Senior Director, Provider Management

altamed; Montebello (CA); On-site; USD 147,000 - 184,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

403(b) retirement plan

Flexible Spending Accounts

Career development

Paid time off

Paid CME days

Tail coverage

Tuition reimbursement

Employee discounts

Referral bonus

Pet care insurance

Job summary

AltaMed Health Services Corp. is seeking a Senior Director, Provider Management, to assess provider network needs and develop improvement strategies across cross-functional areas.

The role involves leading provider relations teams, negotiating contracts, and implementing operational initiatives to maintain high-performing networks. This position requires a BA/BS in Management or Health Care Administration, with a Master’s degree preferred, and a minimum of 12 years in managed care contracting

Qualifications

• Bachelor’s degree in Management, Health Care Administration, or related field is required.
• Master’s Degree highly preferred.
• Minimum of 12 years of managed care network management contracting experience.
• Minimum of 5 years of management experience.

Responsibilities

• Assess provider network needs and develop improvement strategies.
• Proactively work with payors and regulatory agencies on implementation.
• Lead provider relations teams and manage high-profile contract negotiations.
• Oversee interdepartmental projects to gain operational efficiencies.
• Ensure exceptional customer service is provided.

Skills

Provider network management

Contract negotiations

Leadership experience

Education

Bachelor’s degree in Management/Health Care Administration

Master’s Degree preferred

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 Senior Director, Provider Management, is responsible for assessing provider network needs, developing improvement strategies, proactively working with payors and regulatory agencies, and implementing operational initiatives across cross-functional areas, including client leadership, to maintain high-performing, adequate, and compliant networks for all clients. The position is responsible for managing provider relations teams, leading high-profile contract negotiations with respective implementations, overseeing interdepartmental projects to gain operational efficiencies, and overseeing the processing of provider demographic and contractual changes. Must lead to ensure exceptional customer service is provided.

Minimum Requirements

• Bachelor’s degree (BA/BS) in Management, Health Care Administration, or related field required. Master’s Degree highly preferred.


• Minimum of 12 years of managed care network management contracting experience (HMO, PPO, Provider Networks, etc.) required.


• Minimum of 5 years of management experience.

Compensation

$146,964.36 - $183,705.44 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.