Provider Network Administrator

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

Benefits offered by this job

Medical, Dental and Vision insurance

403(b) Retirement savings plans withem

Flexible Spending Accounts

Paid Time Off & Holidays

Tuition Reimbursement

Job summary

AltaMed Health Services in Montebello, CA is seeking a Provider Network Administrator to manage contracts and relationships with physicians, specialists, and hospitals. The role focuses on growing a high-quality, cost-effective provider network and supporting managed care initiatives.

The position requires strong communication, attention to detail, and knowledge of healthcare regulatory requirements to ensure compliance and successful partnerships within a dynamic health system.

Qualifications

• Bachelor's degree 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 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 (fee-for-service, capitation, value-based models) preferred.
• Experience with CMS, DHCS, DMHC, NCQA related to provider networks preferred.

Responsibilities

• Negotiate, administer, and maintain contracts and relationships with PCPs, specialists, ancillary providers, and hospitals.
• Identify and onboard new providers and ensure regulatory compliance.
• Track progress, enhance brand visibility, and support efforts to secure new contracts.
• Communicate effectively with partners to foster strong collaborations.

Skills

Communication

Negotiation

Contract management

Education

Bachelor's degree in a related field

3 years of relevant experience in lieu of a degree

Tools

Contract lifecycle management systems

Provider databases

Job description

Position Title:

Provider Network Administrator

Location:

Montebello, CA 90640

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.

Remote Type

Hybrid

About US

As the nation\'s largest Federally Qualified Health Center (FQHC), AltaMed is at the forefront of providing affordable, high-quality health care to underserved communities in Los Angeles and Orange Counties. At AltaMed, you will have the opportunity to work with a diverse team of dedicated professionals who are passionate about making a difference and supporting our community of over 400,000 patients.

Equal Employment Opportunity Statement

AltaMed Health Services Corporation is committed to providing equal employment opportunities for all qualified individuals. We strictly prohibit discrimination in employment based on race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin, age, medical condition, physical or mental disability, military or protected veteran status, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical conditions, genetic information, or any other characteristic protected by local, state, or federal law, ordinance, or regulation.

We are committed to promoting equality and inclusivity beyond our recruitment and hiring processes. We aim to create a respectful, valued, and inclusive workplace through training, advancement opportunities, and access to resources and support. We focus on fostering a diverse workforce because it enriches our organization and improves our ability to effectively serve our clients and community. We encourage individuals from all backgrounds to apply and join us in our mission to create a positive impact.

Equal employment opportunity, including veterans and individuals with disabilities.

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