Provider Network Contracting Specialist

4 weeks ago


Phoenix, Arizona, United States Molina Healthcare Full time

Job Summary

Molina Healthcare is seeking a skilled Provider Network Contracting Specialist to join our team. In this role, you will be responsible for negotiating contracts with complex providers, including hospitals, independent physician associations, and behavioral health arrangements.

Key Responsibilities

  • Negotiate contracts with complex providers to ensure high-quality, cost-effective services
  • Develop and maintain provider contracts in contract management software
  • Target and recruit additional providers to reduce member access grievances
  • Engage contracted providers in renegotiation of rates and/or language
  • Advises Network Provider Contract Specialists on negotiation of individual provider and routine ancillary contracts

Requirements

  • Bachelor's Degree in a healthcare-related field or equivalent combination of education and experience
  • 5-7 years of contract-related experience in the healthcare field, including provider office, managed care organization, or other healthcare environment
  • 3+ years of experience in provider contract negotiations in a managed healthcare setting

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. We offer a competitive benefits and compensation package and are an Equal Opportunity Employer (EOE) M/F/D/V.



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