Provider Network Specialist

AltaMed Health Services; 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 3

Flexible Spending Accounts

Paid Time Off & Holidays

Paid CME Days

Malpractice insurance and tail tail |

Tuition Reimbursement Program

Corporate Employee Discounts

Employee Referral Bonus Program

Pet Care Insurance

Job summary

AltaMed Health Services is seeking a Contracts Administrator to support the Managed Care / Network Management Department in California. The role handles all aspects of contracting for primary care physicians, specialists, and vendors across multiple programs.

The position requires a four-year college degree in health care or related experience, with strong knowledge of managed care and contracting principles.

Qualifications

• Four-year college degree in health care or equivalent is 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 IPA, Clinic, PACE, DVL-HIV, Independent, and MSSP.
• Handle requests from the Provider Line and Provider Support email queue.
• Coordinate with credentialing, marketing, business development, provider data management, and clinic administration.

Skills

Managed care knowledge

Provider network management

Contracting principles

Attention to detail

Education

Four-year college degree in health care or equivalent

Job description

Grow HealthyIf 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 OverviewThe position supports the Managed Care / Network Management Department. Primary responsibilities include processing 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 the Multipurpose Senior Services Program (MSSP). Such requests are typically received and processed from contracted and non-contracted providers via the Provider Line and Provider Support email queue. Additional requests are also received and processed from internal stakeholders such as credentialing, marketing, business development, provider data management, and clinic administration. See Essential job functions below for more detailed information.Minimum RequirementsFour-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.Compensation$68,640.00 - $85,800.00 annuallyCompensation DisclaimerActual 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 DevelopmentMedical, Dental and Vision insurance403(b) Retirement savings plans with employer matching contributionsFlexible Spending AccountsCommuter Flexible SpendingCareer Advancement & Development opportunitiesPaid Time Off & HolidaysPaid CME DaysMalpractice insurance and tail coverageTuition Reimbursement ProgramCorporate Employee DiscountsEmployee Referral Bonus ProgramPet Care InsuranceJob Advertisement & Application Compliance StatementAltaMed 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.