Provider Quality Coordinator - Remote

Overview

The Provider Quality Coordinator is responsible for managing relationships with healthcare providers, ensuring compliance with Molina Healthcare policies, and delivering high-quality customer service.

In Short

• Primary contact for provider relations.
• Educate and advocate for providers.
• Conduct regular provider site visits.
• Provide training and education to providers.
• Independently troubleshoot issues and escalate when necessary.
• Coordinate problem-solving meetings between providers and Molina stakeholders.
• Monitor and enforce company policies and procedures.
• Travel requirement of 60%+ for site visits.
• Requires strong communication and organizational skills.
• 2-3 years of experience in customer service or provider service.

Requirements

• Associate's Degree or equivalent experience.
• 2-3 years of experience in a managed care setting.
• Familiarity with healthcare provider compensation methodologies.
• Preferred Bachelor's Degree in a related field.
• 3+ years of experience in managed healthcare administration.

Benefits

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