Provider Network Specialist with Managed Care Impact

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

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.