Senior Administrator, Provider Network

AltaMed Health Services; Montebello (CA); Hybrid; USD 89,000 - 111,000; Full time

Benefits offered by this job

Medical, Dental and Vision insurance

403(b) Retirement with employer match

Flexible Spending Accounts

Paid Time Off & Holidays

Paid CME Days

Tuition Reimbursement

Job summary

AltaMed Health Services Corp. seeks a Senior Provider Network Administrator to develop and manage a high-performing, cost-efficient network of providers across PCPs, specialists, and hospitals, ensuring alignment with regulatory standards.

The role leads contract negotiations, oversees complex agreements, and mentors staff while expanding partnerships and improving financial performance within AltaMed’s network.

Qualifications

• Bachelor's degree in a related field with 4 years of relevant experience or 5+ years of relevant experience in lieu of a degree.
• Experience with Medicaid, Medicare Advantage, or Commercial provider networks.
• Proficiency with contract lifecycle management systems.
• Knowledge of provider reimbursement methodologies (fee-for-service, capitation, value-based models).
• Familiarity with CMS, DHCS, DMHC, NCQA regulations related to provider networks.
• Experience reviewing and negotiating contract language to ensure compliance.

Responsibilities

• Develop and manage a high-performing, cost-effective provider network.
• Negotiate, execute, and maintain contracts with PCPs, specialists, hospitals, and ancillary providers.
• Mentor junior staff and enhance provider relationships.
• Drive strategic growth initiatives and secure new partnerships while collaborating with existing providers.

Skills

Negotiation

Contract management

Provider relations

Regulatory knowledge

Regulatory compliance

Education

Bachelor's degree

Tools

Contract management software

Job description

Senior Administrator, Provider Network

Montebello, CA 90640

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 Senior Provider Network Administrator plays a key role in developing and managing a high-performing, cost-effective, and compliant provider network. This position is responsible for negotiating, executing, maintaining contracts and relationships, and overseeing complex contracts (i.e., Primary Care Physician (PCP), specialist, ancillary providers, hospitals), ensuring alignment with regulatory standards and organizational objectives. The Senior Administrator leads initiatives to expand the provider network, supports strategic growth in managed care, and contributes to financial performance goals. This role also involves mentoring junior staff, enhancing provider relationships, and driving efforts to secure new partnerships while maintaining strong collaboration with existing providers and clients.

Minimum Requirements

• Bachelor's degree in a related field with 4 years of relevant experience (i.e., provider contracting, contract interpretation, negotiation, client relations) or 5+ years of relevant experience in lieu of a degree.
• Experience with Medicaid, Medicare Advantage, or Commercial provider networks required.
• Proficiency with contract lifecycle management systems and provider databases required.
• Knowledge of provider reimbursement methodologies (e.g., fee-for-service, capitation, value-based models) required.
• Familiarity with healthcare regulatory requirements (e.g., CMS, DHCS, DMHC, NCQA) related to provider networks is required.
• Experience with reviewing and negotiating contract language to ensure compliance with standards and regulatory requirements is required.
• Healthcare experience in Maa managed care, or with a physician group, clinical-based organization, and/or in a hospital/facility setting preferred.

Compensation

$88,641.28 - $110,801.60 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.

Remote Type: Hybrid

As the nation’s largest Federally Qualified Health Center (FQHC), AltaMed is at the forefront of providing affordable, high-quality health care to underserved communities in Los Angeles and Orange Counties. At AltaMed, you will have the opportunity to work with a diverse team of dedicated professionals who are passionate about making a difference and supporting our community of over 400,000 patients.

AltaMed Health Services Corporation is committed to providing equal employment opportunities for all qualified individuals. We strictly prohibit discrimination in employment based on race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin, age, medical condition, physical or mental disability, military or protected veteran status, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical conditions, genetic information, or any other characteristic protected by local, state, or federal law, ordinance, or regulation.

We are committed to promoting equality and inclusivity beyond our recruitment and hiring processes. We aim to create a respectful, valued, and inclusive workplace through training, advancement opportunities, and access to resources and support. We focus on fostering a diverse workforce because it enriches our organization and improves our ability to effectively serve our clients and community. We encourage individuals from all backgrounds to apply and join us in our mission to create a positive impact.

Equal employment opportunity, including veterans and individuals with disabilities.