Health Plan Provider Relations Specialist

Molina Healthcare; Irvine (CA); Remote; USD 31,000 - 61,000; Full time

Job summary

Molina Healthcare seeks a Provider Relations position to support health plan provider relations activities within the Molina network. You will be the main link between the plan and contracted providers, handling education, issue resolution, and compliance with Molina policies.

Role involves high travel (60%+) to engage providers, training staff, and promoting provider portal adoption. Strong communication and cross-functional collaboration are essential for success in this dynamic environment.

Qualifications

• 2+ years in customer service or provider services within managed care.
• Understanding of health care delivery and government-sponsored plans.
• Strong written and verbal communication; detail-oriented.

Responsibilities

• Engage plan providers to ensure satisfaction and education on Molina initiatives.
• Serve as primary contact between Molina and non-complex provider community.
• Educate and engage providers on Molina policies; drive issue resolution and portal adoption.
• Conduct regular provider site visits to meet monthly goals and assess compliance.

Skills

Customer service

Provider services

Claims processing

Interpersonal skills

Cross-functional teamwork

Communication

MS Office

Attention to detail

Tools

Microsoft Office

Job description

Molina Healthcare seeks a Provider Relations position to support health plan provider relations activities within the Molina network. You will be the main link between the plan and contracted providers, handling education, issue resolution, and compliance with Molina policies.

Role involves high travel (60%+) to engage providers, training staff, and promoting provider portal adoption. Strong communication and cross-functional collaboration are essential for success in this dynamic environment.