Provider Network Development Specialist (Temporary)

Central California Alliance for Health•Mariposa County, California, CA

2h•Hybrid

About The Position

This is a temporary position with an estimated assignment length until December 31, 2026, dependent on business needs. While the assignment is with the Alliance, the selected candidate will be an employee of a temporary employment agency. The role requires regular in-community presence within the Alliance service counties, specifically Mariposa & Merced counties, or being within commutable distance of these areas.

Requirements

Strong regional provider network knowledge and experience working directly with healthcare providers in Merced and Mariposa county areas.
Experience in provider-facing roles within managed care, provider relations, provider recruitment, contracting, or network development.
Understanding of provider recruitment, negotiation, onboarding, credentialing, and contracting processes.
Ability to effectively manage competing priorities and maintain strong follow-through while supporting a high volume of provider communications and activities.
Strong communication and relationship-building skills across phone, email, virtual, and in-person interactions.
Understanding of healthcare market dynamics and provider access challenges across regional communities and specialty areas.
Comfortable working both independently in the field and collaboratively with internal teams.
Experience identifying provider network gaps and recruiting providers across a range of specialties, including hard-to-fill specialty areas.
Knowledge of principles and practices of healthcare provider recruitment and network development.
Knowledge of healthcare delivery systems, including hospitals, clinics, medical groups, and specialty provider types.
Knowledge of managed care concepts and provider network adequacy requirements.
Knowledge of provider credentialing, contracting, and onboarding processes.
Knowledge of research, analysis, and reporting methods.
Knowledge of California Medi-Cal program and related regulations.
Ability to develop and implement effective provider recruitment and outreach strategies.
Ability to build and maintain positive, professional provider relationships through proactive communication and follow-up.
Ability to identify provider priorities and effectively communicate how the Alliance can support their practice and patient population.
Ability to apply sales, negotiation, and relationship management skills in provider recruitment activities.
Ability to analyze provider network needs and identify opportunities for expansion and improved access to care.
Ability to prioritize tasks and manage multiple provider engagements simultaneously in a fast-paced environment.
Ability to interpret, apply, and explain policies, standards, regulatory requirements, and guidelines.

Nice To Haves

Some experience working with Medi-Cal.

Responsibilities

Conducts and coordinates professional level healthcare provider recruitment efforts and related activities
Facilitates the onboarding process for new providers
Performs research and analysis related to provider network requirements and to identify opportunities for network expansion
Performs other duties as assigned