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Altais

Director, Provider Contracting

Altais

Director of Provider Contracting at Altais developing and executing healthcare provider agreements. Leading negotiations, managing relationships, and implementing contracts across multiple provider types in the healthcare space.

Posted 5/9/2026full-timeRemote • California • 🇺🇸 United StatesLead💰 $154,500 - $185,400 per yearWebsite

About the role

Key responsibilities & impact
  • Develop, maintain and expand strategic relationships in multiple geographies with hospitals, physicians, ancillary and behavioral health providers
  • Manage, negotiate and execute contracts with various provider types as well as implementation of such contracts
  • Identify, develop, and implement corporate contracting strategies and business opportunities
  • Develop and maintain strong working relationships with key hospitals and network providers
  • Manage complex contracting and negotiations for fee for service and value-based reimbursements
  • Perform analysis independently and coordinate with the Finance Division to review financial performance and healthcare costs of provider contracts
  • Lead complex contract implementations and identify and resolve issues around contracts
  • Create and manage value-based contracting incentives and reimbursement methodologies that are quality and performance based
  • Lead in resolving elevated and complex contractual issues with internal and/or external customers
  • Participate in external provider meetings and internal operational meetings to continuously improve relationships, processes, operations and best practices
  • Oversee the development of accurate and timely internal communication around new and renewed managed care arrangements
  • Develop, evaluate, and interpret contract language terms to ensure consistency with company policies and applicable regulatory agencies
  • Oversee all contract template revisions, partnering with Compliance and Legal to ensure templates are up to date
  • Create and oversee all departmental and organization resource material applicable to Provider Contracting
  • Responsible for training contracting team on operational changes, department updates and upcoming projects

Requirements

What you’ll need
  • Bachelor's degree from accredited 4-year university or equivalent coursework or equivalent experience in managed healthcare related field
  • 10+ years professional managed healthcare administration experience
  • 5+ years people management experience in healthcare / contracting related positions
  • Experience working in IPA / managed care setting
  • Strong financial acumen with proficiency in analyzing and interpreting financial trends
  • Proven contract preparation skills, with in-depth knowledge of Medicare, Medi-Cal, PPO, HMO Commercial lines of business, various reimbursement methodologies and value-based contracting

Benefits

Comp & perks
  • Excellent medical, vision, and dental coverage
  • 401k savings plan with a company match
  • Flexible time off and 9 Paid Holidays
  • Annual bonus program

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
contract negotiationcontract managementfinancial analysisvalue-based contractingreimbursement methodologiescontract preparationcontract language interpretationmanaged care administrationhealthcare cost analysispeople management
Soft Skills
relationship managementproblem solvingcommunicationleadershiporganizational skillscollaborationstrategic thinkingtrainingnegotiationprocess improvement
Certifications
Bachelor's degree