Provider Contracting Jobs

Lead a remote Texas-based team managing provider network accounts for Centene, ensuring compliant contracting, timely issue resolution, and strong provider relationships.

Oscar seeks an Associate, Network Contracting to negotiate provider agreements, support network strategy, and use analytics to optimize access and costs for members across Florida.

Lead First Health as Executive Director with full P&L accountability, driving provider network strategy, contracting, and a 70-person team to deliver $100M in annual revenue.

Lead enterprise provider partnerships with national health systems to expand Tendo's MDsave Marketplace, driving new-logo acquisition and measurable revenue growth.

Lead network gap analysis, provider contracting support, and operational coordination to strengthen USC’s health plan network and advance value-based care initiatives.

Kite seeks an experienced Senior Director to lead US trade, pricing and contracting operations, driving pricing strategy, contract governance, and trade partnerships to support CAR-T commercialization.

Aledade seeks an experienced Manager, Network Contracting to negotiate and manage payer network participation agreements and drive contract lifecycle processes while working remotely across the U.S.

Lead Humana's national value-based provider efforts by advising senior leaders, driving provider engagement and performance, and managing cross-functional initiatives to achieve path-to-value outcomes in a remote role.

VillageMD is hiring a Director of Payer Operations to lead and scale end-to-end payer contracting, credentialing, and operational transformation to support enterprise value-based and fee-for-service programs.

Senior leader needed to define and execute MHN's network growth strategy, building scalable, collaborative partnerships with FQHCs and safety-net providers to advance value-based care.

Presbyterian seeks a Medical Economics Analyst to analyze medical and pharmacy claims, communicate cost trends, and support pricing, contracting and utilization-improvement efforts across product lines.

Wellmark seeks a data-driven, relationship-focused Provider Performance Manager to lead value-based network performance initiatives and advance quality and cost-of-care goals in the Des Moines market.

Wellmark Blue Cross and Blue Shield seeks a Network Program Manager in Des Moines to lead network contracting and compliance initiatives for Medicare Advantage, QHP and provider network programs in a hybrid role.

Prime Healthcare seeks an experienced Contract Specialist in Ontario, CA to draft and negotiate vendor and provider contracts, manage contract lifecycle activities, and ensure regulatory compliance within a fast-paced healthcare environment.