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Provider Contracting Specialist - Remote

Posted 8 weeks ago
Finance / Legal
Full Time
USA

Overview

The Provider Contracting Specialist is responsible for maintaining critical provider information and ensuring compliance with business and system requirements related to contracting and network management.

In Short

  • Develops provider contracting strategies.
  • Prepares provider contracts with healthcare providers.
  • Implements cost control initiatives.
  • Utilizes standardized contract templates.
  • Oversees the maintenance of contract templates.
  • Ensures compliance with network adequacy requirements.
  • Monitors compliance through reports.
  • Develops strategies to minimize financial exposure.
  • Works with legal for contract modifications.
  • Requires 5-7 years of experience in a related field.

Requirements

  • Bachelor's Degree in a related field or equivalent experience.
  • 5-7 years of relevant experience.
  • Graduate degree preferred.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer (EOE).

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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