Remote Provider Relations Lead (Miami-Dade)

Molina Healthcare; Miami (FL); Remote; USD 90,000 - 140,000; Full time

Job summary

Molina Healthcare in Miami, FL, seeks a senior provider relations leader responsible for guiding health plan provider relations, training, and education within the Molina network; acts as primary liaison between the business and contracted providers; ensures policy compliance and responsive issue resolution.

The role emphasizes relationship-building with high-volume providers, coordination of site visits, EMR connectivity, provider portal adoption, and cross-functional collaboration, with

Qualifications

• 6+ years of provider services experience across Medicaid/Medicare/Marketplace.
• Strong understanding of government-sponsored health plans.
• Experience with provider compensation methodologies (FFS, capitation, risk).
• Experience with community agencies and providers.
• Strong organizational and communication skills.

Responsibilities

• Lead provider relations activities and education initiatives.
• Serve as the primary contact between Molina and contracted providers.
• Coordinate site visits and provider training.
• Resolve issues across departments and senior leadership.
• Promote provider portal adoption and EMR connectivity.
• Travel 80%+ for field visits and relationship building.

Skills

Provider relations

Healthcare industry knowledge

Communication skills

Project management

Cross-functional collaboration

Presentation skills

Microsoft Office

Tools

Microsoft Office

Job description

Molina Healthcare in Miami, FL, seeks a senior provider relations leader responsible for guiding health plan provider relations, training, and education within the Molina network; acts as primary liaison between the business and contracted providers; ensures policy compliance and responsive issue resolution.

The role emphasizes relationship-building with high-volume providers, coordination of site visits, EMR connectivity, provider portal adoption, and cross-functional collaboration, with