Senior Provider Relations Specialist — Travel-Heavy Role

Molina Healthcare; Ankeny (IA); Remote; USD 47,000 - 97,000; Full time

Job summary

Molina Healthcare is seeking a senior provider relations professional to support health plan provider activities, education, and network management. You will serve as the primary liaison between Molina and contracted providers, drive issue resolution, EMR connectivity, and portal adoption, with up to 20% travel.

You will train providers, coordinate problem-solving with leadership, and ensure compliance with Molina policies and procedures across the network.

Qualifications

• At least 3 years of customer service, provider services, or claims experience in a managed care or medical office setting.
• Understanding of the health care delivery system and government-sponsored health plans.
• Experience delivering training and facilitating educational presentations.
• Organizational skills and attention to detail.
• Ability to manage multiple tasks and deadlines.
• Effective verbal and written communication skills.
• Proficiency in Microsoft Office and related software.

Responsibilities

• Engages high-priority providers to ensure satisfaction and education on Molina initiatives.
• Serves as primary contact between Molina and complex provider community.
• Educates providers on Molina policies and ensures EMR connectivity and portal adoption.
• Resolves complex provider issues crossing departments and may involve senior leadership.
• Conducts provider site visits and plans schedules to meet monthly goals.
• Delivers on-the-spot training and counseling to providers and staff.
• Leads problem-solving meetings between providers and Molina stakeholders.
• Offers training and presentations to providers and leadership groups.
• Monitors adherence to policies and promotes participation in Molina initiatives.

Skills

Customer service

Provider services

Claims experience

Microsoft Office

Interpersonal skills

Organizational skills

Communication skills

Multitasking

Cross-functional teamwork

Job description

Molina Healthcare is seeking a senior provider relations professional to support health plan provider activities, education, and network management. You will serve as the primary liaison between Molina and contracted providers, drive issue resolution, EMR connectivity, and portal adoption, with up to 20% travel.

You will train providers, coordinate problem-solving with leadership, and ensure compliance with Molina policies and procedures across the network.