Provider Network & Contracting Specialist

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

Benefits offered by this job

Medical insurance

Retirement plan

Paid time off

Tuition reimbursement

Job summary

AltaMed Health Services Corp. is seeking a Contracts Specialist to manage new contracts, provider additions, updates, and terminations across the IPA, Clinic, PACE, DVL-HIV, Independent, and MSSP programs.

You will drive processes for both contracted and non-contracted providers via the Provider Line and Provider Support email. Collaborating with credentialing, marketing, business development, and clinic administration, you will help maintain accurate provider data and ensure timely service

Qualifications

• Four-year college degree in health care or equivalent years of related work experience preferred.
• Extensive knowledge of managed care, provider network management, or contracting principles preferred.

Responsibilities

• Process ALL new contracts, provider additions, updates/changes, and terminations for primary care physicians, specialists, ancillary vendors, hospitals, and independent providers for the IPA, Clinic, PACE, DVL-HIV, Independent, and MSSP.
• Receive and process requests from contracted and non-contracted providers via the Provider Line and Provider Support email queue.
• Coordinate with credentialing, marketing, business development, provider data management and clinic administration for additional requests.

Education

Bachelor's degree in health care or related field

Job description

AltaMed Health Services Corp. is seeking a Contracts Specialist to manage new contracts, provider additions, updates, and terminations across the IPA, Clinic, PACE, DVL-HIV, Independent, and MSSP programs.

You will drive processes for both contracted and non-contracted providers via the Provider Line and Provider Support email. Collaborating with credentialing, marketing, business development, and clinic administration, you will help maintain accurate provider data and ensure timely service