Provider Network Specialist
Core
Process new contracts, provider additions, updates, and terminations for primary care physicians, specialists, ancillary vendors, hospitals, and independent providers across multiple AltaMed programs.
Role type
Provider Network Specialist
Builds
Provider network contracts and management for IPA, Clinic, PACE, DVL-HIV, Independent, and MSSP programs
Domain
Healthcare / Managed Care
Required skills
Managed care knowledge, Provider network management, Contracting principles, Contract processing, Provider data management, Stakeholder communication
Responsibilities
Process new contracts for providers and vendors, Handle provider additions and updates, Manage provider terminations, Process requests from Provider Line and email queue, Coordinate with internal stakeholders (credentialing, marketing, business development)