Director, Health Plan Contracts & Value-Based Programs

Molina Healthcare; Reno (NV); On-site; USD 102,000 - 199,000; Full time

Job summary

Molina Healthcare in Nevada seeks a seasoned Director of Provider Contracting to lead the team’s contracting activities and align with strategy.

You will negotiate complex contracts including APMs and VBP with hospitals, IPAs, and providers, focusing on network adequacy and cost management. This role collaborates with senior leaders and drives standard templates, reporting, and compliance.

Qualifications

• 8+ years in network contracting with large provider groups and 5+ years negotiating complex contracts.

Responsibilities

• Oversee provider contracting function and daily operations.
• Leads negotiations with large providers to secure high-quality contracts.
• Develop and implement standardized contracting strategies including APMs and VBP.
• Manage network adequacy reporting for Medicare, Marketplace, and Medicaid.
• Hire, train, and evaluate team members; provide coaching and development.
• Ensure compliance with regulatory requirements and corporate guidelines.
• Track contract activity using standardized systems.

Skills

Provider contracting

Negotiation

Stakeholder management

Data-driven decisions

Project leadership

Communication

MS Office

Tools

Microsoft Office

Job description

Molina Healthcare in Nevada seeks a seasoned Director of Provider Contracting to lead the team’s contracting activities and align with strategy.

You will negotiate complex contracts including APMs and VBP with hospitals, IPAs, and providers, focusing on network adequacy and cost management. This role collaborates with senior leaders and drives standard templates, reporting, and compliance.