Provider Network Specialist - Impactful Health Contracting

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

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

403(b) Plan

Flexible Spending Accounts

Paid Time Off

Job summary

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

The role collaborates with credentialing, marketing, business development, and clinic administration to ensure accurate, timely provider data.

Qualifications

• Four-year college degree in health care or equivalent experience.
• Extensive knowledge of managed care and provider network management.
• Understanding of contracting principles.

Responsibilities

• Process all new contracts and provider updates for multiple programs.
• Handle terminations and provider data changes via Provider Line and email queue.
• Coordinate with credentialing, marketing, business development, and clinic administration.

Skills

Provider network management

Contracting principles

Communication

Education

Four-year college degree in health care

Job description

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

The role collaborates with credentialing, marketing, business development, and clinic administration to ensure accurate, timely provider data.