Senior Dental Provider Services Representative

1 month ago


Long Beach, United States Molina Healthcare Full time
Job Description

***Remote and must live in the United States***

JOB DESCRIPTION

Job Summary

Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state, and local regulations. Provider Services staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for the provider training, network management and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the highest level of customer service.

KNOWLEDGE/SKILLS/ABILITIES
  • Under general supervision, responsible for various provider services functions with an emphasis on working externally with the Plan's highest priority, high volume, strategic providers to educate, advocate and engage as valuable partners.
  • Requires an in-depth knowledge of provider services and contracting subject matter expertise.
  • Resolves complex provider issues that may cross departmental lines and involve Senior Leadership.
  • Serves as a subject matter expert for other departments.
  • Trains other Provider Services Representatives, as appropriate.
JOB QUALIFICATIONS

Required Education

Bachelor's Degree or equivalent provider contract, network development and management, or project management experience in a managed healthcare setting.

Required Experience
  • 3 - 5 years customer service, provider service, or claims experience in a managed care setting.
  • 3-5 years' experience in managed healthcare administration and/or Provider Services.
  • 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, i.e., physician, group and hospital contracting, etc.
  • Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to; fee-for service, capitation, and various forms of risk, ASO, etc.
Preferred Education

Bachelor's or master's degree.

Preferred Experience
  • 5+ years' experience in managed healthcare administration and/or Provider Services.
  • 5+ years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, i.e., physician, group and hospital contracting, etc.


To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

  • Long Beach, California, United States Molina Healthcare Full time

    Job SummaryMolina Healthcare's Provider Network Management and Operations team is responsible for developing and managing provider networks, ensuring network adequacy, and providing training and education to providers. As a key member of this team, you will work closely with senior leadership to resolve complex provider issues and serve as a subject matter...


  • Long Beach, California, United States Dental Health Services Full time

    About the RoleWe are seeking a skilled Contract Recruiter to join our team at Dental Health Services. As a key member of our recruitment team, you will play a crucial role in attracting, evaluating, and referring top talent for our open positions.Key Responsibilities:Work closely with managers to understand our hiring needs and meet competitive hiring...


  • Long Beach, California, United States Dental Health Services Full time

    Job Title: Applications Systems AnalystAbout the Role:We are seeking a skilled Applications Systems Analyst to join our team at Dental Health Services. As a key member of our IT department, you will be responsible for providing ownership, operations, training, and maintenance of our selected software tools.Key Responsibilities:Act as the single point of...


  • Long Beach, United States Kimco Staffing Services Full time

    Job DescriptionJob DescriptionCompany information:  One of Southern California’s multi-state, multi-county fully integrated waste collection, recovery, and conversion company! Industry and what does the company do?  The company’s corporate office based in Long Beach is seeking a Customer Service Representative!Job Title:  Customer Service...


  • Long Beach, United States Kimco Staffing Services Full time

    Job DescriptionJob DescriptionCompany information:  One of Southern California’s multi-state, multi-county fully integrated waste collection, recovery, and conversion company! Industry and what does the company do?  The company’s corporate office based in Long Beach is seeking a Customer Service Representative!Job Title:  Customer Service...


  • Long Beach, California, United States Glen Park Senior Living Full time

    About the Role:Glen Park Senior Living seeks a compassionate and dedicated individual to join our team as a Caregiver. As a Caregiver, you will play a vital role in providing support and care to our residents, ensuring their physical, emotional, and social needs are met.Responsibilities:Provide personalized care and support to residents with activities of...


  • Long Beach, California, United States American Textile Maintenance Full time

    Job Title: Route Service RepresentativeJob Summary:We are a leading provider of uniform and linen services in Southern California, with a proud heritage of quality service dating back to 1932. Our family-owned and operated business has been serving private practice and medical clinic businesses in the region for generations.Key Responsibilities:The Route...

  • Dental Specialist

    1 month ago


    Long Beach, California, United States Dental Office Full time

    Job OpportunityWe are seeking a highly skilled and dedicated Associate Dentist to join our modern dental practice in the Lakewood/Long Beach area. The ideal candidate will be available to work 1-4 days a week, with Tuesdays and Fridays being the starting days. The actual working days and compensation can be discussed in greater detail.Key...


  • Long Beach, United States Molina Healthcare Full time

    Job Description***Remote and must live in Illinois***Job DescriptionJob Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal,...


  • Long Beach, United States Molina Healthcare Full time

    Job Description***Remote and must live in Illinois***Job DescriptionJob Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal,...


  • Long Beach, California, United States THE CHILDREN'S CLINIC Full time

    Job Title: Patient Service RepresentativeWe are seeking a highly skilled and experienced Patient Service Representative to join our team at The Children's Clinic. As a key member of our operations team, you will be responsible for providing exceptional customer service to our patients and families.Key Responsibilities:Answer and direct calls using a...


  • Long Beach, United States See's Candies Full time

    This position handles inbound and outbound calls professionally and mutually beneficially, based on Sees standards for customer service, order accuracy, and reducing customer complaints. This team has been tasked with providing exceptional customer Customer Service, Customer Service Representative, Representative, Processing, Manufacturing, Retail


  • Long Beach, United States Moon Moments Ltd Full time

    Customer Service Representative in CA! Entry-Level Position Position: Customer Service Representative - Full Time Salary Range: $50-$56k per annum Are you ready to embark on an exciting career path where your attitude, passion, and personality matter more than your prior experience? Our client is seeking a Customer Service Representative to join their...


  • Long Beach, New York, United States Domino's Pizza LLC Full time

    Domino's Pizza LLC Job DescriptionJob Title: Customer Service RepresentativeJob Summary:We are seeking a Customer Service Representative to join our team at Domino's Pizza LLC. As a Customer Service Representative, you will be responsible for providing excellent customer service, taking customer orders, and maintaining a clean and organized store...


  • Long Beach, California, United States Domino's Franchise Full time

    Job OverviewDomino's Franchise is seeking a highly motivated and customer-focused Customer Service Representative to join our team. As a Customer Service Representative, you will be responsible for providing exceptional customer service, handling customer inquiries, and resolving issues in a timely and professional manner.Key ResponsibilitiesProvide...


  • Long Beach, California, United States American Textile Maintenance Co. Full time

    Job SummaryWe are seeking a highly motivated and customer-focused Route Service Representative to join our team at American Textile Maintenance Co. As a key member of our service team, you will be responsible for delivering exceptional customer service and ensuring the highest level of satisfaction for our clients.Key ResponsibilitiesProvide outstanding...


  • Long Beach, United States Experiential Group Full time

    When you think about important qualities for your next employer to have, do growth, originality, enthusiasm, and investment in people and infrastructure come to mind? If so, then our Entry Level Customer Service Representative team is the place for you. If you want to join an Entry Level Customer Service Representative team that values integrity,...


  • Long Beach, California, United States Ecology Auto Parts, Inc. Full time

    Job DescriptionEcology Auto Parts, Inc. is seeking a highly skilled Customer Service Representative to join our Port Division. The ideal candidate will be responsible for administering transportation orders and billing for assigned accounts within our Transportation Management Software (TMS).Key Responsibilities:Receive, process, and communicate with...


  • Long Beach, California, United States State Farm Insurance Full time

    Customer Service Representative Job DescriptionAt State Farm Insurance, we're looking for a skilled Customer Service Representative to join our team. As a key member of our customer service team, you'll be responsible for:Providing Exceptional Customer ServiceAssisting Customers with Policy Changes and InquiriesProcessing Policy Applications, Renewals, and...


  • Long Beach, California, United States Taco Masa Full time

    We are seeking a highly motivated and enthusiastic Customer Service Representative to join our team at Taco Masa. As a Customer Service Representative, you will be responsible for providing exceptional customer service and ensuring a positive experience for our guests.Must be 18 years of age or olderSmile and maintain eye contact with guestsAbility to...