Provider Network Administrator

AltaMed Health Services Corporation

Montebello, Northern (CA, KY)

Hybrid

USD 69,000 - 86,000

Full time

3 days ago
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Benefits offered by this job

Medical/Dental/Vision
403(b) Retirement plan
Flexible Spending Accounts
Paid Time Off & Holidays
CME Days

Job summary

AltaMed Health Services Corporation is seeking a Provider Network Administrator in Montebello, CA. The role focuses on negotiating, administering, and maintaining contracts with PCPs, specialists, and hospitals to ensure a high-quality, cost-effective provider network.

The candidate will identify and onboard new providers, ensure regulatory compliance, and maintain strong partnerships while supporting growth initiatives and contract opportunities.

Qualifications

  • Bachelor's degree in a related field with 2 years of relevant experience (or 3 years in lieu of a degree).
  • Healthcare experience in a Managed Care setting or with a physician group is preferred.

Responsibilities

  • Negotiate, administer, and maintain contracts and relationships with PCPs, specialists, ancillary providers, and hospitals.
  • Identify and onboard new providers.
  • Ensure regulatory compliance and foster partnerships with existing providers.
  • Track progress, enhance brand visibility, and support efforts to secure new contracts.

Skills

Provider contracting
Contract negotiation
Relationship management
Regulatory compliance
Contract lifecycle
Communication skills

Education

Bachelor's degree in related field

Tools

Contract lifecycle systems
Provider databases

Job description

## Provider Network AdministratorApply: Hybrid: Montebello, CA 90640: Full time: Posted Today: JR10940**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.
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