Senior Director, Provider Contracting & VBP Strategy

Molina Talent Acquisition; United States; On-site; USD 140,000 - 210,000; Full time

Job summary

Molina Healthcare is seeking a Senior Director of Provider Contracting in Nevada. You will oversee the provider contracting function, lead negotiations with complex providers, and ensure network adequacy for Medicare, Marketplace, and Medicaid.

You will develop contracting strategies, including VBP, and collaborate with senior leadership to meet organizational goals, while maintaining compliance and using standardized templates.

Qualifications

• 8+ years in network/provider contracting within managed health care.
• 3+ years of management/leadership experience.
• Experience across Medicaid/Medicare, VBP, FFS, capitation.

Responsibilities

• Oversees the plan’s provider contracting function and daily operations.
• Leads negotiations of contracts with complex provider groups.
• Manages and reports network adequacy for Medicare, Marketplace, and Medicaid.
• Develops contracting strategies including VBP; identifies target specialties/geographies.
• Ensures compliance with regulatory requirements and uses standard templates.

Skills

Negotiation leadership

Provider contracting

Regulatory compliance

Cross-functional collaboration

Data-driven decision making

Communication skills

Project management

Job description

Molina Healthcare is seeking a Senior Director of Provider Contracting in Nevada. You will oversee the provider contracting function, lead negotiations with complex providers, and ensure network adequacy for Medicare, Marketplace, and Medicaid.

You will develop contracting strategies, including VBP, and collaborate with senior leadership to meet organizational goals, while maintaining compliance and using standardized templates.