Sr. Provider Contract Manager
$88K - $110K/yr
This position is responsible for negotiating, executing, maintaining contracts and relationships, and overseeing complex contracts (i.e., Primary Care Physician (PCP), specialist, ancillary providers ...
60 jobs near Columbus, OH
$88K - $110K/yr
This position is responsible for negotiating, executing, maintaining contracts and relationships, and overseeing complex contracts (i.e., Primary Care Physician (PCP), specialist, ancillary providers ...
$88K - $110K/yr
This position is responsible for negotiating, executing, maintaining contracts and relationships, and overseeing complex contracts (i.e., Primary Care Physician (PCP), specialist, ancillary providers ...
Serves as the primary Celebrity brand representative to the shared services ecommerce strategy group, ensuring Celebrity's growth objectives and commercial priorities are reflected in the multi-brand ...
Serves as the primary Celebrity brand representative to the shared services ecommerce strategy group, ensuring Celebrity's growth objectives and commercial priorities are reflected in the multi-brand ...
Hawthorne, CA · On-site
$115K - $150K/yr
Supporting, closely managing, and learning from the direct customers that require unique Starlink products to meet their industry needs (i.e. primary connectivity, secondary connectivity, trucking ...
Hawthorne, CA · On-site
$115K - $150K/yr
Supporting, closely managing, and learning from the direct customers that require unique Starlink products to meet their industry needs (i.e. primary connectivity, secondary connectivity, trucking ...
Miami, FL · On-site
Serves as the primary Celebrity brand representative to the shared services ecommerce strategy group, ensuring Celebrity's growth objectives and commercial priorities are reflected in the multi-brand ...
Miami, FL · On-site
Serves as the primary Celebrity brand representative to the shared services ecommerce strategy group, ensuring Celebrity's growth objectives and commercial priorities are reflected in the multi-brand ...
This role requires deep expertise in global regulatory frameworks, with a specialized focus on containment systems (i.e., primary packaging), pharmaceutical manufacturing and handling, and regulatory ...
This role requires deep expertise in global regulatory frameworks, with a specialized focus on containment systems (i.e., primary packaging), pharmaceutical manufacturing and handling, and regulatory ...
Demonstrated experience in client facing roles, i.e., primary presenter of Client new business presentations and renewal presentations, strategy meetings, claims reviews, mid-year reviews, etc.
New
Demonstrated experience in client facing roles, i.e., primary presenter of Client new business presentations and renewal presentations, strategy meetings, claims reviews, mid-year reviews, etc.
New
Must have logged 2,000 or more total pilot time (i.e., accumulation of primary, secondary, instructor, evaluator, simulator and student time), or 1,300 hours Primary Flight Time (i.e. primary ...
New
Must have logged 2,000 or more total pilot time (i.e., accumulation of primary, secondary, instructor, evaluator, simulator and student time), or 1,300 hours Primary Flight Time (i.e. primary ...
New
CA$88K - CA$97K/yr
Vice President, Integrated Care and Experience (IC & E) Primary work location: Oshawa, Pickering, Ajax, and across all other DCHC sites/Location as required. Organization Who We Are: Durham Community ...
CA$88K - CA$97K/yr
Vice President, Integrated Care and Experience (IC & E) Primary work location: Oshawa, Pickering, Ajax, and across all other DCHC sites/Location as required. Organization Who We Are: Durham Community ...
Oshawa, ON · On-site
CA$88K - CA$97K/yr
Vice President, Integrated Care and Experience (IC & E) Primary work location: Oshawa, Pickering, Ajax, and across all other DCHC sites/Location as required. Organization Who We Are: Durham Community ...
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Oshawa, ON · On-site
CA$88K - CA$97K/yr
Vice President, Integrated Care and Experience (IC & E) Primary work location: Oshawa, Pickering, Ajax, and across all other DCHC sites/Location as required. Organization Who We Are: Durham Community ...
Hawthorne, CA · On-site
$115K - $150K/yr
Supporting, closely managing, and learning from the direct customers that require unique Starlink products to meet their industry needs (i.e. primary connectivity, secondary connectivity, trucking ...
Hawthorne, CA · On-site
$115K - $150K/yr
Supporting, closely managing, and learning from the direct customers that require unique Starlink products to meet their industry needs (i.e. primary connectivity, secondary connectivity, trucking ...
Hawthorne, CA · On-site
$115K - $150K/yr
Supporting, closely managing, and learning from the direct customers that require unique Starlink products to meet their industry needs (i.e. primary connectivity, secondary connectivity, trucking ...
Hawthorne, CA · On-site
$115K - $150K/yr
Supporting, closely managing, and learning from the direct customers that require unique Starlink products to meet their industry needs (i.e. primary connectivity, secondary connectivity, trucking ...
Offers comfort and reassurance and refers them to appropriate professionals i.e., primary care nurse, physician, pastoral care, etc. * Performs according to Greeter Role. * Performs patient and ...
Offers comfort and reassurance and refers them to appropriate professionals i.e., primary care nurse, physician, pastoral care, etc. * Performs according to Greeter Role. * Performs patient and ...
CA$88K - CA$97K/yr
Vice President, Integrated Care and Experience (IC & E) Primary work location: Oshawa, Pickering, Ajax, and across all other DCHC sites/Location as required. Organization Who We Are: Durham Community ...
CA$88K - CA$97K/yr
Vice President, Integrated Care and Experience (IC & E) Primary work location: Oshawa, Pickering, Ajax, and across all other DCHC sites/Location as required. Organization Who We Are: Durham Community ...
Compton, CA · On-site
$83K - $98K/yr
E.). PRIMARY DUTIES AND RESPONSIBILITIES The following essential functions are those that are critical, integral, necessary, crucial, primary and fundamental to the job. Incumbents who possess the ...
Compton, CA · On-site
$83K - $98K/yr
E.). PRIMARY DUTIES AND RESPONSIBILITIES The following essential functions are those that are critical, integral, necessary, crucial, primary and fundamental to the job. Incumbents who possess the ...
This role requires deep expertise in global regulatory frameworks, with a specialized focus on containment systems (i.e., primary packaging), pharmaceutical manufacturing and handling, and regulatory ...
This role requires deep expertise in global regulatory frameworks, with a specialized focus on containment systems (i.e., primary packaging), pharmaceutical manufacturing and handling, and regulatory ...
Regina, SK · On-site
Function as the primary point of contact, primary administrator, and internal expert on our ecommerce strategy and systems. * Optimize the customer journey and user experience to improve conversion ...
Regina, SK · On-site
Function as the primary point of contact, primary administrator, and internal expert on our ecommerce strategy and systems. * Optimize the customer journey and user experience to improve conversion ...
Paterson, NJ · On-site
Joseph's brand, physicians, and service lines (i.e., primary care, oncology, surgery, cardiology, etc.). This individual will implement strategic marketing initiatives that elevate St. Joseph ...
Paterson, NJ · On-site
Joseph's brand, physicians, and service lines (i.e., primary care, oncology, surgery, cardiology, etc.). This individual will implement strategic marketing initiatives that elevate St. Joseph ...
Offers comfort and reassurance and refers them to appropriate professionals i.e., primary care nurse, physician, pastoral care, etc. * Performs according to Greeter Role. * Performs patient and ...
Offers comfort and reassurance and refers them to appropriate professionals i.e., primary care nurse, physician, pastoral care, etc. * Performs according to Greeter Role. * Performs patient and ...
E&S Primary Casualty Leadership experience is a plus * West coast wholesale broker relationships are required Comp: Flexible
E&S Primary Casualty Leadership experience is a plus * West coast wholesale broker relationships are required Comp: Flexible
Offers comfort and reassurance and refers them to appropriate professionals i.e., primary care nurse, physician, pastoral care, etc. * Performs according to Greeter Role. * Performs patient and ...
Offers comfort and reassurance and refers them to appropriate professionals i.e., primary care nurse, physician, pastoral care, etc. * Performs according to Greeter Role. * Performs patient and ...
$88K - $110K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 21 days ago
7.6
Based on 37 frontline employees who took The Breakroom Quiz
188th of 887 rated healthcare providers
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 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
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.
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.
Fitness and sports centers
1,001 - 5,000 Employees
Los Angeles, CA, US
1969