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Provider Contract Jobs in California (NOW HIRING)

AltaMed

Sr. Provider Contract Manager

Montebello, CA

$88K - $110K/yr

Proficiency with contract lifecycle management systems and provider databases required. * Knowledge of provider reimbursement methodologies (e.g., fee-for-service, capitation, value-based models ...

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Provider Contract information

What is a provider contract?

A provider contract is a formal agreement between a healthcare provider, such as a doctor or hospital, and a health insurance company or managed care organization. This contract outlines the terms under which the provider will deliver medical services to insured members, including reimbursement rates, covered services, and billing procedures. Provider contracts help ensure that patients receive agreed-upon care at predetermined costs and establish the responsibilities of both the provider and the insurer. These agreements are essential for maintaining a network of healthcare professionals who serve plan members.

What is the difference between Provider Contract vs Medical Billing Specialist?

AspectProvider ContractMedical Billing Specialist
CredentialsTypically requires healthcare administration, legal, or business certificationsRequires coding, billing, and healthcare reimbursement certifications
Work EnvironmentHealthcare facilities, insurance companies, or legal officesMedical offices, billing companies, or healthcare providers
Industry UsageUsed in healthcare contracting, negotiations, and legal agreementsUsed in processing insurance claims and patient billing

While Provider Contract specialists focus on creating and managing agreements between healthcare providers and payers, Medical Billing Specialists handle the coding and submission of claims for reimbursement. Both roles are essential in healthcare finance but serve different functions within the revenue cycle.

What are some common challenges faced by professionals in provider contract roles, and how can they be addressed?

Professionals in provider contract roles often encounter challenges such as navigating complex regulatory requirements, ensuring contract compliance, and balancing the interests of both healthcare providers and payers. Additionally, they may need to negotiate terms that are both competitive and sustainable for their organization. These challenges can be addressed by staying up-to-date with industry regulations, developing strong negotiation and communication skills, and fostering collaborative relationships with internal legal, compliance, and finance teams.

What are the key skills and qualifications needed to thrive as a provider contract specialist, and why are they important?

To excel as a Provider Contract Specialist, you need strong analytical abilities, knowledge of healthcare regulations, contract negotiation skills, and typically a bachelor's degree in business, healthcare administration, or a related field. Familiarity with contract management software, healthcare reimbursement systems, and proficiency in Microsoft Office are commonly required. Excellent attention to detail, communication, and relationship-building skills help you collaborate effectively with providers and internal stakeholders. These competencies ensure accurate contract execution, regulatory compliance, and mutually beneficial agreements in a complex healthcare environment.
What are the most commonly searched types of Provider jobs in California? The most popular types of Provider jobs in California are:
What cities in California are hiring for Provider Contract jobs? Cities in California with the most Provider Contract job openings:
Provider Contract jobs near you
Infographic showing various Provider Contract job openings in California as of July 2026, with employment types broken down into 66% Full Time, 5% Part Time, 5% Temporary, and 24% Contract. Highlights an 95% In-person, and 5% Hybrid job distribution.

Sr. Provider Contract Manager

AltaMed

Montebello, CA

$88K - $110K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago

AltaMed rating

8.0

Company rating: 8.0 out of 10

Based on 36 frontline employees who took The Breakroom Quiz

86th of 887 rated healthcare providers

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 position 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. 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 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.

What AltaMed employees say

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About AltaMed Health Services

Sourced by ZipRecruiter

AltaMed Health Services, based in Los Angeles, CA, US, is a leading provider in the healthcare industry. Founded in 1969 as the East LA Barrio Free Clinic, the organization provides high-quality health and human services to the underserved and uninsured communities in Southern California. AltaMed offers a broad range of services including medical care, senior care, dental services, HIV care, pharmacy services, and health education. The company's mission is to eliminate disparities in healthcare access and outcomes by providing superior quality health and human services through an integrated world-class delivery system. AltaMed has also made notable achievements, including becoming the nation's largest federally qualified community health center (FQHC) and being named a leader in healthcare equality by the Human Rights Campaign for several consecutive years.

Industry

Fitness and sports centers

Company size

1,001 - 5,000 Employees

Headquarters location

Los Angeles, CA, US

Year founded

1969

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