Value-Based Health Plan Contracts Lead

Molina Healthcare; Ridgeland (MS); On-site; USD 65,792 - 142,548; Full time

Job summary

Molina Healthcare is seeking a skilled professional in Ridgeland, Mississippi to lead provider network contracting efforts. This role involves negotiating agreements with critical provider groups and ensuring network adequacy and performance. Candidates must have at least 5 years of relevant experience, with strong skills in negotiation, analysis, and organizational abilities.

The position offers a competitive compensation range of $65,792 - $142,548 annually, based on experience and location.

Qualifications

• At least 5 years of experience in network contracting with large specialty or multispecialty provider groups.
• Working familiarity with Medicaid and Medicare compensation methodologies.
• Ability to navigate complex regulatory environments.

Responsibilities

• Negotiate contracts with complex providers for network adequacy.
• Manage value-based contracts to ensure operational performance.
• Analyze financial impact and prepare justifications for executive approval.

Skills

Negotiation

Relationship building

Analytical skills

Organizational skills

Effective communication

Education

5 years in network contracting

Experience in managed health care

Microsoft Office proficiency

Job description

Molina Healthcare is seeking a skilled professional in Ridgeland, Mississippi to lead provider network contracting efforts. This role involves negotiating agreements with critical provider groups and ensuring network adequacy and performance. Candidates must have at least 5 years of relevant experience, with strong skills in negotiation, analysis, and organizational abilities.

The position offers a competitive compensation range of $65,792 - $142,548 annually, based on experience and location.