Strategic Provider Contracts Lead – Value-Based Health Plans

Molina Talent Acquisition; Texas; Presencial; USD 90.000 - 130.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive benefits

Descripción de la vacante

Molina Healthcare seeks an experienced Network Contracting Leader to drive complex provider contract negotiations with hospitals, IPAs, and behavioral health organizations. You will develop value-based contracts, analyze financial impacts, and oversee contract administration across Texas regions.

Responsibilities include negotiating high-priority physician/hospital agreements, maintaining vendor relationships, and guiding cross-functional teams to meet network adequacy standards.

Formación

• Five+ years in network contracting with large multispecialty groups or equivalent.
• Experience negotiating provider contracts (physician/group/hospital) in managed care.

Responsabilidades

• Negotiate contracts and letters of agreement with complex provider groups to secure high quality, cost-effective plan providers.
• Execute and manage value-based contracts and enhanced provider relationships.
• Analyze financial impact of deal terms and prepare justification for executive approval.
• Develop and maintain provider contracts in contract management software.
• Target and recruit providers to reduce member access grievances.
• Advise on negotiating provider and routine ancillary contracts; ensure regulatory compliance.

Conocimientos

Contract negotiations

Provider network contracting

Data-driven decisions

Analytical abilities

Cross-functional collaboration

Verbal & written comms

Microsoft Office

Herramientas

Contract management software

Descripción del empleo

Molina Healthcare seeks an experienced Network Contracting Leader to drive complex provider contract negotiations with hospitals, IPAs, and behavioral health organizations. You will develop value-based contracts, analyze financial impacts, and oversee contract administration across Texas regions.

Responsibilities include negotiating high-priority physician/hospital agreements, maintaining vendor relationships, and guiding cross-functional teams to meet network adequacy standards.