About Altais:
At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks. Through smarter technology, purpose-built tools, and a team-based model of care, we help doctors do what they do best: care for people.
Altais includes a network of physician-led organizations across California, including Brown & Toland Physicians, Altais Medical Group Riverside, and Family Care Specialists. Together, we’re building a stronger, more connected healthcare system.
About the Role
Are you looking to join a fast-growing, dynamic team?
We’re a collaborative, purpose-driven group that’s passionate about transforming healthcare from the inside out. At Altais, we support one another, adapt quickly, and work with integrity as we build a better experience for physicians and their patients.
The Contracts Specialist, Provider is responsible for managing and supporting provider contracts for all lines of business; Commercial, Medicare and Medi-Cal HMO and PPO for multiple medical groups and Independent Physician Associations throughout California. Primary duties include drafting provider contract agreements and amendments, Letter of Agreement negotiation and analyses, contract terminations, contract file integrity in contract management system, ancillary grid maintenance, and contributing to operational implementation of all provider agreements.
You will focus on:
Collaborate with Contracting Department, internal and external stakeholders to support the successful execution of departmental and company goals.
Responsible for complex provider inquiries and/or problems related to operations, contract interpretation (e.g DOFR, delegation), claims, and facilitates resolution. Continuously strives to ensure that favorable relationships are maintained while ensuring the interest of the company.
Liaison between providers and internal departments which include but are not limited to management, finance, medical services, claims, configuration, network management, customer service, legal, compliance and other internal departments.
Assist with the planning and scheduling of routine payer joint operations committee meetings with large provider groups and hospitals which may include various internal and external leaders.
Responsible for developing and/or improving provider contracting existing tools, resources, contract language, physician education resource materials, job aides, policies and procedures (e.g. contracting workflows, value-based contracts, physician resources for billing).
Manage and participate in the development and implementation of systems (e.g. Symplr/sPayer, Epic) that support network operations and network management to encourage standardization, best practices, and maximize functionality (e.g. automation, report writing, workflows).
Manage departmental intranet webpages; updating content with tools and resources, ensuring information is continuously up to date and accurate.
Develop and manage Contracting communications including distribution of fully executed contracts to ensure accurate and timely configuration of contract terms in Epic system.
Contract Management and Maintenance; routing documents for signature, tracking necessary signatures, uploading contracts into database (e.g. Symplr/sPayer).
With limited supervision, effectively supports provider negotiations to achieve contracting strategy and attain budgeted results on a timely basis.
Responsible for analyzing data while collaborating and/or participating in discussions with colleagues and business partners to identify potential root cause of issues.
Collaborates with internal stakeholders to develop provider value-based contracts.
Drives change and innovation through continually seeking and implementing value added solutions to ensure company goals are met.
Effectively communicate and advocate providers' needs to internal stakeholders to drive creation of solutions that meet our mutual business goals.
Understands provider relationships within market and ensures any operational issues are visible to the appropriate parties and work towards a reasonable resolution.
Assist in the preparation and review of contract documentation by checking for accuracy and analyzing contract terms and history.
Research, gather, and organize provider contracts for audits, projects, and negotiations.
Participates in ongoing departmental staff cross-training to provide continuous departmental improvement.
Completes projects within scheduled time frames and within established standards.
Solicits information and feedback from operating departments regarding, implementation and performance of contracts as required.
Administers and creates documents and mailings to providers, as well as contract related mailings.
Travel may be required, as determined by business need.
The Skills, Experience & Education You Bring
College degree or equivalent experience
Minimum 3 -5 years’ experience in Managed Care provider network, required
Basic financial analysis experience, required.
Minimum of 2 years of contracting or physician relations experience in responsible positions in health care contracting required.
The Base Salary for this position is $75,000 - $90,000/year
In addition, we provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.
Excellent medical, vision, and dental coverage
401k savings plan with a company match
Flexible time off and 9 Paid Holidays
You Share Our Mission & Values:
Compassion
We act with empathy and a deep respect for the challenges faced by physicians and their patients. Our work is driven by a genuine commitment to improving lives and ensuring that care is delivered with dignity, understanding, and humanity.
Community
We foster a culture of collaboration--with physicians, patients across the healthcare ecosystem, and among our teams. By building strong, trusted relationships, we create a unified community focused on advancing patient care and physician well-being.
Leadership
We lead with integrity and vision, setting the standard for excellence in physician support and healthcare innovation. Through collaboration and expertise, we empower others to lead, drive change, and shape the future of care.
Excellence
We are relentlessly focused, results-driven, and accountable for delivering measurable value to physicians and the patients they serve. Our high standards reflect our commitment to excellence, operational discipline, and continuous improvement.
Agility
We embrace change as a constant and respond swiftly to the evolving needs of the healthcare industry. With flexibility and forward-thinking, we adapt, innovate, and act decisively to keep physicians at the forefront.
Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.
The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate’s qualifications, skills, and experience.
Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our ‘CPRA Privacy Notice for California Employees and Applicants’ to learn how we collect and process your personal information when you apply for a role with us.
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
Skills Required
- College degree or equivalent experience
- Minimum 3-5 years experience in Managed Care provider network
- Basic financial analysis experience
- Minimum 2 years contracting or physician relations experience in health care contracting
- Ability to pass background check and drug screen
What We Do
Comprised of a growing statewide and soon to be national multi-specialty physician group, multiple clinically integrated networks, and our population health service organization, Altais delivers value-based care through partnership, quality and innovation. Led by physicians and industry experts, Altais delivers exceptional care through its clinics and networks, as well as co-creates unique and effective solutions to optimize operations, workflows and technology that supports clinicians in delivering the high quality and affordable care our patients deserve. We currently serve over 5,000 physicians and advanced practice clinicians, and collectively care for more than 500,000 patients across California as we continue to expand our care delivery through partnerships and acquisitions nationwide.
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