Provider Contract Specialist III

L.A. Care Health Plan•Los Angeles, CA

1d•$88,854 - $142,166

About The Position

The Provider Contract Specialist III leads the negotiation, evaluation, and execution of high-value, complex contracts across professional, facility, vendor, and ancillary providers. The role bridges legal, finance, and operational teams to align contract terms with organizational strategy and optimize provider networks. The specialist manages amendments, templates, and regulatory compliance; analyzes contract performance; resolves escalated issues; and recommends improvements. The role operates with significant autonomy across provider types or regions, represents the contracting function in cross-functional initiatives and provider meetings, and serves as a subject matter expert, resource, and mentor to other staff.

Requirements

Bachelor's degree; equivalent education and/or experience may be considered in lieu of a degree.
At least 4 years of experience in contract management, including negotiating, executing, and ensuring regulatory compliance for complex agreements.
Experience as a strategic partner advancing organizational goals through contract management and stakeholder collaboration.
Advanced expertise in negotiating and managing high-value, complex agreements across multiple provider types.
Strong analytical skills to evaluate contract performance and ensure regulatory compliance.
Stakeholder management skills, including the ability to bridge legal, finance, and operations.
Ability to manage escalated issues, work autonomously, lead, solve problems, and drive strategically aligned process improvements.
Leadership and mentoring skills to guide junior specialists and support continuous improvement.

Nice To Haves

Master's degree in business or a related field.
Experience collaborating cross-functionally and representing the contracting function in organizational initiatives and provider meetings.
Healthcare network management and healthcare operations skills, including provider-network optimization and identifying expansion and quality-improvement opportunities.
Knowledge of change management and advanced contract management technology.
Commitment to continuous learning.

Responsibilities

Lead negotiation, evaluation, and execution of contracts across professional, facility, vendor, and ancillary providers.
Manage high-value and complex agreements in alignment with organizational strategy and industry dynamics.
Coordinate with legal, finance, and operational stakeholders to ensure contract terms support strategic objectives.
Identify opportunities for provider-network expansion and quality improvement.
Manage contract amendments and templates, and ensure compliance with regulatory requirements.
Track and analyze contract performance metrics and recommend actions to improve efficiency and performance.
Represent the department in cross-functional initiatives and provider meetings.
Manage complex caseloads spanning provider types or regions, and resolve escalated contract issues and disputes.
Drive process improvement and participate in training.
Maintain provider relationships and support organizational goals through effective contract management.
Evaluate business operations and processes, identify opportunities for technical solutions, and consult across business operations.
Provide mentorship, specialized knowledge, and training; ensure deliverables meet departmental, organizational, and legislative policies and standards.
Perform other duties as assigned.