Provider Contract Specialist II

L.A. Care Health Plan•Los Angeles, CA

1d•$77,265 - $123,625•Onsite

About The Position

L.A. Care Health Plan, established in 1997, is the nation's largest publicly operated health plan, created by the state of California to provide health coverage to low-income Los Angeles County residents. Serving over 2 million members, L.A. Care's mission is to ensure these members receive the right care at the right place and time. The Provider Contract Specialist II is responsible for ensuring the integrity and efficiency of contracting processes for professional, facility, vendor, and ancillary provider agreements. This role supports the entire lifecycle of provider agreements, focusing on contract administration and provider engagement. The Specialist II exercises sound judgment, collaborates across functions to improve accuracy, compliance, and processes, and aims to provide a seamless experience for internal stakeholders and external partners. They diligently manage issue resolution and escalations, documenting and reporting variances to management for dispute resolution. This role also contributes to process enhancements and knowledge base content to support operational excellence and compliance, acting as a key link between contract management and organizational strategy.

Requirements

Bachelor's Degree in Business (In lieu of degree, equivalent education and/or experience may be considered).
At least 3 years of experience in contract administration or provider contracting (healthcare or regulated industry).
Experience drafting, tracking, and executing agreements with standardized templates.
Experience and exposure to multi-provider environments (professional, facility, vendor, ancillary) basic performance analysis, including strong attention to detail and organizational skills.
Foundational expertise in contract drafting and redlining, with familiarity in clause libraries and standardized templates.
Regulatory knowledge, including checklist-driven reviews and documentation controls, as well as competence in maintaining trackers, dashboards, and clear status reporting.
Strong collaboration and communication skills with clear written and verbal abilities, professional etiquette in interactions with providers and internal stakeholders, and effective organization and time management across multiple agreements and deadlines.
Critical thinking skills with the ability to exercise sound judgment within delegated authority, recognizing non-standard terms and risks for escalation, and maintains a high level of detail orientation and accountability for data accuracy and audit readiness.
Demonstrate attention to detail and possess strong collaborative skills with the ability to thrive in structured environments.
Travel to offsite locations for work required.

Nice To Haves

Experience using contract management software.
Experience supporting dispute resolution or provider relations in regulated industries is highly valued.
Knowledge of healthcare credentialing or payer enrollment, and exposure to multi-jurisdictional contracting.
Synthesizing contract data skills for reporting, training in process improvement methodologies.

Responsibilities

Ensures the integrity and efficiency of contracting processes across professional, facility, vendor, and ancillary provider agreements by drafting, reviewing, and executing contract documents.
Safeguards organizational interests and supports business continuity through maintenance of comprehensive contract artifacts, proactively tracks renewals, expirations, and critical dates, and triggers timely actions to prevent lapses.
Supports the end-to-end lifecycle of provider agreements, ensuring operational excellence, meticulous tracking of contract renewals, amendments, and critical dates, proactively mitigating risks associated with autorenewals and expirations.
Streamlines provider engagement and onboarding through the management of Letters of Interest (LOI) and facilitation of LOA operations, contributing to a seamless experience for both internal stakeholders and external partners.
Operates within a defined scope, delegated authority, and caseload segmented by provider type or region.
Identifies variances in execution or compliance, documents facts, and escalates promptly, preparing case summaries and artifacts to support dispute resolution by management.
Contributes to continuous improvement by recommending procedural enhancements based on cycle time, errors, and feedback, and contributing to SOPs, quick reference guides, and knowledge base content.
Supports contract administration and provider engagement, exercising sound judgment within delegated authority and collaborating across functions to drive accuracy, compliance, and process improvement.
Performs other duties as assigned.