Healthcare Provider Relations Manager
3 weeks ago
Molina Healthcare is seeking a skilled Provider Relations Manager to join our team. As a key member of our Provider Services department, you will be responsible for developing and implementing strategies to improve provider engagement and collaboration across departments.
Key Responsibilities:
- Manage and coordinate Provider Services activities for the state health plan, working closely with Associate Vice-President and other stakeholders.
- Develop and implement standardized provider servicing and relationship management plans, ensuring compliance with federal, state, and local regulations.
- Lead or support various Provider Relations functions, including claims resolutions, education, outreach, and resolving provider inquiries.
- Oversee and lead the functions of facility external provider representatives, including Joint Operation Committee meetings, policy development, and training.
- Manage and direct Provider Relations facility representative staff, including hiring, training, and evaluating performance.
Requirements:
- Bachelor's Degree in Health or Business related field or equivalent experience.
- 5-7 years experience servicing individual and groups of physicians, hospitals, integrated delivery systems, and ancillary providers with Medicaid and/or Medicare products.
- 5+ years previous managed healthcare experience, including experience with facilities such as hospitals and skilled nursing facilities.
- Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies.
- 2+ years in a direct or matrix leadership position, with a minimum of 2 years experience managing/supervising employees.
About Molina Healthcare:
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. We offer a competitive benefits and compensation package. If you are interested in applying for this position, please apply through the intranet job listing.
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