Provider Network Specialist

altamed; 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…

Flexible Spending Accounts

Commuter Flexible Spending

Career Advancement & Development机会

Paid Time Off & Holidays

Paid CME Days

Malpractice insurance and tailcoverage

Tuition Reimbursement Program

Corporate Employee Discounts

Employee Referral Bonus Program

Pet Care Insurance

Job summary

AltaMed Health Services Corp. in California seeks a contracts specialist to manage provider contracts and network data across multiple programs, including IPA, Clinic, PACE, MSSP, and related entities.

You will process new contracts, provider additions, updates, changes, and terminations, collaborating with credentialing, marketing, business development, and clinic administration to support high-quality patient care and efficient operations.

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 across various programs.
• Coordinate with credentialing, marketing, business development, provider data management and clinic administration to fulfill requests.

Skills

Managed care knowledge

Provider network management

Contracting principles

Education

Four-year college degree in health care or equivalent

Job 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 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 Requirements

• 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.

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.