Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Services staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for the provider training, network management and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the highest level of customer service.
• Responsible for supporting various Medicare provider services functions emphasizing on developing and implementing standards and best practices.
• Supports New Market network development and management.
• Supports enterprise-wide interpretation and analysis of standard template provider agreement terms and provisions.
• Provides PCRP & CSST ticket resolution and National Contract Management support services.
Bachelor's Degree or equivalent provider contract network development & management
2-3 years experience of Claims/Billing
5 years healthcare administration
5 years provider contract negotiations
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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