Molina Healthcare

Director, Provider Relations

Molina Healthcare

Long Beach, CA, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

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:

  1. Develop and maintain strong relationships with providers in Molina Healthcare's network.
  2. Ensure the company's provider network is of the highest quality and is in compliance with all applicable laws and regulations.
  3. Think strategically and drive engagement among providers.
  4. Communicate effectively, both verbally and in writing.
  5. Foster an environment of collaboration and cooperation between providers and Molina Healthcare.
  6. Monitor provider performance and take corrective action when necessary.
  7. Develop programs and strategies to improve network quality and satisfaction.
  8. Develop and implement strategies to increase provider participation in network programs.
  9. Monitor and analyze trends in provider reimbursement.
  10. Coordinate trainings and education programs for providers.
Where is this job?
This job is located at Long Beach, CA, USA
Job Qualifications
  • 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

Required Skills
  • Documentation

  • Networking

  • Planning

  • Communication

  • Negotiation

  • Contracting

  • Collaboration

  • Facilitation

  • Coordination

  • Problem-Solving

  • Mediation

  • Analyzing

  • Strategizing

  • Relationship-Building

  • Liaising

Soft Skills
  • Communication

  • Conflict Resolution

  • Leadership

  • Problem Solving

  • Time management

  • Interpersonal Skills

  • self-motivation

  • flexibility

  • Teamwork

  • Adaptability

Compensation

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.

Additional Information
Molina Healthcare is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedNovember 28th, 2023
Apply BeforeNovember 16th, 2025
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About Molina Healthcare

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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