E Primary

60 jobs near Columbus, OH

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 ...

Associate Civil Engineer

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 ...

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 ...

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 ...

Showing results 41-60

Sr. Provider Contract Manager

AltaMed

Montebello, CA

$88K - $110K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 21 days ago


AltaMed rating

7.6

Company rating: 7.6 out of 10

Based on 37 frontline employees who took The Breakroom Quiz

188th 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

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


AltaMed Health Services logo

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

Social media