Provider Contracting Specialist

NationsBenefits, LLC•Plantation, FL

About The Position

NationsBenefits is a rapidly growing Healthcare Fintech provider specializing in supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to offer innovative healthcare solutions that enhance growth, improve outcomes, reduce costs, and provide value to members. Our comprehensive offerings, including supplemental benefits, fintech payment platforms, and member engagement solutions, assist health plans in delivering high-quality benefits that address social determinants of health and boost member satisfaction and health outcomes. Our robust compliance infrastructure, proprietary technology, and superior service model enable us to serve millions of members. We foster a rewarding work environment that attracts top talent and encourages contributions to premier service for both internal and external customers, aiming to positively transform the healthcare industry. We offer career advancement opportunities across our US, South America, and India locations. The Provider Contracting Specialist is the main point of contact for contracting and negotiation to expand our provider network in dental, vision, and hearing specialties. This role works closely with Provider Recruiters to convert interested provider prospects into contracted network participants through effective negotiation, relationship management, and problem-solving. While Provider Recruiters handle high-volume outreach, the Healthcare Contracting Specialist focuses on closing complex contracting opportunities, leading reimbursement discussions, addressing objections, managing counterproposals, and guiding providers through the entire contracting process from initial contact to a finalized agreement and enrollment. The ideal candidate possesses healthcare industry knowledge, strong negotiation skills, experience in provider relations, and the ability to build trust with healthcare leaders and practice owners.

Requirements

Bachelor's degree in Healthcare Administration, Business, Public Health, or related field, or equivalent experience.
3+ years of experience in healthcare contracting, provider relations, provider recruitment, network development, or a related healthcare role.
Experience negotiating contracts, rates, or business agreements.
Strong communication, presentation, and relationship-building skills.
Demonstrated ability to manage multiple priorities in a fast-paced, goal-driven environment.

Nice To Haves

Experience working with dental, vision, hearing, medical, or ancillary provider networks.
Knowledge of provider reimbursement methodologies and healthcare contracting principles.
Experience supporting credentialing, provider enrollment, or network operations.
Familiarity with managed care or healthcare network development.
Experience working directly with healthcare practice owners and administrators.

Responsibilities

Lead contract negotiations with prospective dental, vision, and hearing providers and practices.
Review and negotiate reimbursement arrangements, contract terms, and participation requirements.
Evaluate provider counterproposals and develop recommendations that align with network strategy and business objectives.
Address provider concerns related to reimbursement, network participation, claims processes, credentialing, and operational requirements.
Facilitate timely execution of provider agreements and ensure all required documentation is completed accurately.
Serve as the primary point of contact for engaged providers requiring high-touch, consultative support.
Build strong relationships with practice owners, office managers, administrators, and other key stakeholders.
Present the value proposition of network participation and effectively communicate benefits to providers.
Resolve objections and barriers to participation through strategic problem-solving and relationship management.
Maintain a positive provider experience throughout the contracting and onboarding process.
Collaborate closely with Provider Recruiters to create a seamless provider acquisition process.
Accept warm leads and scheduled opportunities generated by recruiters and advance them through the contracting cycle.
Participate in provider meetings and consultations to support complex negotiations.
Provide feedback to recruiters regarding market conditions, provider concerns, competitive insights, and contracting trends.
Support network growth initiatives by helping maximize provider conversion rates.
Coordinate provider enrollment activities following contract execution.
Ensure providers meet network participation requirements and onboarding milestones.
Track contracting progress and maintain accurate records within CRM and contracting systems.
Support achievement of provider recruitment, contracting, and network adequacy goals.
Identify opportunities to improve contracting processes, provider experience, and operational efficiency.