Senior Director, Provider Management

AltaMed Health Services Corp; Montebello (CA); On-site; USD 147,000 - 184,000; Full time

Benefits offered by this job

Medical, Dental and Vision insurance

403(b) Retirement savings plans with  

Paid Time Off & Holidays

Tuition Reimbursement Program

Malpractice insurance and tailcoverage

Job summary

AltaMed Health Services Corp. seeks a Senior Director, Provider Management to assess provider network needs, develop improvement strategies, and drive cross-functional initiatives with payors and regulators.

The role manages provider relations teams, leads high-profile contract negotiations, and oversees demographic and contractual changes to ensure top-tier client service. The ideal candidate has a BA/BS in Management or Health Care Administration, a Master’s degree preferred, and at least 12

Qualifications

• Bachelor’s degree in Management, Health Care Administration, or related field.
• Master’s degree 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.

Responsibilities

• Assess provider network needs and develop improvement strategies.
• Lead provider relations teams and contract negotiations.
• Oversee interdepartmental projects to gain operational efficiencies.
• Oversee processing of provider demographic and contractual changes and ensure exceptional customer service.

Skills

Provider network management

Contract negotiations

Leadership

Cross-functional collaboration

Customer service excellence

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

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.

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.