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Provider Network Contracting Specialist - Remote

Posted 11 weeks ago
Sales / Business
Full Time
TX, USA

Overview

The Provider Network Contracting Specialist is responsible for network strategy and development, ensuring compliance with regulations and maintaining provider information.

In Short

  • Responsible for network strategy and development.
  • Maintains critical provider information on claims and databases.
  • Negotiates contracts with non-complex providers.
  • Tracks and publishes reports according to departmental procedures.
  • Supports network development through research and recruitment.
  • Communicates contract terms and payment structures clearly.
  • Coordinates the contracting process in a timely manner.
  • Trains and monitors newly hired Contract Specialists.
  • Participates in special projects related to contracting.
  • Travels regularly to meet targeted needs.

Requirements

  • Bachelor’s Degree or equivalent work experience in healthcare.
  • 4-6 years of experience in contracting with provider groups.
  • 1-3 years of managed care experience.
  • Knowledge of integrated delivery systems and contracts is preferred.

Benefits

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

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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