Provider Contracting Executive – Senior

Cambia Health Solutions

. Manage contracting relationships with physicians, physician groups, institutions, and ancillary providers .

Posted 11/9/2026full-timeUnited StatesSenior💰 $76,500 - $103,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in provider contracting, negotiation, and relationship management within the healthcare industry, with a strong focus on developing and implementing effective contracting strategies and payment methodologies.

Highest-signal resume keywords

Provider Contracting ExperienceNegotiation SkillsManaged Care KnowledgeFinancial AnalysisRelationship Building

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract NegotiationPayment MethodologiesValue-Based ContractingFinancial Data AnalysisUtilization Management

Soft Skills

Conflict ManagementCommunication SkillsOrganizational Skills

Tools & Technologies

AI Tools

Industry Keywords

Healthcare Delivery SystemAccountable Health SystemProvider RelationsReimbursement MethodologyCost Utilization Analysis

About the role

Key responsibilities & impact

Manage contracting relationships with physicians, physician groups, institutions, and ancillary providers
Oversee contracting strategy development, analytical support, negotiation, and administration
Build and maintain relationships with key providers
Promote innovative products and reimbursement methodologies
Maintain and expand the healthcare delivery system network through contract negotiation and provider relationship cultivation
Develop long- and short-range contracting strategies for assigned delivery systems
Monitor financial and utilization performance of contracts and partner with Health Care Services to develop improvement plans
Meet with key provider leaders as primary client manager to review cost and utilization reports, prepare analyses, research issues, and recommend strategies
Build and maintain regional networks for new products using market pricing knowledge and communicating participation benefits
Work with provider consultants and representatives to ensure contracts are administered appropriately and improvement plans are managed
Support initiatives to reduce healthcare expenditures while preserving care quality
Develop and manage risk arrangements, including pricing and accountable health system funding arrangements
At senior level, negotiate with large, complex, market-leading providers and communicate with high-level executives

Requirements

What you’ll need

Bachelor's Degree in healthcare, business or a related field
Provider Contracting Executive: 5 years' experience in a healthcare industry provider contracting, relations, or analytical capacity, or equivalent combination of education and experience
Provider Contracting Executive Senior: 7 years' experience in a healthcare industry provider contracting, relations or analytical capacity, or equivalent combination of education and experience
Strong understanding of managed care and accountable health system models and their relationship to contracting strategy and reimbursement methodology
Proven ability to build positive relationships and negotiate successfully with institutional, professional, and ancillary providers
Competency with payment methodologies and value-based contracting, including Pay for Quality/Performance, DRG, APC, ASC, Capitation, Fee for Service, RBRVS, Per Diem, and Per Case
Ability to analyze financial, quality, and utilization data to develop contracting strategies
Ability to organize and manage a portfolio of contracts
Ability to work in high-pressure circumstances and manage conflict and ambiguity
Senior level: proficiency building relationships and negotiating with large, complex, market-leading institutional and professional providers
Senior level: ability to communicate independently and effectively with high-level executives internally and externally
Experience with AI tools and technologies is highly desired
Must have access to a personal mobile device for MFA
Wired internet connection required for work-from-home option, with minimum 5Mb upload and 10Mb download speeds; satellite or cellular internet is not accepted
Background check required

Benefits

Comp & perks

Competitive salary
Market-leading 401(k) with a significant company match
Bonus opportunities
Medical, dental and vision coverage for employees and eligible family members, including mental health benefits
Annual employer contribution to a health savings account
Generous paid time off varying by role and tenure
10 company-paid holidays
Market-leading retirement plan including company match on employee 401(k) contributions
Potential discretionary retirement contribution based on company performance, with no vesting period
Up to 12 weeks of paid parental time off after 12 months of continuous service
Award-winning wellness programs that reward participation
Employee Assistance Fund
Commute and parking benefits
Work from home options for most roles
Employee resource groups
Cambia-supported community outreach programs
Career growth and professional development opportunities