CHA Hollywood Presbyterian Medical Center · 1 day ago
Provider Network Development Specialist
Los Angeles, CA
Contract
Onsite
Senior Level
$69K/yr - $86K/yr
5+ years expCHA Hollywood Presbyterian Medical Center is seeking a Provider Network Development Specialist responsible for identifying, contracting, and managing relationships with healthcare providers. This role focuses on ensuring network adequacy and operational performance standards while supporting strategic initiatives to improve network quality and value.
Health CareHospitalMedical
Responsibilities
Research, identify, and recruit new providers to support network growth and adequacy requirements
Negotiate contract terms, rates, and service agreements with providers
Prepare, review, and execute provider agreements, amendments, and renewals
Maintain an understanding of reimbursement methodologies (FFS, case rates, bundled payments, capitation)
Serve as a primary point of contact for downstream contracted providers
Provide education on plan requirements and operational processes
Support resolution of provider issues related to claims, credentialing, and authorizations
Monitor provider performance metrics and compliance obligations
Conduct market assessments to identify network gaps
Analyze utilization, cost trends, and provider performance
Support strategic initiatives to improve network quality and value
Collaborate with internal teams on pricing models and cost-of-care strategies
Ensure contracts comply with regulatory requirements
Coordinate with credentialing and data management to support onboarding
Maintain contract tracking and network status reports
Support readiness activities for new markets and audits
Qualification
Required
Bachelor's degree
5 years of experience in provider contracting, network development, or health plan operations
Understanding of downstream provider services and reimbursement structures
Strong negotiation and relationship-building skills
Analytical abilities to interpret utilization and cost data
Excellent communication and organizational skills
Proficiency with Microsoft Office and network management systems
Current Los Angeles County Fire Card (or must be obtained within 30 days of hire)
Assault Response Competency (ARC) required (within 30 days of hire)
Preferred
Masters in Health Administration or Masters in Business Administration
Experience working with specialty vendors/providers preferred
Company
CHA Hollywood Presbyterian Medical Center
CHA Hollywood Presbyterian Medical Center is a full-service, acute care hospital. It serves multicultural communities with quality medical.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Jamie Yoo
Chief Executive Officer
Robert Allen
President and CEO
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