
Director, Provider Relations
Molina Healthcare is seeking an innovative and experienced Director, Provider Relations to lead the development and maintenance of strong relationships with providers in our network. In this role, you will ensure the company’s provider network is of the highest quality and is in compliance with all applicable laws and regulations. The successful candidate will have the ability to think strategically and drive engagement among providers, while also having excellent written and verbal communication skills.This is an exciting opportunity to join an organization that is dedicated to providing quality health care services to people who need them most. We are looking for an individual who is motivated and committed to helping our members get the care they need. If you are passionate about health care and have the required qualifications, we encourage you to apply.
Responsibilities:
- Develop and maintain strong relationships with providers in Molina Healthcare's network.
- Ensure the company's provider network is of the highest quality and is in compliance with all applicable laws and regulations.
- Think strategically and drive engagement among providers.
- Communicate effectively, both verbally and in writing.
- Foster an environment of collaboration and cooperation between providers and Molina Healthcare.
- Monitor provider performance and take corrective action when necessary.
- Develop programs and strategies to improve network quality and satisfaction.
- Develop and implement strategies to increase provider participation in network programs.
- Monitor and analyze trends in provider reimbursement.
- Coordinate trainings and education programs for providers.
Knowledge Of State And Federal Regulations
Medicare
Medicaid
Strong Interpersonal
Communication And Presentation Skills
Knowledge Of Health Plans
And Affordable Care Act
Understanding Of Provider Reimbursement Methodologies
Ability To Analyze Data And Develop Action Plans
Proven Track Record Of Successful Provider Relations And Contracting
Excellent Problem Solving And Decision-Making Skills
Demonstrated Ability To Build And Maintain Relationships With Providers
Documentation
Networking
Planning
Communication
Negotiation
Contracting
Collaboration
Facilitation
Coordination
Problem-Solving
Mediation
Analyzing
Strategizing
Relationship-Building
Liaising
Communication
Conflict Resolution
Leadership
Problem Solving
Time management
Interpersonal Skills
self-motivation
flexibility
Teamwork
Adaptability
According to JobzMall, the average salary range for a Director, Provider Relations in Long Beach, CA, USA is between $100,000 and $180,000 per year. This salary range may vary based on the experience and qualifications of the individual.
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Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.

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