Provider Network & Contracts Specialist

AltaMed Health Services; Los Angeles (CA); Presencial; USD 69.000 - 86.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, Dental and Vision insurance

403(b) Retirement savings withEmployer

Paid Time Off & Holidays

Tuition Reimbursement Program

Employee Referral Bonus Program

Pet Care Insurance

Descripción de la vacante

AltaMed Health Services in Montebello, CA is seeking a Provider Network Specialist to support the Managed Care / Network Management Department. You will process all contracts, provider additions, updates and terminations for primary care physicians, specialists, and other providers across IPA, Clinic, PACE, DVL-HIV, Independent, and MSSP.

This role collaborates with internal teams to ensure data accuracy and timely processing.

Formación

• 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.
• Experience with contract processing and data management is advantageous.

Responsabilidades

• Process all new contracts, provider additions, updates, and terminations for multiple provider types (IPA, Clinic, PACE, DVL-HIV, Independent, MSSP).
• Handle requests from the Provider Line and Provider Support email queue.
• Coordinate with credentialing, marketing, business development, provider data management, and clinic administration.

Conocimientos

Managed care knowledge

Provider network management

Contracting principles

Educación

Four-year college degree in health care or equivalent

Descripción del empleo

AltaMed Health Services in Montebello, CA is seeking a Provider Network Specialist to support the Managed Care / Network Management Department. You will process all contracts, provider additions, updates and terminations for primary care physicians, specialists, and other providers across IPA, Clinic, PACE, DVL-HIV, Independent, and MSSP.

This role collaborates with internal teams to ensure data accuracy and timely processing.