Health Plan Contracts Lead — Value‑Based Networks

Molina Talent Acquisition; Seattle (WA); On-site; USD 83,000 - 164,000; Full time

Job summary

Molina Healthcare is seeking a Health Plan Provider Contracts Manager - Complex in Washington to lead contracting with hospitals, IPAs, and behavioral health groups. The role focuses on negotiating complex agreements, managing PADU-guided terms, and optimizing value-based contracts across Washington.

Requires at least 5 years in network contracting with multispecialty providers and 3 years of provider contract negotiations in managed care, with strong regulatory and analytical capabilities.

Qualifications

• At least 5 years of experience in network contracting with large provider groups and 3+ years in provider contract negotiations in managed care.
• Familiarity with Medicaid/Medicare value-based payment, FFS, capitation, and risk models.
• Strong negotiation and relationship-building capabilities.
• Ability to navigate complex regulatory environments.
• Data-driven decision making and strong analytical abilities.

Responsibilities

• Negotiate contracts and letters of agreement with complex provider groups to secure high-quality, cost-effective providers.
• Manage contracts and re-contracts, including value-based models and PADU guidelines.
• Lead analysis of financial impact and prepare justification for executive approval of terms.
• Develop and maintain provider contracts in contract management software.
• Travel approximately 10%+ across Washington state.

Skills

Negotiation

Relationship building

Data-driven decisions

Regulatory navigation

Analytical skills

Organizational skills

Cross-functional collaboration

Multitasking

Communication

MS Office

Tools

Contract management software

Job description

Molina Healthcare is seeking a Health Plan Provider Contracts Manager - Complex in Washington to lead contracting with hospitals, IPAs, and behavioral health groups. The role focuses on negotiating complex agreements, managing PADU-guided terms, and optimizing value-based contracts across Washington.

Requires at least 5 years in network contracting with multispecialty providers and 3 years of provider contract negotiations in managed care, with strong regulatory and analytical capabilities.