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An established industry player is seeking a skilled professional to enhance their provider network contracting. This role involves negotiating contracts with complex providers, ensuring compliance with regulations, and developing strategies to improve network adequacy. The ideal candidate will have significant experience in healthcare contract negotiations and a strong understanding of provider compensation methodologies. Join a dynamic team where your expertise will directly impact the quality of care and operational performance in the healthcare sector. If you are passionate about making a difference in healthcare, this opportunity is for you.
Job Summary
Molina Health Plan Provider Network Contracting roles are responsible for developing and executing network strategies related to adequacy, financial, and operational performance. These responsibilities align with Molina Healthcare's mission, values, and strategic plans, ensuring compliance with applicable regulations. The role involves negotiating agreements with strategic, complex providers such as hospitals, physician groups, and behavioral health providers.
Job Duties
Job Qualifications
Required Education: Bachelor's Degree in a healthcare-related field or equivalent experience.
Required Experience/Skills:
Preferred Education: Master's Degree in a related field or equivalent experience.
Preferred Experience: Over 3 years in provider network contracting.
Current Molina employees interested in this role should apply through the intranet. Molina Healthcare offers competitive benefits and is an Equal Opportunity Employer (EOE) M/F/D/V.