Provider Network Manager - Remote

Overview

The Provider Network Manager oversees the development and implementation of provider network and contract strategies to ensure quality healthcare services for Molina's members.

In Short

• Manage provider network and contract strategies.
• Develop reimbursement strategies across specialties.
• Track contract negotiation activities.
• Negotiate contracts with healthcare providers.
• Monitor network adequacy for Medicare and Medicaid.
• Provide training to Contract Managers.
• Collaborate with Corporate and Business Development teams.
• Utilize analytical tools for strategic planning.
• Ensure compliance with regulatory requirements.
• Support national contracts for various departments.

Requirements

• Bachelor's Degree in a related field.
• 7-10 years of experience in Healthcare Administration.
• Experience in Managed Care and Provider Network Management.
• Strong negotiation skills.
• Ability to develop and implement strategies.
• Experience with value-based provider contracting.
• Analytical and reporting skills.
• Experience in training and development.
• Master's Degree preferred.
• 3-5 years of contracting experience preferred.

Benefits

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