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Provider Contract Jobs in California (NOW HIRING)

AltaMed

Sr. Provider Contract Manager

Montebello, CA · On-site

$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 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 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 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 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 August 2026, with employment types broken down into 70% Full Time, 14% Part Time, 6% Temporary, and 10% Contract. Highlights an 84% In-person, 2% Hybrid, and 14% Remote job distribution.

Vasectomy Provider - Contract

Planned Parenthood California Central Coast

Santa Barbara, CA • On-site

Per diem

Posted 9 days ago

Planned Parenthood rating

7.9

Company rating: 7.9 out of 10

Based on 120 frontline employees who took The Breakroom Quiz

108th of 898 rated healthcare providers

Job description

Planned Parenthood California Central Coast (PPCCC) is an equal opportunity employer, we welcome all applicants regardless of their race, religious creed, color, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, sex, gender identity, gender expression, age, sexual orientation, military or veteran status, and all other protected categories by applicable law.
PPCCC is a trusted provider of high-quality, affordable reproductive health care along California's Central Coast. Each year, PPCCC provides 28,000 people on the central coast with health care services; including sexually transmitted infection testing and treatment, birth control, breast and cervical cancer screenings, vasectomies, and safe and legal abortion care at our six health center locations. PPCCC also provides comprehensive sexuality education programs to help adults and teens make healthy decisions, prevent unintended pregnancies, and avoid sexually transmitted infection.
JOB SUMMARY
The Vasectomy Contract Provider will provide direct medical care to patients, especially with respect to vasectomy consultation, counseling, procedural care, and follow-up services. The Vasectomy Contract Provider will work in collaboration with all health care team members to provide quality reproductive health care to Planned Parenthood patients in accordance with PPCCC medical standards and guidelines. The Vasectomy Contract Provider evaluates patients seeking vasectomy services, performs vasectomy procedures within their scope of practice and privileges, manages procedural complications, provides post-procedure follow-up care, and participates in a multidisciplinary approach to patient care. Responsibilities also include patient education, preventive health counseling, documentation, and consultation services.
ESSENTIAL CLINICAL DUTIES:
  • Provision and adherence to all Planned Parenthood California Central Coast (PPCCC) written medical protocols which incorporate all State, Federal, PPFA and PPCCC medical practice guidelines and which are approved by the Medical Director and President/CEO.
  • Provide vasectomy consultations, informed consent counseling, and procedural services.
  • Expertise in and ability to perform vasectomy procedures.
  • Assess medical history and determine patient candidacy for vasectomy.
  • Diagnose and manage common post-procedure complications within scope of practice.
  • Provide post-operative instructions and follow-up care.
  • Order, perform, and interpret appropriate laboratory and diagnostic testing.
  • Utilize the "SOAP" format for completing medical examination forms, including all appropriate medical findings and recommendations.
  • Adhere to all written medical protocols, policies, procedures, and clinical guidelines.
  • Demonstrate competency in, but not limited to, the following; peer review, quality assurance audits, and laboratory proficiency testing.
  • Adhere to PPCCC policies and procedures concerning OSHA, CLIA, occurrence reporting, and all other staff and patient safety issues.
  • Maintain comprehensive knowledge of medications used in procedural and reproductive health services.
  • Refer patients appropriately for specialty care when indicated.
  • Participate in staff meetings, emergency drills, trainings, and continuing education activities.
  • Perform additional duties as assigned by leadership.
  • Emergency response and basic life support measures.

Preferred competencies include:
  • High-volume vasectomy service provision.
  • Ultrasound utilization related to men's reproductive health.
  • Provide direct medical care in vasectomy services in accordance with Planned Parenthood Federation of America Medical Standards and Guidelines and PPCCC clinical protocols and operating procedures.
  • Able to manage vasectomy complications.

QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
  • Experience performing vasectomy procedures.
  • Ability to relate to patients of all genders with diverse backgrounds in a professional and competent manner.
  • Ability to demonstrate empathy to patients accessing sensitive health care services.
  • Must be able to function independently and with minimal supervision.
  • Strong commitment to Diversity, Equity and Inclusion.
  • Accuracy and attention to detail essential.
  • Ability to function comfortably in protocol-based practice.
  • Current CA driver's license and access to reliable transportation are necessary; willingness and ability to travel within service area required.

EDUCATION AND/OR EXPERIENCE
One of the following:
  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) with unrestricted California license.
  • Board-certified or board-eligible Family Medicine physician, Urologist, or other appropriately credentialed physician with vasectomy privileges, with a minimum of three years of experience.
  • Advanced Practice Clinician credentialed and privileged to perform vasectomy procedures under applicable state laws and organizational policies.

And
  • Current DEA Registration,
  • Current CPR (BLS) certification.
  • Experience with NextGen Practice Management Application is desirable.

LANGUAGE SKILLS
English-Spanish bilingual skills desirable.
Planned Parenthood California Central Coast's (PPCCC's) compensation philosophy supports the organization's mission,vision, and values. Each position has a salary based on market value and the organization's pay levels. Starting pay is reviewed upon contract agreement.

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