Posted 5 days ago
Provider Network Specialist
AI Summary
Processes new contracts, provider additions, updates, and terminations for primary care physicians, specialists, ancillary vendors, hospitals, and independent providers across multiple managed care programs.
About this role
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 position supports the Managed Care / Network Management Department. Primary responsibilities include processing ALL new contracts, provider additions, updates/changes, and terminations for primary care physicians, specialists, ancillary vendors, hospitals, and independent providers for the IPA, Clinic, PACE, DVL-HIV, Independent, and the Multipurpose Senior Services Program (MSSP). Such requests are typically received and processed from contracted and non-contracted providers via the Provider Line and Provider Support email queue. Additional requests are also received and processed from internal stakeholders such as credentialing, marketing, business development, provider data management, and clinic administration. See Essential job functions below for more detailed information.
Minimum Requirements
Four-year college degree in health care or equivalent years of related work experience preferred.
Extensive knowledge of managed care, provider network management, or contracting principles preferred.
Compensation
$68,640.00 - $85,800.00 annuallyCompensation 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.
Skills
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