Provider Relations Specialist – Healthcare Network Liaison

Molina Healthcare, Inc.; Boston (MA); Remote; USD 70,000 - 100,000; Full time

Job summary

Molina Healthcare, Inc. in Boston is seeking a Provider Relations Specialist to support provider networks, education, and satisfaction. The role serves as the primary liaison between Molina and contracted providers, ensuring alignment with policies and procedures.

You will conduct on-site visits, deliver training, resolve issues, and collaborate with senior leadership to improve performance metrics. This position requires frequent travel (60%+), strong communication, and the ability to work

Qualifications

• At least 2 years in customer service/provider services/claims in managed care or medical office setting.
• Understanding of health care delivery system and government plans.
• Strong organizational and detail-oriented skills.
• Ability to manage multiple tasks and deadlines.
• Excellent verbal and written communication.

Responsibilities

• Serve as the primary point of contact between Molina and contracted providers.
• Support network development, adequacy, and provider training.
• Conduct provider site visits and coordinate education and issue resolution.
• Educate providers on Molina policies and CMS guidelines.
• Lead or participate in problem-solving meetings with providers and Molina stakeholders.

Skills

Customer service

Provider services

Claims processing

Interpersonal skills

Cross-functional collaboration

Verbal communication

Written communication

Microsoft Office

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. in Boston is seeking a Provider Relations Specialist to support provider networks, education, and satisfaction. The role serves as the primary liaison between Molina and contracted providers, ensuring alignment with policies and procedures.

You will conduct on-site visits, deliver training, resolve issues, and collaborate with senior leadership to improve performance metrics. This position requires frequent travel (60%+), strong communication, and the ability to work