California Salary Range: $74,023 - $107,333 per year
Hybrid Schedule: This position requires regular interaction and presence within the community (SB and SLO County). The role may generally follow a 50/50 split schedule between in-office work and community attendance, though this may vary based on provider schedules. Flexibility is essential to accommodate the needs of the community and our service providers.
Location: As a community-facing role, candidates must reside in or be willing to relocate to Santa Barbara or San Luis Obispo County.
Job Summary
The Provider Network Development Specialist leads the development of the provider network for CenCal Health’s Dual Special Needs Plan (D-SNP) within our Operations Division, serving as a high-level individual contributor dedicated to the development and management of our D-SNP provider network. Reporting to the Provider Relations Director, this role is critical in ensuring the availability of high-quality healthcare services for our dual-eligible Medicare and Medi-Cal members. This position will possess expertise in provider network development, strong negotiation skills, familiarity with CenCal Health’s service area, and a commitment to enhancing access to care for vulnerable populations. While this position will focus primarily on D-SNP provider network development, the development and refinement of the more global CenCal Health provider network will be an ongoing component of the role.
Education and Experience
- Bachelor's degree in Healthcare Administration, Business Administration, or a related field, or an equivalent combination of education and experience.
- Minimum of 5 years of experience in healthcare provider network development, which may include sales and marketing, with a focus on Medicare, D-SNP, or managed care preferred.
Job Type: Full-time
Pay: $74,023.00 - $107,333.00 per year
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Professional development assistance
- Referral program
- Relocation assistance
- Retirement plan
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Experience:
- healthcare provider network development: 5 years (Required)
Ability to Commute:
- Santa Barbara, CA (Required)
Ability to Relocate:
- Santa Barbara, CA: Relocate before starting work (Required)
Work Location: In person