Strategic Manager, Value-Based Provider Contracts

Molina Healthcare; United States; On-site; USD 72,370 - 156,803; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare in the United States seeks a Manager, Health Plan Provider Contracts (Value-Based Contracts) to lead the VBP strategy and manage provider contracts across hospitals and physician groups.

The role drives value-based arrangements, negotiates complex contracts, and ensures compliance with federal/state regulations while coordinating with cross-functional teams to optimize cost and quality outcomes.

Qualifications

• At least 7 years of network contracting experience in large multispecialty provider groups.
• At least 1 year of management/leadership experience.
• Experience with Medicaid/Medicare VBPs, FFS, capitation, and risk-based arrangements.
• Strong negotiation and relationship-building capabilities.
• Ability to navigate complex regulatory environments.
• Strong organizational, analytical, and cross-functional teamwork skills.
• Excellent verbal and written communication skills.

Responsibilities

• Oversee the plan’s provider value-based contracting function with stakeholders.
• Negotiate contracts with complex provider communities for quality and cost-effectiveness.
• Execute standardized alternative payment model contracts (APM/VBP).
• Develop VBP strategies and monitor compliance across regions.
• Prepare and oversee contract language and reporting, ensuring regulatory alignment.

Skills

Negotiation

Data-driven decisions

Regulatory compliance

Cross-functional collaboration

Communication skills

Tools

Microsoft Office

Job description

Molina Healthcare in the United States seeks a Manager, Health Plan Provider Contracts (Value-Based Contracts) to lead the VBP strategy and manage provider contracts across hospitals and physician groups.

The role drives value-based arrangements, negotiates complex contracts, and ensures compliance with federal/state regulations while coordinating with cross-functional teams to optimize cost and quality outcomes.