Strategic Provider Contracts Specialist San Diego

AltaMed; Montebello (CA); On-site; USD 69,000 - 86,000; Full time

Benefits offered by this job

Medical, Dental and Vision insurance

403(b) Retirement plan with employer

Tuition Reimbursement

Paid Time Off & Holidays

Job summary

AltaMed in California is seeking a Provider Contract Negotiator to negotiate, administer, and maintain contracts with PCPs, specialists, hospitals, and other providers to build a high-quality network in the San Diego region.

You will identify and onboard new providers, ensure regulatory compliance, and collaborate with managed care initiatives while earning a competitive compensation package and progressive benefits.

Qualifications

• Bachelor’s degree with 2 years of relevant contracting experience.
• Healthcare experience in managed care or physician groups preferred.
• Experience with Medicaid/Medicare Advantage or commercial provider networks preferred.
• Experience with contract lifecycle management systems and provider databases preferred.
• Experience with provider reimbursement methodologies (fee-for-service, capitation, value-based models) preferred.
• Experience with healthcare regulatory requirements (CMS, DHCS, DMHC, NCQA) related to provider networks preferred.

Responsibilities

• Negotiate and administer provider contracts to build a high-quality network.
• Onboard new providers and maintain ongoing relationships.
• Ensure regulatory compliance and track contract performance.

Skills

Communication skills

Attention to detail

Healthcare knowledge

Education

Bachelor’s degree in related field

Tools

Contract lifecycle management systems

Provider databases

Job description

AltaMed in California is seeking a Provider Contract Negotiator to negotiate, administer, and maintain contracts with PCPs, specialists, hospitals, and other providers to build a high-quality network in the San Diego region.

You will identify and onboard new providers, ensure regulatory compliance, and collaborate with managed care initiatives while earning a competitive compensation package and progressive benefits.