Molina Healthcare in Bothell, Washington is seeking a skilled professional to lead complex contracting activities within health plan provider networks. This role is essential for negotiating high-quality agreements and ensuring strategic success through effective network performance management. Candidates should have at least 5 years in network contracting and experience in managed health care settings. The position provides a competitive salary range of $83,252 - $163,931 annually, with a focus on relational negotiation and compliance with regulatory standards.
Qualifications
Minimum of 5 years of experience in network contracting with large provider groups.
Experience in provider contract negotiations within a managed health care setting.
Ability to navigate complex regulatory environments.
Responsibilities
Negotiate contracts with provider community for quality cost-effective services.
Manage and optimize value-based contracts and provider relations.
Evaluate provider network to meet adequacy standards.
Skills
Negotiation skills
Analytical abilities
Organizational skills
Experience with VBP and FFS
Education
5+ years experience in network contracting
Experience in managed health care setting
Tools
Microsoft Office
Job description
Molina Healthcare in Bothell, Washington is seeking a skilled professional to lead complex contracting activities within health plan provider networks. This role is essential for negotiating high-quality agreements and ensuring strategic success through effective network performance management. Candidates should have at least 5 years in network contracting and experience in managed health care settings. The position provides a competitive salary range of $83,252 - $163,931 annually, with a focus on relational negotiation and compliance with regulatory standards.