Senior Health Plan Contracts Leader

Molina Healthcare; Texas; On-site; USD 73,000 - 143,000; Full time

Job summary

Molina Healthcare seeks a senior leader to drive health plan provider network contracting across complex deals, focusing on hospitals, IPAs, and behavioral health organizations. The role guides strategy, negotiates agreements, and aligns terms with value-based models to improve network adequacy and cost performance.

The position requires deep contracting expertise, strong negotiation skills, and the ability to coordinate with executives, legal, and network leaders.

Qualifications

• At least 5 years in network contracting with large specialty or multispecialty provider groups.
• At least 3 years negotiating provider contracts in a managed health care setting.
• Familiarity with value-based payment, FFS, capitation and risk models.
• Strong negotiation and relationship-building capabilities.
• Ability to navigate complex regulatory environments.
• Data-driven decision making and analytical abilities.
• Organizational skills and attention to detail.
• Cross-functional collaboration with internal and external stakeholders.
• Proficiency with Microsoft Office and related software.

Responsibilities

• Negotiate contracts and letters of agreement with complex providers.
• Manage contracts with high-priority physician groups and facilities.
• Lead analyses of financial impact and justify terms for executives.
• Support network adequacy, JOCs, and delegation oversight.
• Develop and maintain provider contracts in contract management software.
• Educate internal customers on contract terms and payment structures.
• Engage providers to renegotiate rates and support cost-control strategies.
• Travel up to 25% within Texas, mostly Central & NE Texas.

Skills

Negotiation capabilities

Contract management

Stakeholder communication

Data-driven decision making

Microsoft Office proficiency

Tools

Microsoft Excel

Contract management software

Job description

Molina Healthcare seeks a senior leader to drive health plan provider network contracting across complex deals, focusing on hospitals, IPAs, and behavioral health organizations. The role guides strategy, negotiates agreements, and aligns terms with value-based models to improve network adequacy and cost performance.

The position requires deep contracting expertise, strong negotiation skills, and the ability to coordinate with executives, legal, and network leaders.