Provider Contracting Manager jobs in Pennsylvania

Provider Contracting Manager manages the activities of the contracting staff that prepare and maintain contracts and the contracts database system for a health plan network. Responsible for negotiating with facilities joining the health network and setting rates. Being a Provider Contracting Manager oversees network reporting requirements to ensure compliance with regulatory agencies, and to produce accurate and relevant reporting of data. Trains and develops staff. Additionally, Provider Contracting Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Provider Contracting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Provider Contracting Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Senior Provider Contracting Manager
  • FourStone Partners
  • West Chester, PA FULL_TIME
  • FourStone Partners is an innovative consulting firm specializing in business development, sales outsourcing, and operational support services within the Workers' Compensation industry. 


    FourStone Partners, a fast growing company in West Chester, PA, is seeking individuals to assist with workers’ compensation provider network recruitment efforts. Potential candidates should be high energy and self-motivated, customer service oriented, and have excellent negotiation and communication skills. Experience with provider recruitment for health plans, Medicare, or workers' compensation programs.  Candidates with managed care or healthcare experience is required. Proven track record in negotiating agreements with health systems strongly preferred. Position is remote but must be able to work Central hours.


    Summary of Main Responsibilities:

    • Participate in the development and coordination of an extensive provider network involving in/out of state providers and facilities
    • Effectively promote and educate client’s targeted providers, explaining all aspects of the program
    • Correspond with providers to explain the recruitment process and obtain necessary information from them to complete the process
    • Assist with identifying provider network needs and opportunities
    • Collect, maintain, and distribute provider information, changes, and correspondence in client database
    • Take responsibility for leading a team of provider network professionals as applicable


    FourStone Partners recognizes that our greatest assets are our employees. We strive to create a mutually rewarding work environment to ensure employee engagement, recognition, and professional development. Our total rewards package includes a competitive salary, excellent benefits, traditional and Roth 401(k), educational assistance, life insurance, and ongoing rewards and recognition. These programs aim to protect your health, your finances, and ultimately your peace of mind. Come join our team!

  • 2 Months Ago

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Director Provider Contracting
  • Highmark Inc.
  • Remote Position, PA FULL_TIME
  • Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for directing negotiation of the plan’s key contracts with health care providers (hospitals, PHOs, physicians, intermediat...
  • 7 Days Ago

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Provider Network Development and Contracting Representative
  • FourStone Partners
  • West Chester, PA FULL_TIME
  • FourStone Partners is an innovative consulting firm specializing in business development, sales outsourcing, and operational support services within the Workers' Compensation industry. FourStone Partn...
  • 22 Days Ago

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Practice Manager - Dental Site
  • Provider Openings
  • Rochester, PA FULL_TIME
  • Position Overview The Practice Manager I will be responsible for supervision of our Rochester Dental site and will effectively carry out the Network’s Policies and Procedures while communicating manag...
  • 2 Months Ago

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Practice Manager - Dental Site
  • Provider Openings
  • Rochester, PA FULL_TIME
  • Position Overview The Practice Manager I will be responsible for supervision of our Rochester Dental site and will effectively carry out the Network’s Policies and Procedures while communicating manag...
  • 2 Months Ago

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Provider Contracting Advisor - Evernorth Behavioral Health - Hybrid
  • The Cigna Group
  • Philadelphia, PA FULL_TIME
  • Please Note: This role is hybrid with the expectation of working 3 days per week onsite and 2 days per week remote. The Provider Contracting Advisor (PCA) is responsible for the overall management of ...
  • 5 Days Ago

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Manager - Contract Management and Payer Variance
  • ChristianaCare
  • Wilmington, DE
  • Are you looking for a career opportunity with growth potential at a healthcare organization that is based on excellence ...
  • 6/11/2024 12:00:00 AM

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Contracts Manager
  • The Trade Desk
  • Irvine, CA
  • The Trade Desk is changing the way global brands and their agencies advertise to audiences around the world. How? With a...
  • 6/11/2024 12:00:00 AM

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Provider Contract Management Specialist
  • Naphcare, Inc.
  • Birmingham, AL
  • Overview: NaphCare has an excellent opportunity for a Provider Contracting Specialist to join our Regional Office in Pho...
  • 6/10/2024 12:00:00 AM

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Manager Contract Management
  • McDermott
  • Houston, TX
  • Job Description Company Overview: People power our future. That is why advancing a dynamic, inclusive environment, where...
  • 6/10/2024 12:00:00 AM

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Federal Contracts Manager
  • Sparks Group
  • Herndon, VA
  • Sparks Group in collaboration with a Fortune 500 consulting company is searching for a skilled Contract Manager. The Man...
  • 6/10/2024 12:00:00 AM

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Contract Manager
  • Perikin Enterprises LLC
  • Tullahoma, TN
  • Job Description Job Description Perikin Enterprises is looking for a talented contract manager to join our professional ...
  • 6/9/2024 12:00:00 AM

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Senior Provider Contract Manager
  • Kaiser Permanente
  • Oakland, CA
  • Description: Job Summary:Manages and conducts specific functions of the contracting and provider relations process. This...
  • 6/7/2024 12:00:00 AM

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Senior Manager-Contract Management, Americas
  • Idaho State Job Bank
  • Boise, ID
  • Senior Manager-Contract Management, Americas at Marriott in Boise, Idaho, United States Job Description Job Number 24034...
  • 6/7/2024 12:00:00 AM

Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east. Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Manager jobs
$109,459 to $145,364

Provider Contracting Manager in Gastonia, NC
By simplifying and automating the provider contracting lifecycle, we help make it easier for health plans to identify and implement savings opportunities to obtain maximum value from provider relationships.
January 09, 2020
Provider Contracting Manager in Springfield, IL
Responsible for the oversight of their assigned networks to ensure network provider deficiencies are being met and working closely with their assigned Network Support staff and Medical Management counterparts to ensure network needs/changes are being effectively addressed and communicated both internally and externally.
January 19, 2020
Provider Contracting Manager in Cedar Rapids, IA
New care delivery models, complex regulations and narrowing provider networks have significantly altered the provider contract management process.
February 03, 2020