Provider Contract Specialist II

Salary Range: $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.


Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

(4 positions available)

The Provider Contract Specialist II ensures the integrity and efficiency of contracting processes across professional, facility, vendor, and ancillary provider agreements. This role supports the end-to-end lifecycle of provider agreements. This role is designed to reliably support contract administration and provider engagement, exercising sound judgment within delegated authority and collaborating across functions to drive accuracy, compliance, and process improvement.

The Specialist II streamlines provider engagement and onboarding delivering seamless experience for internal stakeholders and external partners. Issue management and escalation are handled diligently, with prompt documentation and escalation of variances to management for dispute resolution. This role contributes to process enhancements and knowledge base content, supporting operational excellence and compliance. This role serves as a critical link between contract management and organizational strategy, supporting the mission to delivery of high-quality services and maintaining in a dynamic healthcare landscape.

Duties

Ensures the integrity and efficiency of our contracting processes across professional, facility, vendor, and ancillary provider agreements by drafting, reviewing, and executing contract documents. Safeguards organizational interests and supports business continuity through maintenance of comprehensive contract artifacts, proactively tracks renewals, expirations, and critical dates, and triggers timely actions to prevent lapses.

Supports end-to-end lifecycle of provider agreements, ensuring operational excellence, meticulous tracking of contract renewals, amendments, and critical dates, proactively mitigating risks associated with autorenewals and expirations. Through the management of Letters of Interest (LOI) and facilitation of LOA operations, streamlines provider engagement and onboarding, contributing to a seamless experience for both internal stakeholders and external partners.

Operates within a defined scope, delegated authority, and caseload segmented by provider type or region,

Identifies variances in execution or compliance, documents facts, and escalates promptly, preparing case summaries and artifacts to support dispute resolution by management. Contributes to the continuous improvement by recommending procedural enhancements based on cycle time, errors, and feedback, and contributing to SOPs, quick reference guides, and knowledge base content.

Supports contract administration and provider engagement, exercising sound judgment within delegated authority and collaborating across functions to drive accuracy, compliance, and process improvement.

Performs other duties as assigned.

Duties Continued

Education Required

Bachelor's Degree in Business

In lieu of degree, equivalent education and/or experience may be considered.

Education Preferred

Experience

Required

At least 3 years of experience in contract administration or provider contracting (healthcare or regulated industry)

Experience drafting, tracking, and executing agreements with standardized templates.

Experience and exposure to multi‑provider environments (professional, facility, vendor, ancillary) basic performance analysis, including strong attention to detail and organizational skills.

Preferred

Experience using contract management software.

Experience supporting dispute resolution or provider relations in regulated industries is highly valued.

Skills

Required:

Foundational expertise in contract drafting and redlining, with familiarity in clause libraries and standardized templates.

Regulatory knowledge, including checklist-driven reviews and documentation controls, as well as competence in maintaining trackers, dashboards, and clear status reporting.

Strong collaboration and communication skills with clear written and verbal abilities, professional etiquette in interactions with providers and internal stakeholders, and effective organization and time management across multiple agreements and deadlines.

Critical thinking skills with the ability to exercise sound judgment within delegated authority, recognizing non-standard terms and risks for escalation, and maintains a high level of detail orientation and accountability for data accuracy and audit readiness.

Demonstrate attention to detail and possess strong collaborative skills with the ability to thrive in structured environments.

Preferred:

Knowledge of healthcare credentialing or payer enrollment, and exposure to multi-jurisdictional contracting.

Synthesizing contract data skills for reporting, training in process improvement methodologies

Licenses/Certifications Required

Licenses/Certifications Preferred

Required Training

Physical Requirements

Light

Additional Information

Required:
Travel to offsite locations for work required.

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

L.A. Care offers a wide range of benefits including

• Paid Time Off (PTO)
• Tuition Reimbursement
• Retirement Plans
• Medical, Dental and Vision
• Wellness Program
• Volunteer Time Off (VTO)