Contracting and Provider Relations Manager

WHO WE ARE

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!

Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?

If so, AIDS Healthcare Foundation is the place for you!

Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.

AHF’s core values are:

• Patient-Centered
• Value Employees
• Respect for Diversity
• Nimble
• Fight for What’s Right
•  

Please review our Advocacy page for the latest news on how AHF is Fighting for What’s Right! Advocacy News.

Benefits at AHF

AHF offers comprehensive benefits to help our employees do and be their very best! These benefits are intended to enhance employee physical, financial, spiritual and professional health. 

YOUR CONTRIBUTION TO OUR SUCCESS!

The Provider Relations Manager – California is an integral contributor in developing and maintaining provider networks for AHF’s Medicare and Medi-Cal managed care plans and certain Ryan White medical subspecialty programs.

The PR Manager is primary responsible for network development and coordinating with interdepartmental leaders to facilitate network expansion, education and regulatory compliance strategies and tactical plans. The PR Manager serves as a liaison to providers (including physicians, hospital, and/or ancillary providers) with a primary focus on primary care/infectious disease providers.

He/she coordinates with internal AHF departments to manage cohesive, productive, and efficient service delivery through education, training, and representation of AHF’s managed care plans and other internal departments.

Under the director of the Plan Administrator and Care Management Division Leadership, the PR Manager executes the organizations provider recruitment and retention strategy and tactical plan.

To keep the Care Management Division’s Health Plan in compliance with network adequacy standards, the PR Manager conducts ongoing analysis of the networks in terms of time and distance (Centers for Medicare and Medicaid Services (CMS) and California Department of Health Care Services (DHCS) requirements). He or she also compares the networks’ Geo Access reports for primary and specialty care and facilities against the DHCS and CMS time and distance standards. Where deficiencies are found, the PR Manager works with Contracting and Provider Relations staff members and colleagues to identify providers with whom the organization can contract and works to recruit these providers and facilitate provider relations activities.

The PR Manager is immersed in the entire provider relations and network expansion. The PR Manager is the face of AHF in the field and works with Care Management Division Leadership, Sales, and Clinical representatives to identify recruitment targets and maintain the existing network. He/she relays provider feedback from the field to Care Management Division Leadership so it can proactively address any trends or concerns about enrollment strategy and plan operations.

AHF Commitment

We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.