Director, Health Plan Provider Relations & Network Strategy

Molina Talent Acquisition; Boise (ID); Remote; USD 120.000 - 170.000; Vollzeit

Zusammenfassung

Molina Healthcare is seeking a senior leader to direct the provider relations team, drive network development, training, and issue resolution for contracted providers within the Molina network.

The role emphasizes collaboration with network leadership to implement standardized provider services and policies, ensuring compliance with state and federal requirements and improving overall provider engagement.

Qualifikationen

• 8+ years in provider services across Medicaid, Medicare and/or Marketplace.
• 3+ years of management/leadership experience.
• Strong understanding of government-sponsored health plans.

Aufgaben

• Oversees provider relations operations, coordinating education, outreach and issue resolution.
• Develops network strategies to establish and maintain cost-effective, high-quality provider networks.
• Collaborates with network management and stakeholders to standardize provider services and documentation.
• Implements tracking tools to ensure timely issue resolution and policy compliance.
• Leads provider communications, training programs and performance reviews.

Kenntnisse

Leadership

Communication

Presentation skills

MS Office

Organization

Time management

Tools

Microsoft Office

Jobbeschreibung

Molina Healthcare is seeking a senior leader to direct the provider relations team, drive network development, training, and issue resolution for contracted providers within the Molina network.

The role emphasizes collaboration with network leadership to implement standardized provider services and policies, ensuring compliance with state and federal requirements and improving overall provider engagement.