Provider Relations Manager

1 week ago


Chicago, Illinois, United States Molina Healthcare Full time
Job Summary

Molina Healthcare is seeking a skilled Provider Relations Manager to join our team. As a key member of our network development team, you will be responsible for building and maintaining strong relationships with our healthcare provider partners.

Key Responsibilities
  • Develop and implement network development strategies to ensure adequate provider participation and engagement.
  • Collaborate with providers to educate them on Molina Healthcare's policies and procedures, ensuring compliance with regulatory requirements.
  • Resolve complex provider issues, including contract negotiations and quality of care concerns.
  • Monitor and analyze provider satisfaction survey results to identify areas for improvement.
  • Develop and deploy strategic network planning tools to drive provider relations and contracting strategy.
  • Facilitate strategic planning and documentation of network management standards and processes.
  • Work collaboratively with functional business unit stakeholders to lead and/or support various provider services functions.
Requirements
  • Bachelor's Degree in a healthcare-related field or an equivalent combination of education and experience.
  • 4-6 years of provider contract network relations and management experience in a managed healthcare setting.
  • Working experience servicing complex providers with various managed healthcare provider compensation methodologies.
About Molina Healthcare

Molina Healthcare is a leading provider of healthcare services, dedicated to improving the health and well-being of our members. We offer a competitive benefits and compensation package, as well as opportunities for professional growth and development.



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