Contracted Network Specialist – PACE

Neighborhood Healthcare; Escondido (CA); On-site; USD 53,106 - 76,484; Full time

Benefits offered by this job

Medical, Dental, and Vision Plans

Vacation time

Volunteer Time Off (VTO)

403(b) retirement plan

Job summary

Neighborhood Healthcare in Escondido, CA is seeking a Contracted Network Specialist for PACE provider network strategy execution. This role involves managing day-to-day contracting, onboarding, and credentialing processes to ensure compliance and facilitate ongoing provider relationships.

The ideal candidate has at least 5 years in healthcare operations and must hold a Bachelor’s degree. Previous experience with PACE programs is preferred. Benefits include health plans, paid time off, and competitive hourly pay ranging from $38.55 to $55.52 based on experience.

Qualifications

• Minimum of 5 years of experience in provider contracting, credentialing, or managed healthcare operations.
• Experience with PACE programs or regulated healthcare delivery systems preferred.
• Ability to handle sensitive information with professionalism.

Responsibilities

• Coordinate end-to-end onboarding for new PACE providers.
• Maintain provider credentialing compliance with regulations.
• Serve as a primary contact for contracted PACE providers.

Skills

Provider onboarding

Credentialing

Contract management

Communication

Organizational skills

Education

Bachelor’s degree or equivalent

Tools

Coupa

SharePoint

Asana

Job description

The Contracted Network Specialist – PACE supports the execution of PACE provider network strategy by managing day-to-day contracting, provider onboarding, credentialing coordination, and ongoing provider relationship management. The role reports directly to the PACE Contracted Network Manager and is responsible for ensuring timely, compliant, and provider‑centered execution across the full provider lifecycle.

Responsibilities

• Coordinate end‑to‑end onboarding for new PACE providers and vendors, ensuring all required documentation is requested, received, reviewed, and submitted accurately and timely.
• Oversee and maintain provider credentialing to ensure full compliance with DHCS and PACE regulatory requirements.
• Support primary source verification activities, including licensure, education, training, work history, sanctions, and professional qualifications.
• Track onboarding and credentialing progress, proactively following up with providers and internal stakeholders to resolve gaps or delays.
• Maintain organized, complete, and audit‑ready onboarding and credentialing records across designated systems.
• Support ongoing credentialing monitoring, including updates, re‑credentialing cycles, and escalation of potential compliance concerns to the Manager.
• Draft, review, and support negotiation of PACE Provider Agreements, Single Case Agreements, amendments, MOUs, and related documents under the direction of the Manager.
• Coordinate execution of contracts, amendments, renewals, and terminations, ensuring accuracy and timeliness.
• Track contract key dates, renewal cycles, and termination notice requirements; provide proactive alerts to stakeholders.
• Manage collection, tracking, and compliance with Certificates of Insurance and related contractual documents.
• Enter and maintain accurate contract data in Coupa, SharePoint, Asana, and other designated systems.
• Escalate non‑standard terms, compliance questions, or risk concerns to the PACE Contracted Network Manager.
• Serve as a primary day‑to‑day point of contact for contracted PACE providers on onboarding, credentialing, and contract‑related questions.
• Support ongoing provider engagement, including coordination of annual PACE competency reviews and required training.
• Assist with hospital, skilled nursing facility, assisted living facility, home care, home health, specialty providers and ancillary provider outreach aligned with network development priorities.
• Collaborate with Operations, IDT partners, and Medical Leadership to help resolve provider access issues, referral challenges, and onboarding barriers.
• Maintain provider network matrices and tracking tools to ensure coverage across required PACE services and geographies.
• Foster professional, responsive, and collaborative relationships that support high‑quality, participant‑centered care.
• Support annual compliance verification efforts using established oversight and compliance checklists.
• Assist with preparation for audits, reviews, and regulatory inquiries related to provider contracting, onboarding, and credentialing.
• Generate and maintain reports related to onboarding status, credentialing progress, contract renewals, and provider documentation.
• Contribute to the development and maintenance of standard operating procedures and workflow documentation for PACE contracting and network operations.
• Identify process improvement opportunities and provide recommendations to the Manager to enhance efficiency, accuracy, and turnaround times.
• Contribute to the success of the organization by participating in quality improvement activities.
• Respond promptly and with caring actions to patients and employees.
• Maintain professional working relationships with all levels of staff, clients, and suppliers.
• Work with outside vendors to maximize quality of vendor and Neighborhood relationships to ensure industry respect.
• Impact patient experience by demonstrating courteous and helpful behavior and a commitment to accuracy.

Qualifications

• Bachelor’s degree or equivalent combination of education and experience required.
• Minimum of 5 years of experience in provider contracting, credentialing, provider onboarding, or managed healthcare operations required.
• Experience supporting PACE programs, provider networks, or regulated healthcare delivery systems preferred.
• Familiarity with CMS, DHCS, and healthcare credentialing standards preferred.
• Current Basic Life Support (BLS) certification required upon hire and must be maintained as a condition of employment. In addition, current CPR and First Aid certification required for all PACE employees in accordance with CMS and DHCS requirements; First Aid training will be provided at onboarding and must be renewed annually.
• Strong working knowledge of provider onboarding, credentialing, and contracting workflows.
• Excellent organizational skills with the ability to manage multiple concurrent priorities and deadlines.
• Strong written and verbal communication skills, including provider‑facing communications.
• Ability to build effective working relationships with providers and cross‑functional teams.
• Attention to detail and commitment to compliance and data accuracy.
• Proficiency with contract lifecycle, onboarding, and project management systems (e.g., Coupa, SharePoint, Asana).
• Ability to handle sensitive and confidential information with professionalism and discretion.

Physical Requirements

• Ability to lift/carry 10 lbs.
• Ability to sit/stand for long periods of time.

Benefits & Compensation

Neighborhood Healthcare offers a generous benefit plan that includes: partially company‑paid Medical, Dental, and Vision Plans; two plus weeks of vacation; nine holidays including two floating holidays of your choosing; Sick/Personal time; Volunteer Time Off (VTO); a 403(b) retirement plan; optional health and wellness events; and more.

Pay range: $38.55 – $55.52 per hour, depending on experience.

Compensation Disclosure: The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to the candidate’s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, budgetary considerations, and organizational needs. As a result, placement within the range is not guaranteed, and the full pay grade range may not be utilized.