Provider Contract Negotiator

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

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

403(b) retirement plan

Flexible Spending Accounts

Career advancement & development

Paid time off & holidays

Paid CME days

Malpractice insurance & tail coverage

Tuition reimbursement

Job summary

AltaMed Health Services Corp. in California is seeking a Provider Contract Negotiator to negotiate, administer, and maintain contracts with PCPs, specialists, and hospitals to build a high-quality provider network.

You will support managed care growth, onboard new providers, ensure regulatory compliance, and foster strong partnerships, drawing on solid communication, attention to detail, and healthcare industry knowledge.

Qualifications

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

Responsibilities

• Negotiate, administer, and maintain contracts with PCPs, specialists, ancillary providers, and hospitals.
• Identify and onboard new providers to strengthen the network.
• Ensure regulatory compliance and foster strong partnerships with existing providers.
• Assist in tracking progress, enhancing brand visibility, and supporting efforts to secure new contracts.

Skills

Excellent communication

Attention to detail

Healthcare knowledge

Education

Bachelor's degree or equivalent

Job description

Grow Healthy

If 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 Overview

The 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 Contract Negotiator 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 Requirements

• - Bachelor'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 annually

Compensation Disclaimer

Actual 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 Development

• - Medical, Dental and Vision insurance
• - 403(b) Retirement savings plans with employer matching contributions
• - Flexible Spending Accounts
• - Commuter Flexible Spending
• - Career Advancement & Development opportunities
• - Paid Time Off & Holidays
• - Paid CME Days
• - Malpractice insurance and tail coverage
• - Tuition Reimbursement Program
• - Corporate Employee Discounts
• - Employee Referral Bonus Program
• - Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed 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.