VP, Network Strategy & Contracts Leader

Molina Healthcare; Schaumburg (IL); On-site; USD 186,000 - 363,000; Full time

Job summary

Molina Healthcare in Downers Grove, IL, seeks an executive leader to steer network operations and contracting. You will negotiate complex contracts, develop provider networks, and align reimbursement strategies with corporate goals.

This role requires deep health plan experience and a track record of strategic success. Responsibilities include leading senior-level initiatives, managing contract templates, and ensuring regulatory compliance while driving performance and efficiency across the

Qualifications

• Requires 12+ years in health care and 10+ years in senior network operations or equivalent.
• Proven track record in provider network management and contracting.
• Strong negotiation and relationship-building capabilities.

Responsibilities

• Lead network strategy and contracting activities aligned with Molina's goals.
• Direct contract negotiations with providers, hospitals and IPAs using company templates.
• Oversee provider network development to ensure adequacy and financial performance.
• Manage contract templates, templates alignment with QNXT system, and compliance.
• Collaborate with senior leadership and committees on strategic objectives.
• Oversee plan-specific fee schedules and provider reimbursement strategies.
• Coach and develop a high-performance team; ensure staff training and collaboration.

Skills

Executive leadership

Contract negotiations

Healthcare strategy

Regulatory compliance

Data analysis

Cross-functional collaboration

Negotiation with providers

Project management

Tools

Microsoft Office

Job description

Molina Healthcare in Downers Grove, IL, seeks an executive leader to steer network operations and contracting. You will negotiate complex contracts, develop provider networks, and align reimbursement strategies with corporate goals.

This role requires deep health plan experience and a track record of strategic success. Responsibilities include leading senior-level initiatives, managing contract templates, and ensuring regulatory compliance while driving performance and efficiency across the