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Provider Contracts Manager - Remote

Posted 23 weeks ago
Sales / Business
Full Time
United States

Overview

The Provider Contracts Manager at Molina Health Plan is responsible for network strategy and development, focusing on financial and operational performance while ensuring compliance with regulations. This role involves negotiating contracts with complex providers to ensure high-quality and cost-effective services.

In Short

  • Negotiate contracts with complex providers.
  • Maintain provider contracts in management software.
  • Engage in renegotiation of rates and contract language.
  • Evaluate provider networks to meet adequacy standards.
  • Communicate contract terms to providers.

Requirements

  • Bachelor’s Degree in a healthcare related field.
  • 5-7 years of contract-related experience in healthcare.
  • 3+ years in provider contract negotiations.
  • Familiarity with managed healthcare compensation methodologies.

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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