Provider Contracts Manager

Molina Healthcare; Seattle (WA); Remote; USD 77,000 - 136,000; Full time

Job summary

Molina Healthcare is seeking a Provider Contracts Manager to oversee provider network contracts and ensure network adequacy. This role encompasses negotiation, management of provider relationships, and strategic network development, making it essential to collaborate effectively across internal teams. Candidates should possess a Bachelor's degree along with significant contracting experience in healthcare.

Qualifications

• 5-7 years of contracting experience with large provider groups.
• 3+ years of provider contract negotiation experience in managed care.

Responsibilities

• Negotiate and manage provider contracts and amendments.
• Assess contracts with ancillary providers.
• Support network development by recruiting providers.

Skills

Negotiation

Contract Management

Network Development

Education

Bachelor’s Degree or equivalent experience

Job description

Join to apply for the Provider Contracts Manager role at Molina Healthcare.

This position involves managing provider network contracts, ensuring network adequacy, and supporting strategic network development in accordance with company policies and regulations. The role requires negotiation of standard contracts, maintaining provider data accuracy, and collaborating with internal teams to meet organizational goals.

Key Responsibilities:

• Negotiate and manage provider contracts and amendments, including fee-for-service and alternative payment methods.
• Assess and negotiate contracts with ancillary providers, ensuring compliance with standards and regulations.
• Support network development by recruiting providers and evaluating network adequacy.
• Communicate contract terms and payment structures clearly to providers.
• Coordinate contract documentation and maintain accurate provider records.
• Participate in strategic projects and provide training to new team members.

Qualifications:

• Bachelor’s Degree or equivalent experience in healthcare or related field.
• 5-7 years of contracting experience with large provider groups.
• 3+ years of provider contract negotiation experience in managed care.

Additional Details:

• Remote position, must reside in Washington.
• Salary Range: $77,969 - $135,480 annually.
• Employment type: Full-time, Mid-Senior level.

This job is active and accepting applications.