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Director of Provider Contracts - Remote

Posted 5 weeks ago
Sales / Business
Full Time
USA

Overview

The Director of Provider Contracts is responsible for managing the network strategy and development for Molina Health Plan, focusing on financial and operational performance while ensuring compliance with regulations.

In Short

  • Manage Provider Contracting functions and team members.
  • Lead negotiations with healthcare providers.
  • Oversee development of provider contracting strategies.
  • Implement cost control initiatives.
  • Utilize standardized contract templates.
  • Communicate strategies to corporate leadership.
  • Manage relationships with community partners.
  • Ensure compliance with state and federal regulations.
  • Coach and evaluate Network Contracting Staff.
  • Participate in strategic management committees.

Requirements

  • Bachelor’s Degree in a related field.
  • 7+ years of experience in Healthcare Administration.
  • 5+ years in provider contract negotiations.
  • Strong knowledge of managed healthcare compensation methodologies.
  • 2+ years of experience in a leadership position.
  • Master's Degree preferred.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer.

M.T.A

Molina Talent Acquisition

Molina Healthcare is a leading provider of managed healthcare services, dedicated to improving the health of its members through high-quality, cost-effective care. The company focuses on network strategy and development, ensuring compliance with federal, state, and local regulations while aligning with its core values and strategic goals. Molina Healthcare emphasizes the importance of building strong relationships with complex providers, including hospitals and physician groups, to enhance network adequacy and financial performance. With a commitment to value-based care, Molina Healthcare actively engages in contract negotiations and innovative reimbursement models to meet the diverse needs of its members.

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