Provider Network Specialist

3 weeks ago


Los Angeles, California, United States MedPOINT Management Full time
About the Role

MEDPOINT MANAGEMENT is seeking a highly motivated Provider Network Specialist to join our dynamic team. As a key member of our Provider Network Operations department, you will be responsible for managing and supporting the administrative and operational aspects of our Contracts Team.

The ideal candidate will have a strong background in managed care or healthcare, with experience in network management or contracting. They will be responsible for negotiating contracts with healthcare providers, ensuring compliance with regulatory requirements, and maintaining the quality of provider contracts.

Responsibilities:

  1. Negotiate contracts with healthcare providers to close IPA network gaps and meet Federal, State, and Health Plan regulatory requirements
  2. Identify and resolve provider network adequacy and specialty needs for network growth
  3. Ensure contract compliance with DMHC, DHS, CMS, and other regulatory agencies
  4. Collaborate with the Contracts Supervisor and PNO leadership to meet departmental goals and requirements

Requirements:

  • Bachelor's degree in healthcare or related field preferred
  • 4+ years managed care or healthcare experience in network management or contracting
  • Knowledge of contracting principles and tools a plus
  • Proficient in Microsoft Office Suite

Our Company Culture:

  • We offer a collaborative working environment
  • Competitive salary range: $80,000 - $100,000 per year
  • Benefits package including medical, dental, and vision insurance
  • Retirement plan with company match


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