Remote Health Plan Network Contracts Lead

Molina Healthcare; New York (NY); On-site; USD 73,000 - 171,000; Full time

Job summary

Molina Healthcare is seeking a senior network contracting professional to lead complex provider agreements and value-based contracts across hospitals, IPAs and behavioral health organizations. You will negotiate terms, assess financial impact, and guide strategic contracting decisions to support network adequacy and cost effectiveness.

Your role requires deep experience in managed care contracts, strong regulatory navigation, and the ability to influence cross-functional teams while traveling to

Qualifications

• 5+ years of experience in network contracting with large provider groups
• Familiarity with value-based payment, FFS and capitation in Medicaid/Medicare
• Strong negotiation and relationship-building capabilities
• Ability to navigate complex regulatory environments
• Data-driven decision making and analytical abilities
• Excellent verbal and written communication skills, detail-oriented

Responsibilities

• Negotiate contracts and letters of agreement with complex provider groups.
• Execute and support value-based contracts and provider relationship management.
• Analyze financial impact of deal terms and prepare recommendations for executive approval.
• Develop and maintain provider contracts in contract management systems.
• Target and recruit providers to improve member access and reduce grievances.
• Educate internal stakeholders on contract terms and reimbursement models.
• Communicate terms clearly to physicians, hospitals and ancillary providers.
• Travel to designated regions to meet contracting needs.

Skills

Negotiation

Contracting

Analytical skills

Regulatory knowledge

Data-driven decision making

Communication skills

Microsoft Office

Cross-functional collaboration

Attention to detail

Project management

Tools

MS Office Suite

Job description

Molina Healthcare is seeking a senior network contracting professional to lead complex provider agreements and value-based contracts across hospitals, IPAs and behavioral health organizations. You will negotiate terms, assess financial impact, and guide strategic contracting decisions to support network adequacy and cost effectiveness.

Your role requires deep experience in managed care contracts, strong regulatory navigation, and the ability to influence cross-functional teams while traveling to