Provider Relations Manager - Remote

Overview

The Provider Relations Manager is responsible for managing network development, adequacy, and provider training in alignment with Molina Healthcare's mission and compliance with regulations.

In Short

• Manage Provider Relations functions and team members.
• Develop provider contracting strategies.
• Oversee external provider representatives.
• Assist with provider network development.
• Implement tracking tools for issue resolution.
• Ensure timely communication of provider issues.
• Design programs to build provider relationships.
• Engage providers in quality initiatives.
• Manage IHH program alignment.
• Support regulatory requirements and strategic goals.

Requirements

• Bachelor's Degree in Health or Business related field.
• 5-7 years experience in healthcare provider services.
• 5+ years managed healthcare experience.
• Experience with Medicaid and/or Medicare products.
• Familiarity with provider compensation methodologies.
• Experience in formal presentations.
• 2+ years in a leadership position.
• Min. 2 years managing employees.

Benefits

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