Senior Provider Relations Specialist

2 days ago


San Diego, California, United States Molina Healthcare Full time
Job Summary

Molina Healthcare is seeking a highly skilled Senior Provider Relations Specialist to join our team. As a key member of our Provider Relations department, you will be responsible for developing and maintaining strong relationships with our healthcare provider network.

Key Responsibilities:

  • Develop and implement strategies to improve provider satisfaction and engagement
  • Provide education and training to providers on Molina Healthcare policies and procedures
  • Resolve complex provider issues and escalate to senior leadership as needed
  • Conduct regular provider site visits to assess compliance with Molina policies and procedures
  • Collaborate with internal stakeholders to resolve issues and improve provider relations

Requirements:

  • Bachelor's Degree or equivalent experience in a managed healthcare setting
  • 3-5 years of experience in customer service, provider service, or claims experience in a managed care setting
  • Working familiarity with various managed healthcare provider compensation methodologies

Preferred Qualifications:

  • 5+ years of experience in managed healthcare administration and/or Provider Services
  • 3+ years of experience in provider contract negotiations in a managed healthcare setting

About Molina Healthcare:

Molina Healthcare is a leading provider of healthcare services to low-income families and individuals. We are committed to delivering high-quality, patient-centered care to our members. If you are a motivated and results-driven professional looking to make a difference in the lives of our members, we encourage you to apply for this exciting opportunity.



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