Molina Healthcare Job - 35278667 | CareerArc
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Company: Molina Healthcare
Location: Laredo, TX
Career Level: Associate
Industries: Healthcare, Pharmaceutical, Biotech


Job Description
Job Summary
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.

Job Qualifications
Required Education
Bachelor's Degree or equivalent provider contract network development & management
Required Experience
Managed Care
Preferred Experience
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.

 Apply on company website