Senior Provider Contract Negotiator

altamed; Montebello (CA); On-site; USD 89,000 - 111,000; Full time

Benefits offered by this job

Medical, Dental & Vision

403(b) Retirement plan with employer匹配

Flexible Spending Accounts

Paid Time Off & Holidays

Tuition Reimbursement

CME Days

Employee Discounts

Referral Bonus

Tail coverage

Job summary

AltaMed Health Services Corp. seeks a Senior Provider Contract Negotiator to develop and manage a high-performing provider network, negotiating and maintaining contracts across PCP, specialists, and facilities. You will ensure regulatory alignment and support strategic growth in managed care.

The role involves mentoring staff, strengthening provider relationships, and driving new partnerships while collaborating with internal teams to meet financial and service objectives.

Qualifications

• Bachelor's degree with 4 years of provider contracting experience or 5+ years in lieu of a degree.
• Experience with Medicaid/Medicare Advantage or Commercial provider networks required.
• Proficiency with contract lifecycle management systems and provider databases.

Responsibilities

• Negotiate, execute, maintain contracts and relationships with providers and hospitals.
• Oversee complex contracts (PCP, specialists, ancillary) ensuring regulatory compliance.
• Lead initiatives to expand the provider network and strategic growth in managed care.
• Mentor junior staff and drive partnerships with new and existing providers.

Skills

Provider contracting

Contract interpretation

Negotiation

Client relations

Medicaid/Medicare knowledge

Contract lifecycle management

Provider reimbursement methodologies

Regulatory compliance (CMS/DHCS/DMHC/9

Compliance review of contracts

Healthcare provider networks

Education

Bachelor's degree in related field

Tools

Contract lifecycle management systems

Provider databases

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 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 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.