Healthcare Contracting Specialist

Provider Network Solutions

Healthcare Contracting Specialist managing provider network strategy and contracting for physician relationships. Leading network expansions and collaborating with internal medical management teams in Florida.

Posted 7/28/2026full-timeFlorida • 🇺🇸 United StatesMid-LevelSenior💰 $60,000 - $63,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in provider contract negotiation and execution, with a strong focus on Medicaid and Medicare regulatory requirements. Proven ability to manage physician networks and develop relationships to drive business results in healthcare settings.

Highest-signal resume keywords

Provider Contract NegotiationMedicaid ExperienceMedicare ExperienceNetwork DevelopmentCredentialing Process Management

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Contract ExecutionRegulatory ComplianceCredentialing Checklist ManagementNetwork ExpansionResearch Skills

Soft Skills

Relationship ManagementStrategic ThinkingCommunication Skills

Tools & Technologies

CRM PlatformMonday.com

Industry Keywords

HealthcareProvider RelationsHMOPPOBoard Certified Specialists

About the role

Key responsibilities & impact

Primary duty of negotiating and executing provider contracts.
Leads research for any Institution, Network and/or Ancillary needs using all tools available; including but not limited to: WebMD, Health Plan websites, hospitals, google, etc.
Provider networks contracting for initial network development and/or expansion in accordance with Company goals and standards.
Meet with the appropriate physician personnel and fully explain the Company’s protocol, which includes all requirements necessary to comply with standards identified in the Provider Manual.
Collects complete credentialing packets per specified health plan and according to the Networks Credentialing checklist from network physicians during the contracting process.
Ensures that the provider network consists of Board Certified/Board Eligible Specialists and/or Ancillary providers as contracted by the network.
Manages physician network by developing relationships to drive business results within assigned geographic area.
Liaison in conjunction with Contracting and Credentialing Coordinator, for all health plans on all new contracting inquiries.
Obtains leads for prospective physicians, manages all incoming new provider leads and follows-up with the providers on the status of their new contractual agreement per the Department’s Policies and Procedures.
Strategizes to close all quarterly assigned Geo Access deficiencies per specialty and health plan.
Special projects as assigned or directed.
Negotiating and executing hospital contracts.
Maintaining and updating current CRM platform (Monday.com) to reflect progress of ongoing leads negotiations.

Requirements

What you’ll need

A bachelor’s degree in a related field or equivalent experience related Network Development or Provider Relations experience.
Minimum three (3) years’ experience in Medicaid/Medicare is preferred.
Healthcare, provider office or HMO/PPO background preferred.
Strong knowledge of regulatory requirements concerning Medicare and Medicaid.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Provider Network Solutions Website LinkedIn All Job Openings 11 - 50 employees 🏥 Healthcare 🤝 B2B Healthcare
B2B Provider Network Solutions (PNS) is a Miami-based company that builds and manages specialty-focused provider networks and delivers operational, technology, and compliance solutions for health plans, primary care providers, and specialists. PNS offers network contracting and management, provider portals and electronic funds transfer, clinical analytics, provider relations, and compliance services (HIPAA and state regulations), as well as subsidiary services brands referenced on their site (e. g. , PNS Puerto Rico, Spatially Health, Stellae, Claims Development Corp. ). The company emphasizes secure, scalable, and compliant solutions aimed at improving clinical outcomes, member access, and administrative efficiency for payer and provider clients. Healthcare Contracting Specialist Job not on LinkedIn 🔥 6 minutes ago 🏢 null – Onsite 💵 $60k - $63k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Primary duty of negotiating and executing provider contracts.
Leads research for any Institution, Network and/or Ancillary needs using all tools available; including but not limited to: WebMD, Health Plan websites, hospitals, google, etc.
Provider networks contracting for initial network development and/or expansion in accordance with Company goals and standards.
Meet with the appropriate physician personnel and fully explain the Company’s protocol, which includes all requirements necessary to comply with standards identified in the Provider Manual.
Collects complete credentialing packets per specified health plan and according to the Networks Credentialing checklist from network physicians during the contracting process.
Ensures that the provider network consists of Board Certified/Board Eligible Specialists and/or Ancillary providers as contracted by the network.
Manages physician network by developing relationships to drive business results within assigned geographic area.
Liaison in conjunction with Contracting and Credentialing Coordinator, for all health plans on all new contracting inquiries.
Obtains leads for prospective physicians, manages all incoming new provider leads and follows-up with the providers on the status of their new contractual agreement per the Department’s Policies and Procedures.
Strategizes to close all quarterly assigned Geo Access deficiencies per specialty and health plan.
Special projects as assigned or directed.
Negotiating and executing hospital contracts.
Maintaining and updating current CRM platform (Monday.com) to reflect progress of ongoing leads negotiations. 🎯 Requirements
A bachelor’s degree in a related field or equivalent experience related Network Development or Provider Relations experience.
Minimum three (3) years’ experience in Medicaid/Medicare is preferred.
Healthcare, provider office or HMO/PPO background preferred.
Strong knowledge of regulatory requirements concerning Medicare and Medicaid. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Coder, CPC 🔥 13 minutes ago Proliance Surgeons 1001 - 5000 🏥 Healthcare 👥 B2C Website LinkedIn All Job Openings Remote Revenue Cycle Coder in healthcare services reviewing medical records and ensuring accurate coding for reimbursement. Collaborates with providers for education and compliance with regulations. 🏢 Seattle – Onsite ⏰ Full Time 🟡 Mid-level 🟠 Senior Closing Specialist III 🔥 51 minutes ago Lendistry 201 - 500 💼 Consulting 🏥 Healthcare 🛡️ Insurance Website LinkedIn All Job Openings Closing Specialist III at Lendistry funding loans and managing documentation for SBA loan processes with a focus on compliance and risk management. 🏢 Tustin – Onsite 💵 $80k - $95k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior Concrete Foreman 🔥 52 minutes ago Field 51 - 200 ⚡ Energy 🏠 Real Estate Website LinkedIn All Job Openings 🏢 Madison – Onsite 💰 $254.4M Venture Round - Field on 2023-07 ⏰ Full Time 🟡 Mid-level 🟠 Senior Oncology Area Business Specialist – Hematology 🔥 53 minutes ago Johnson & Johnson 10,000+ employees 🏥 Healthcare ⚕️ Healthcare Insurance 💊 Pharmaceuticals Website LinkedIn All Job Openings Oncology Area Business Specialist for J&J focusing on Hematology in Upstate NY. Responsible for relationship building and operational strategy in community accounts. 🏢 New Haven – Onsite 💵 $111k - $178.3k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 🦅 H1B Visa Sponsor CT Technologist, Float 🔥 1 hour ago Banner Health 10,000+ employees 🏥 Healthcare ⚕️ Healthcare Insurance Website LinkedIn All Job Openings 🏢 Glendale – Onsite ⏰ Full Time 🟢 Junior 🟡 Mid-level 🦅 H1B Visa Sponsor 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs