Provider Network Administrator

AltaMed Health Services Corporation; 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 0

Flexible Spending Accounts

Commuter Flexible Spending

Job summary

AltaMed Health Services Corp. seeks a Provider Network Administrator to negotiate, administer, and maintain contracts with PCPs, specialists, and hospitals, ensuring a high-quality, cost-effective network.

The role supports managed care growth, regulatory compliance, and strong provider partnerships, with emphasis on onboarding new providers and tracking progress toward contract goals.

Qualifications

• Bachelor's degree required with 2 years in provider contracting or 3 years in lieu of a degree.
• Healthcare experience in managed care or physician groups is preferred.
• Experience with Medicaid/Medicare Advantage or commercial provider networks preferred.
• Familiarity with provider databases and reimbursement methodologies is preferred.
• Knowledge of CMS, DHCS, DMHC, NCQA regulations related to provider networks is preferred.

Responsibilities

• Identify and onboard new providers and maintain provider relationships.
• Negotiate contracts to ensure high-quality, cost-effective networks.
• Assist in tracking progress and supporting new contracts to grow managed care initiatives.

Skills

Provider contracting

Contract interpretation

Negotiation

Client relations

Education

Bachelor's degree in a related field

Tools

Contract lifecycle management systems

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 Network Administrator 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 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.