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Provider Network Contracting Specialist - Remote

Posted 13 weeks ago
Sales / Business
Full Time
MS, USA

Overview

The Provider Network Contracting Specialist is responsible for network strategy and development, focusing on adequacy, financial performance, and operational performance in alignment with Molina Healthcare's mission and regulations.

In Short

  • Negotiate contracts with Complex providers.
  • Develop and maintain provider contracts in management software.
  • Target and recruit additional providers.
  • Engage providers in renegotiation of rates.
  • Advise on negotiation of individual provider contracts.
  • Maintain relationships with significant providers.
  • Evaluate provider network for adequacy.
  • Participate in fee schedule determinations.
  • Educate internal customers on provider contracts.
  • Travel regularly to meet targeted needs.

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.
  • Master's Degree preferred.
  • 3+ years in Provider Network contracting preferred.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer (EOE) M/F/D/V.

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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