Provider Network Specialist

AltaMed Health Services Corporation; Montebello, Northern (CA, KY); Híbrido; USD 69 000 - 86 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical insurance

Dental insurance

Vision insurance

403(b) Retirement savings

Resumo da oferta

AltaMed Health Services Corp. in Montebello, CA is seeking a Provider Network Specialist to manage contracts and provider data across the IPA, Clinic, PACE, and MSSP programs.

You will process new contracts, additions, updates, and terminations for primary care physicians and network vendors, working with credentialing and administrative teams to ensure timely enrollment and accurate records.

Qualificações

• Four-year college degree in health care or equivalent experience.
• Strong knowledge of managed care and contracting.

Responsabilidades

• Process all new contracts for providers and updates.
• Handle provider additions, terminations and changes.
• Coordinate with credentialing, marketing and admin teams for timely enrollment.

Conhecimentos

Provider network management

Contracting principles

Managed care knowledge

Formação académica

Bachelor's degree or equivalent

Descrição da oferta de emprego

## Provider Network SpecialistApply: In Person: Montebello, CA 90640: Full time: Posted Today: JR10936**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.