Apply on Employer Site

Molina Healthcare · 2 months ago

Senior Specialist, Provider Contracts HP

United States

Full-time

Remote

Mid, Senior Level

$30.37/hr - $61.79/hr

4+ years exp

Molina Healthcare is a provider of managed care services, and they are seeking a Senior Specialist in Provider Contracts. This role is responsible for the network strategy and development regarding financial and operational performance, particularly focusing on Value Based Contracts (VBCs) and ensuring compliance with relevant regulations.

Health CareHospitalMedical

Responsibilities

Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting

Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance

Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC’s

Clearly and professionally communicates VBC contract terms to VBC providers

Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes

Communicates proactively with other departments to ensure effective and efficient business results

Trains and monitors newly hired Contract Specialist(s)

Participates in other VBC related special projects as directed

Limited team travel once to twice annually

Qualification

Contracting experienceManaged Care experienceData analysisFinancial reportingCommunication skills

Required

Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field

4-6 years' previous experience in contracting with large specialty or multispecialty provider groups

1-3 Years Managed Care experience