, implementation, compliance, and contract renewals. This role leads moderately to highly complex negotiations, evaluates financial and operational implications of contract terms, and...

Job Summary:The Provider Contracting Analyst II supports the development, validation, and optimization of provider reimbursement strategies through advanced data analysis, financial modeling, and AI-enabled analytic tools. This role is responsible for evaluating provider payment methodologies, conducting contract repricing analyses, and delivering actionable...

Job SummaryLead by example, holding positive and respectful relationships with highly-valued and complex internal and external customers.  The successful candidate will understand the nuances of managed care contracting, analytics, managed care payers, delivery system’s primarily operations, functions of a revenue cycle, and know where and when it is...