Provider Contracting Professional

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Provider Contracting Professional based in the United States.

This role offers the opportunity to shape and strengthen provider networks through thoughtful contract negotiation and relationship management. You will initiate, negotiate, and execute agreements with physicians, hospitals, and other healthcare providers. The position combines financial analysis, strategic decision-making, and clear communication to support effective reimbursement and payment arrangements. You will assess the financial impact of contract terms while ensuring providers understand rates, structures, and expectations. Working in a fast-paced environment, you will manage multiple priorities with a high degree of independence. Your work will contribute to network development and broader healthcare strategy while maintaining accurate contract documentation and operational processes.

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Accountabilities

• Initiate, negotiate, and execute contracts with physicians, hospitals, and other healthcare providers.

• Communicate contract terms, payment structures, reimbursement rates, and related financial considerations clearly to providers.

• Analyze the financial impact of proposed contract terms, payment methodologies, and reimbursement arrangements.

• Maintain accurate provider contracts, records, and supporting documentation within designated tracking systems.

• Evaluate network composition and business needs and, when appropriate, assist with identifying and recruiting additional providers.

• Apply departmental and organizational strategies and operating objectives when making decisions related to provider contracting activities.

• Manage assigned work independently, exercising sound judgment when interpreting guidelines or navigating situations that may require additional analysis.

• Collaborate with internal stakeholders and provider partners to support effective contract execution and ongoing network objectives.

• Manage multiple priorities and deadlines while maintaining accuracy, professionalism, and adherence to established policies and procedures.

Requirements

• 2+ years of experience servicing, managing, or negotiating managed care contracts.

• Demonstrated ability to analyze, understand, and communicate the financial implications of contract terms, payment structures, and reimbursement rates to providers.

• Excellent written and verbal communication skills, with the ability to explain complex contractual and financial information clearly.

• Proficiency with Microsoft Office applications and standard business productivity tools.

• Strong organizational skills and the ability to manage multiple priorities effectively in a fast-paced environment.

• Ability to work independently, interpret established guidelines, and exercise sound judgment in varied or occasionally ambiguous situations.

• Bachelor’s degree is preferred.

• Experience with behavioral health contracting is a plus.

• Experience working with Medicaid contracts is preferred.

• For remote work, a dedicated workspace with minimal interruptions is required to protect sensitive information. Home internet should provide at least 25 Mbps download and 10 Mbps upload speeds.

• Willingness to occasionally travel to company offices for training or meetings may be required.

Benefits

• Annual base salary of $65,000–$88,600, depending on geographic location, qualifications, experience, education, and other job-related factors.

• Eligibility for a bonus incentive plan based on company and/or individual performance.

• Fully remote work opportunity available anywhere in the United States.

• Medical, dental, and vision coverage.

• 401(k) retirement savings plan.

• Paid time off, company holidays, and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance.

• Additional programs and resources designed to support personal wellness and healthcare needs.

• Full-time schedule of approximately 40 hours per week.

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How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

 Why Apply Through Jobgether? 

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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