Manager, Provider Contracts

Location US-CA-Los Angeles
Job ID
Managed Care


Under the direction of the Director of Provider Network Management, the Provider Contracting Manager develops and manages the provider network through contract negotiations, relationship development, and servicing. The primary focus of this role is to build lasting relationships, negotiate contract terms, manage existing contracts, and maintain relationships with Providers in support of AltaMed Federally Qualified Health Centers (FQHC), Independent Practice Associations (IPA), HIV Services, and Program of All-Inclusive Care for the Elderly (PACE) efforts. Identifies and recommends provider contracting strategies to reduce costs, limit financial risk, ensure adequate provider network. He/She will typically work with providers which may include, but are not limited to, Hospital partners, Ancillary partners, professional providers, practice groups, small medical groups, AltaMed FQHC sites, and providers with greater familiarity with managed care concepts. Will act as a liaison between the Contracting Department and other departments within AltaMed and shall participate in intradepartmental projects impacting multiple departments. This position will supervise Managed Care department staff as delegated by the Director of Provider Network Management.





  1. Solicits participation in the network and conducts re-contracting efforts.
  2. Serves as a communication link between professional providers and the company.
  3. Conducts negotiations and drafts agreements.
  4. Collaborates with physicians, hospitals, and ancillary providers to develop and pursue mutually beneficial business opportunities to meet community needs for health care services. Maintains access to a high quality geographically desirable cost effective network of specialists, hospitals and ancillary providers to meet the needs of members served.
  5. Actively collaborates in the development of marketing and communication plans based on strategic priorities.
  6. Participates in gathering primary market research to gain qualitative and quantitative data to bring definition to market strategies.
  7. Analyzes existing services lines for financial performance and develops appropriate strategies to improve growth and profit.
  8. Develops and executes on strategies to assure that provider network receives exceptional service and is highly satisfied with AltaMed services.
  9. Thorough knowledge of DRG and Medicare reimbursement policies is critical for supporting AltaMed’s participation in Cal MediConnect (Duals) among other initiatives of health care reform.
  10. Assists in preparing financial projections.
  11. Network development reporting.
  12. Performs other related duties as assigned.



  1. A BA/BS degree is required with a minimum of five years of experience in contracting, provider relations, or provider servicing required; or any combination of education and experience which would provide an equivalent background.
  2. A minimum of five years of experience in managed care required.
  3. A minimum of one year of experience in a supervisory role required.



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