AltaMed

Administrator, Provider Network

AltaMed · Montebello, California, United States · $69K–$86K/yr

Wellness and Fitness Services · 5,001-10,000 employees

2 d ago
Mid (2-5 yrs) Full-time United States
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About the role

The Provider Network Administrator is responsible for negotiating and maintaining contracts with various healthcare providers to ensure a high-quality and compliant network. This role supports managed care growth initiatives by identifying new providers and fostering strong partnerships with existing ones.

What they look for

Provider contracting Contract negotiation Contract interpretation Managed care Regulatory compliance Provider network administration Client relations Healthcare industry knowledge Communication skills Attention to detail Provider databases Contract lifecycle management Reimbursement methodologies CMS regulations DHCS regulations NCQA standards

Requirements

Candidates must have a bachelor's degree with at least 2 years of relevant experience, or 3 years of experience in lieu of a degree. Preferred qualifications include experience in managed care, knowledge of healthcare regulatory requirements, and familiarity with provider reimbursement models.

Benefits

Medical insurance Dental insurance Vision insurance 403(b) Retirement savings plans Employer matching contributions Flexible spending accounts Commuter flexible spending Career advancement opportunities Paid time off Paid holidays Paid CME days Malpractice insurance Tail coverage Tuition reimbursement program Corporate employee discounts Employee referral bonus program Pet care insurance

Full 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 Provider Network Administrator is responsible for negotiating, administering, and maintaining contracts and relationships (i.e. Primary Care Physician (PCP), specialist, ancillary providers, hospitals) to ensure a high-quality, cost-effective, and compliant provider network. This role supports managed care growth initiatives and organizational goals.  Key responsibilities include identifying and onboarding new providers, ensuring regulatory compliance, and fostering strong partnerships with existing partners. The Provider Network Administrator will also assist in tracking progress, enhancing brand visibility, and supporting efforts to secure new contracts. Success in this role requires strong communication skills, attention to detail, and a solid understanding of the healthcare industry.

Minimum Requirements

  • Bachelor's degree in a related field with 2 years of relevant experience (i.e. provider contracting, contract interpretation, negotiation, client relations) or 3 years of relevant experience in lieu of a degree.
  • Healthcare experience in a Managed Care setting or with a physician group, clinical-based organization, and/or in a hospital/facility setting 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 (e.g., fee-for-service, capitation, value-based models) preferred.
  • Experience with healthcare regulatory requirements (e.g., CMS, DHCS, DMHC, NCQA) related to provider networks preferred.

Compensation

$68,640.00 - $85,800.00 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.