Provider Network Specialist

AltaMed•Montebello, CA

1d•$68,640 - $85,800

About The Position

The position supports the Managed Care / Network Management Department. Primary responsibilities include processing ALL new contracts, provider additions, updates/changes, and terminations for primary care physicians, specialists, ancillary vendors, hospitals, and independent providers for the IPA, Clinic, PACE, DVL-HIV, Independent, and the Multipurpose Senior Services Program (MSSP). Such requests are typically received and processed from contracted and non-contracted providers via the Provider Line and Provider Support email queue. Additional requests are also received and processed from internal stakeholders such as credentialing, marketing, business development, provider data management, and clinic administration. See Essential job functions below for more detailed information.

Requirements

Four-year college degree in health care or equivalent years of related work experience preferred.
Extensive knowledge of managed care, provider network management, or contracting principles preferred.

Responsibilities

Processing ALL new contracts, provider additions, updates/changes, and terminations for primary care physicians, specialists, ancillary vendors, hospitals, and independent providers for the IPA, Clinic, PACE, DVL-HIV, Independent, and the Multipurpose Senior Services Program (MSSP).
Processing requests received and processed from contracted and non-contracted providers via the Provider Line and Provider Support email queue.
Processing additional requests received and processed from internal stakeholders such as credentialing, marketing, business development, provider data management, and clinic administration.