Provider Contract Manager

First Managed Care Opti

Cobbs Corner (NJ)

On-site

USD 54,000 - 66,000

Full time

2 days ago
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Job summary

First Managed Care Option, Inc. is seeking a Provider Contract Manager to oversee the contracting lifecycle and network development in Parsippany, NJ. You will manage outreach, negotiations, and onboarding to ensure timely execution and compliant implementation.

The role requires 2–5+ years in provider relations or contracting, strong negotiation skills, and the ability to interpret complex healthcare agreements while coordinating with internal teams.

Qualifications

  • Bachelor's degree preferred in healthcare admin, business, or related field.
  • 2–5+ years in provider relations, managed care, or contract work.
  • Strong negotiation, communication, and relationship skills.
  • Ability to interpret healthcare contracts and reimbursement terms.
  • Excellent organizational skills for multiple projects.
  • Proficiency with Microsoft Office and relevant systems.

Responsibilities

  • Manage provider contract process from outreach to execution.
  • Build and maintain relationships with physicians and groups.
  • Recruit providers to meet network adequacy and geographic needs.
  • Coordinate negotiations on reimbursement, terms, and renewals.
  • Review contracts and ensure documentation is complete.
  • Collaborate with internal departments and monitor participation.
  • Maintain provider and contract data in systems.
  • Prepare reports on network growth and contracting activity.

Skills

Negotiation
Communication
Relationship management
Contract interpretation
Organizational skills
Multi-project management

Education

Bachelor's degree

Tools

Microsoft Office
Provider management systems

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Provider Contract Manager

Full Time Management Parsippany, NJ, US

10 days ago Requisition ID: 1042

Salary: $60,000.00 Annually

Position Summary
This position manages provider contract activities, supports negotiations and contract implementation, and conducts provider recruitment to ensure adequate network access, quality, and geographic coverage.

Key Responsibilities

  • Manage the provider contract process from initial outreach through contract execution and implementation.
  • Develop and maintain relationships with physicians, medical groups, facilities, and other healthcare providers.
  • Recruit new providers to meet network adequacy, access, specialty, and geographic needs.
  • Conduct provider outreach and identify opportunities to strengthen network coverage.
  • Coordinate contract negotiations, including reimbursement rates, terms, amendments, and renewals.
  • Review provider contracts and ensure required documentation is completed accurately and timely.
  • Work collaboratively with other internal departments.
  • Monitor provider participation and identify gaps or opportunities for network expansion.
  • Maintain accurate provider and contract information in internal systems.
  • Respond to provider questions regarding contracts, participation, reimbursement, and network requirements.
  • Assist with provider onboarding and implementation following contract execution.
  • Track contracting and recruitment activity, including pipeline status, executed agreements, and outstanding issues.
  • Support provider retention and relationship-management initiatives.
  • Ensure contracting activities comply with organizational policies, regulatory requirements, and applicable healthcare regulations.
  • Prepare reports and presentations regarding network growth, contracting activity, and provider recruitment.

Qualifications

  • Bachelor’s degree in healthcare administration, business, or related field, preferred.
  • 2–5+ years of experience in provider relations, managed care, healthcare contracting, network development, or provider recruitment, preferred.
  • Strong negotiation, communication, and relationship-management skills.
  • Ability to understand and interpret healthcare contracts and reimbursement terms.
  • Strong organizational skills with the ability to manage multiple contracting and recruitment projects simultaneously.
  • Proficiency with Microsoft Office and provider/network management systems.

The salary range for this position is starting at $60,000 and may vary based on factors such as relevant experience, education, skills, internal equity, and market considerations. Final compensation will be determined during the interview process and in alignment with applicable law.

First Managed Care Option, Inc., is an Equal Opportunity Employer and takes pride in maintaining a diverse environment. We do not discriminate in recruitment, hiring, training, promotion or any other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, marital or veteran status, disability, or any other legally protected status.

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