Senior Provider Contract Negotiator

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

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

403(b) Retirement savings

Job summary

AltaMed Health Services in California seeks a Senior Provider Contract Negotiator to develop, negotiate, and manage a high‑performing provider network, ensuring compliant contracts and cost efficiency. You will lead contract negotiations for PCP and specialists, mentor junior staff, and collaborate with medical groups and payers to expand the network and improve financial performance.

Qualifications include a Bachelor's degree, 4+ years in provider contracting, and knowledge of CMS/NCQA

Qualifications

• Bachelor's degree in a related field with 4 years of relevant experience in provider contracting, contract interpretation, negotiation, or client relations; or 5+ years in lieu of a degree.
• Experience with Medicaid, Medicare Advantage, or Commercial provider networks.
• Proficiency with contract lifecycle management systems and provider databases.
• Knowledge of provider reimbursement methodologies (fee-for-service, capitation, value-based models).
• Familiarity with healthcare regulatory requirements (CMS, DHCS, DMHC, NCQA) related to provider networks.

Responsibilities

• Negotiate, execute, maintain contracts and relationships with providers (PCP, specialists, ancillary, hospitals).
• Lead initiatives to expand the provider network and support managed care growth.
• Mentor junior staff and drive partnerships while collaborating with existing providers and clients.

Job description

Grow HealthyIf 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 OverviewThe Senior Provider Contract Negotiator 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 RequirementsBachelor'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 annuallyCompensation DisclaimerActual 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 DevelopmentMedical, Dental and Vision insurance403(b) Retirement savings plans with employer matching contributionsFlexible Spending AccountsCommuter Flexible SpendingCareer Advancement & Development opportunitiesPaid Time Off & HolidaysPaid CME DaysMalpractice insurance and tail coverageTuition Reimbursement ProgramCorporate Employee DiscountsEmployee Referral Bonus ProgramPet Care InsuranceJob Advertisement & Application Compliance StatementAltaMed 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.