Senior Provider Relations Specialist
2 days ago
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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