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Senior Provider Network Development Specialist

2 months ago

Merced, California, United States Central California Alliance for Health Full time
About the Role

We are seeking a highly skilled Senior Provider Network Development Specialist to join our team at Central California Alliance for Health. As a key member of our Provider Services Department, you will play a critical role in supporting the recruitment and expansion of our provider network.

Key Responsibilities
  • Conduct professional-level healthcare provider recruitment efforts and related activities
  • Facilitate the onboarding process for new providers
  • Perform research and analysis related to provider network requirements, to develop provider recruitment strategies, and to identify opportunities for network expansion
  • Assist the Provider Network Development Manager with unit administration and special projects
  • Perform other duties as assigned
About the Team

Our team is dedicated to establishing, building, and maintaining positive working relationships with local providers. We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation.

Requirements
  • Experienced in professional healthcare provider recruitment and contracting across various specialties
  • Proficient in developing recruitment strategies and conducting outreach to new provider types, including non-traditional providers (mental health, doulas, etc.)
  • Skilled in negotiating contracts with a focus on high-quality care and cost-effectiveness
  • Capable of mentoring and coaching other specialists, serving as a subject matter expert
  • Proficient in conducting market research to identify network gaps and expansion opportunities
  • Able to analyze provider data and performance metrics to support network development strategies
What You'll Need to Be Successful
  • Thorough knowledge of the principles and practices of healthcare provider recruitment
  • Provider contract negotiation and contract management principles, including reimbursement rates, service level agreements, and performance metrics
  • Healthcare delivery systems, including hospitals, clinics, and other healthcare provider types
  • Health care industry and managed care concepts
  • Research, analysis, and reporting methods
  • Working knowledge of the California Medi-Cal program and related regulations
Benefits

We offer a comprehensive benefits package, including medical, dental, and vision plans, ample paid time off, 12 paid holidays per year, 401(a) retirement plan, 457 deferred compensation plan, robust health and wellness program, and onsite EV charging stations.