California Provider Contracting Specialist

Job Summary

Working remotely, the full-time California Provider Contracting Specialist will negotiate and manage contracts with various healthcare providers, conduct financial analyses, and build strategic relationships to enhance network growth and compliance.

Key responsibilities

• Negotiate, execute, and review contracts with diverse provider types while ensuring compliance and financial objectives are met
• Conduct financial and operational analysis of contract terms and rate structures to optimize profitability and member access
• Build and maintain strategic relationships with providers, addressing concerns and resolving disputes to ensure contract compliance

Required qualifications

• Bachelor's degree in Business, Healthcare Administration, Finance, or related field (or equivalent professional experience)
• 5+ years of direct experience in provider contracting, managed care network development, or health plan operations
• Proven negotiating skills in complex, multi-party contracting scenarios
• Strong financial acumen with the ability to analyze rate structures and build financial models
• Expert proficiency in Microsoft Office, particularly Excel, and comfort with proprietary contracting systems