Entry Level Provider Network Development Jobs in Modesto, CA

This is a temporary position and the length of assignment is estimated to go until December 31, 2026. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with.

Reporting to the Provider Network Development Manager, this position:

• Conducts and coordinates professional level healthcare provider recruitment efforts and related activities
• Facilitates the onboarding process for new providers
• Performs research and analysis related to provider network requirements and to identify opportunities for network expansion
• Performs other duties as assigned

The ideal candidate brings strong regional provider network knowledge and experience working directly with healthcare providers in Merced and Mariposa county areas.

Additionally, the ideal candidate:

• Has experience in provider-facing roles within managed care, provider relations, provider recruitment, contracting, or network development
• Understands provider recruitment, negotiation, onboarding, credentialing, and contracting processes
• Can effectively manage competing priorities and maintain strong follow-through while supporting a high volume of provider communications and activities
• Demonstrates strong communication and relationship-building skills across phone, email, virtual, and in-person interactions
• Understands healthcare market dynamics and provider access challenges across regional communities and specialty areas
• Is comfortable working both independently in the field and collaboratively with internal teams
• Has experience identifying provider network gaps and recruiting providers across a range of specialties, including hard-to-fill specialty areas

To read the full position description and list of requirements, click here.

• Knowledge of:
  • Principles and practices of healthcare provider recruitment and network development
  • Healthcare delivery systems, including hospitals, clinics, medical groups, and specialty provider types
  • Managed care concepts and provider network adequacy requirements
  • Provider credentialing, contracting, and onboarding processes
  • Research, analysis, and reporting methods
  • California Medi-Cal program and related regulations
• Ability to:
  • Develop and implement effective provider recruitment and outreach strategies
  • Build and maintain positive, professional provider relationships through proactive communication and follow-up
  • Identify provider priorities and effectively communicate how the Alliance can support their practice and patient population
  • Apply sales, negotiation, and relationship management skills in provider recruitment activities
  • Analyze provider network needs and identify opportunities for expansion and improved access to care
  • Prioritize tasks and manage multiple provider engagements simultaneously in a fast-paced environment
  • Interpret, apply, and explain policies, standards, regulatory requirements, and guidelines
• Education and Experience:
  • Bachelor's degree in Healthcare Administration, Business Administration, Social Science, or a related field
  • Minimum of four years of experience in a managed care environment performing provider network development, provider relations, and/or provider contracting activities, which included at least two years of provider recruitment experience and some experience working with Medi-Cal
  • A Master's degree may substitute for two years of the required experience; or an equivalent combination of education and experience may be qualifying.

• We are in a hybrid work environment, and the interview process will take place remotely via Microsoft Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
• In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
• This is a temporary position and does not provide the benefits that are listed below (this is standard language from our regular job posts and cannot be altered or removed). Temporary employees on assignment at the Alliance will be connected to a staffing agency with separate benefit options.

COMPENSATION INFORMATION

• Zone 1 Pay Range: $38 - $42
  Typical areas in Zone 1: Santa Cruz, San Benito, and Monterey Counties, Bay Area, Sacramento, Los Angeles and San Diego areas
  
• Zone 2 Pay Range: $36 - $40
  Typical areas in Zone 2: Mariposa and Merced Counties, Fresno area, Bakersfield, Eastern California, San Luis Obispo area, and the Central Valley (except Sacramento)