Contracting Specialist- Bakersfield 1.1

Employment Details:

Location: Bakersfield (Onsite)

Classification: Full-Time

This position is non-exempt and will be paid on an hourly basis.

Schedule: Monday-Friday 8am-5pm

Benefits:

• Medical
• Dental
• Vision
• Simple IRA Plan
• Employer Paid Life Insurance
• Employee Assistance Program

Compensation: The initial pay range for this position upon commencement of employment is projected to fall between $28.00 and $34.99. However, the offered base pay may be subject to adjustments based on various individualized factors, such as the candidate's relevant knowledge, skills, and experience. We believe that exceptional talent deserves exceptional rewards. As a committed and forward-thinking organization, we offer competitive compensation packages designed to attract and retain top candidates like you.

Position Summary:

The Contracting Specialist is responsible for leading provider contracting efforts, ensuring compliance with regulatory and contractual requirements, and driving network development initiatives. This role requires strong negotiation skills, the ability to manage contract lifecycles, and expertise in healthcare network operations. The Contracting Specialist will play a key role in expanding and maintaining a robust provider network that aligns with organizational and regulatory standards.

Key Responsibilities:

• Lead the full contracting process, including negotiation, execution, and renewal of provider agreements to support network adequacy and growth.
• Develop and maintain contracting strategies to ensure optimal reimbursement rates and compliance with all regulatory guidelines.
• Manage and oversee provider contract records, ensuring timely renewals, amendments, and adherence to contract terms.
• Ensure regulatory compliance by monitoring contract terms, credentialing policies, and state/federal guidelines.
• Analyze and address network adequacy gaps, developing proactive contracting solutions to enhance provider accessibility.
• Serve as the primary point of contact for providers regarding contract terms, reimbursement structures, and compliance matters.
• Monitor contract performance and conduct audits to ensure provider agreements meet financial and operational expectations.
• Collaborate with leadership to establish contracting policies, procedures, and reporting metrics that drive efficiency.
• Prepare and present reports on contract status, provider participation, and compliance monitoring for executive review.
• Identify opportunities for network expansion, negotiating agreements that strengthen provider relationships and ensure strategic growth.
• Other duties as assigned.

Qualifications:

• Bachelor's degree in healthcare administration, business, or a related field (preferred).
• Minimum of 3-5 years of experience in provider contracting, network development, or a similar role.
• Proven ability to lead contract negotiations and drive provider engagement.
• Strong understanding of healthcare regulatory requirements, including provider credentialing and contract compliance.
• Experience with managed care organizations, Medicare, Medicaid, and commercial payer contracts.
• Excellent negotiation, organizational, and problem-solving skills with the ability to manage multiple priorities.
• Proficiency in contract management systems, Microsoft Office, and data analysis tools.

Preferred Skills:

• Experience in contract negotiation and provider relationship management.
• Familiarity with healthcare regulatory frameworks, including state and federal guidelines for network adequacy.
• Advanced proficiency in data analysis and reporting tools (e.g., Excel, Tableau, or similar).