Provider Contract Negotiator

AltaMed Health Services; Montebello (CA); On-site; USD 69,000 - 86,000; Full time

Benefits offered by this job

Medical, Dental and Vision insurance

403(b) Retirement savings plans with 1

Flexible Spending Accounts

Commuter Flexible Spending

Job summary

AltaMed Health Services is seeking a Provider Contract Negotiator to negotiate, administer, and maintain contracts with PCPs, specialists, and hospitals. The role emphasizes regulatory compliance, provider onboarding, and strong partnership-building within managed care networks.

Successful candidates will bring healthcare experience, familiarity with CMS/DHCS/DMHC/NCQA requirements, and knowledge of reimbursement methodologies.

Qualifications

• Bachelor's degree with 2 years of relevant provider contracting experience or 3 years in lieu of a degree.
• Healthcare experience in a managed care setting preferred.
• Experience with Medicaid, Medicare Advantage, or Commercial provider networks preferred.
• Experience with CMS, DHCS, DMHC, NCQA regulatory requirements related to provider networks preferred.
• Experience with provider reimbursement methodologies (fee-for-service, capitation, value-based models) preferred.

Responsibilities

• Negotiate, administer, and maintain contracts and relationships with PCPs, specialists, and hospitals.
• Identify and onboard new providers and ensure regulatory compliance.
• Foster strong partnerships with existing providers and networks.
• Track progress, enhance brand visibility, and support securing new contracts.

Skills

Communication skills

Attention to detail

Healthcare industry knowledge

Education

Bachelor's degree in a related field

Tools

Contract lifecycle management systems

Provider databases

Job description

Grow HealthyIf you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.Job OverviewThe Provider Contract Negotiator is responsible for negotiating, administering, and maintaining contracts and relationships (i.e. Primary Care Physician (PCP), specialist, ancillary providers, hospitals) to ensure a high-quality, cost-effective, and compliant provider network. This role supports managed care growth initiatives and organizational goals. Key responsibilities include identifying and onboarding new providers, ensuring regulatory compliance, and fostering strong partnerships with existing partners. The Provider Network Administrator will also assist in tracking progress, enhancing brand visibility, and supporting efforts to secure new contracts. Success in this role requires strong communication skills, attention to detail, and a solid understanding of the healthcare industry.Minimum RequirementsBachelor's degree in a related field with 2 years of relevant experience (i.e. provider contracting, contract interpretation, negotiation, client relations) or 3 years of relevant experience in lieu of a degree.Healthcare experience in a Managed Care setting or with a physician group, clinical-based organization, and/or in a hospital/facility setting preferred.Experience with Medicaid, Medicare Advantage, or Commercial provider networks preferred.Experience with contract lifecycle management systems and provider databases preferred.Experience with provider reimbursement methodologies (e.g., fee-for-service, capitation, value-based models) preferred.Experience with healthcare regulatory requirements (e.g., CMS, DHCS, DMHC, NCQA) related to provider networks preferred.Compensation$68,640.00 - $85,800.00 annuallyCompensation DisclaimerActual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.Benefits & Career DevelopmentMedical, Dental and Vision insurance403(b) Retirement savings plans with employer matching contributionsFlexible Spending AccountsCommuter Flexible SpendingCareer Advancement & Development opportunitiesPaid Time Off & HolidaysPaid CME DaysMalpractice insurance and tail coverageTuition Reimbursement ProgramCorporate Employee DiscountsEmployee Referral Bonus ProgramPet Care InsuranceJob Advertisement & Application Compliance StatementAltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.