Senior Provider Relations Specialist

Molina Healthcare; San Diego (CA); On-site; USD 73,000 - 112,000; Full time

Job summary

Molina Healthcare in the United States seeks a senior Provider Relations specialist to support health plan provider relations, network development, and training within the Molina network. You will be the primary interface between the health plan and contracted providers, managing education, policy awareness, issue resolution, and EMR/connectivity initiatives.

The role requires extensive travel (80%+), strong communication, and experience in Medicaid/Medicare environments; a track record of

Qualifications

• 3+ years in customer service or provider services in managed care.
• Strong understanding of Medicaid/Medicare and health plan operations.
• Experience delivering trainings and educational presentations.
• Excellent organizational, multitasking and communication skills.
• Proficient in Microsoft Office and related software.

Responsibilities

• Engage high-priority providers to improve satisfaction and education.
• Serve as primary contact between Molina and contracted providers.
• Educate providers on Molina initiatives, policies, and procedures.
• Resolve complex provider issues across departments and leaders.
• Conduct regular provider site visits and manage scheduling.
• Deliver on-site or virtual training and presentations.
• Monitor adherence to policies and promote participation in initiatives.
• Travel 80%+ to support various plans and geographies.

Skills

Customer service

Provider services

Claims processing

Organizational skills

Communication

Tools

Microsoft Office

Job description

Molina Healthcare in the United States seeks a senior Provider Relations specialist to support health plan provider relations, network development, and training within the Molina network. You will be the primary interface between the health plan and contracted providers, managing education, policy awareness, issue resolution, and EMR/connectivity initiatives.

The role requires extensive travel (80%+), strong communication, and experience in Medicaid/Medicare environments; a track record of