Senior Health Plan Provider Contracts Lead

Molina Healthcare; Troy (MI); On-site; USD 73,000 - 143,000; Full time

Job summary

Molina Healthcare in Michigan is seeking a senior network contracting professional to lead complex contract negotiations with large provider groups across Medicaid/Medicare lines.

You will manage value-based models, analyze financial terms, and collaborate with cross-functional teams to ensure network adequacy and cost efficiency.

Travel is required to meet regional needs, and the role offers competitive benefits.

Qualifications

• At least 5 years in network contracting with large provider groups.
• Experience negotiating physician, group, and hospital contracts.
• Familiar with Medicaid/Medicare value-based payment models.

Responsibilities

• Negotiate contracts with complex provider groups to secure high-quality plans.
• Manage value-based contracts and provider relationships.
• Analyze financial impact of terms for executive approvals.
• Educate internal customers on contract terms and payment structures.

Skills

Negotiation

Relationship building

Data-driven

Analytical skills

Cross-functional

Time management

Communication

Microsoft Office

Tools

Contract management software

Job description

Molina Healthcare in Michigan is seeking a senior network contracting professional to lead complex contract negotiations with large provider groups across Medicaid/Medicare lines.

You will manage value-based models, analyze financial terms, and collaborate with cross-functional teams to ensure network adequacy and cost efficiency.

Travel is required to meet regional needs, and the role offers competitive benefits.