Strategic Provider Relations & Contracting Manager

Molina Healthcare; Milwaukee (WI); Hybrid; USD 66,000 - 130,000; Full time

Benefits offered by this job

Benefits package

Job summary

Molina Healthcare in Wisconsin seeks a Provider Relations Manager to lead a team responsible for provider relations, network development, contracting, and provider training. You will serve as the primary contact between the Molina network and contracted providers, ensuring policy adoption and effective cross‑department communication.

The role focuses on developing strategies for a sufficient provider network, improving engagement in quality initiatives, shaping education materials, and guiding

Qualifications

• 7+ years in provider services or health plan operations.
• 1+ year of management/leadership experience.
• Strong knowledge of government-sponsored health plans.
• Experience with provider compensation methods (FFS, capitation, risk).
• Ability to lead cross-functional teams.

Responsibilities

• Oversees the provider relations function and daily department operations.
• Develops provider relations strategies with leadership to expand the network.
• Leads provider representatives, policies, training materials, and reports.
• Educates contracted providers on plan procedures and claims payment.
• Implements tracking tools to ensure timely issue resolution.
• Coordinates cross-department communication of provider initiatives.
• Hires, trains, coaches, and evaluates staff.

Job description

Molina Healthcare in Wisconsin seeks a Provider Relations Manager to lead a team responsible for provider relations, network development, contracting, and provider training. You will serve as the primary contact between the Molina network and contracted providers, ensuring policy adoption and effective cross‑department communication.

The role focuses on developing strategies for a sufficient provider network, improving engagement in quality initiatives, shaping education materials, and guiding