Program Director/ Provider Network Management
Are you a dynamic leader with a passion for healthcare and a strong background in provider network management? Molina Healthcare is seeking a Program Director to oversee our network of healthcare providers and ensure the highest quality of care for our members. In this role, you will have the opportunity to drive strategic initiatives, foster relationships with providers, and make a meaningful impact on the lives of our members. To excel in this position, you must have a minimum of 7 years of experience in provider network management, excellent communication and negotiation skills, and a proven track record of developing and implementing successful programs. If you are ready to join a mission-driven organization and make a difference in the healthcare industry, we want to hear from you!
- Oversee the management of Molina Healthcare's network of healthcare providers.
- Develop and implement strategic initiatives to improve the quality of care for members.
- Foster and maintain strong relationships with healthcare providers, including negotiating contracts and resolving any issues that may arise.
- Ensure compliance with all regulatory requirements and guidelines related to provider network management.
- Monitor and analyze provider performance data to identify areas for improvement and implement corrective action plans when necessary.
- Collaborate with internal teams, such as finance and operations, to ensure the network is operating efficiently and effectively.
- Serve as a subject matter expert on provider network management and stay informed about industry trends and best practices.
- Lead and mentor a team of provider network management professionals to achieve department goals.
- Communicate regularly with senior leadership to provide updates on network performance and any potential risks.
- Represent Molina Healthcare at industry events and conferences to build relationships and promote the organization's mission and values.
A Minimum Of 5 Years Of Experience In Healthcare Program Management, Preferably In A Managed Care Organization Or Health Insurance Company.
In-Depth Knowledge Of Provider Network Management, Including Contracting, Credentialing, And Network Development.
Strong Leadership Skills With The Ability To Effectively Manage A Team And Collaborate With Cross-Functional Teams.
Excellent Communication And Interpersonal Skills, With The Ability To Build And Maintain Relationships With Providers And Other Stakeholders.
Bachelor's Or Master's Degree In Healthcare Administration, Business, Or A Related Field. A Clinical Background Or Certification In Healthcare Management Is A Plus.
Quality Assurance
Strategic Planning
Performance Management
Data Analysis
Market Research
Contract Negotiation
Budget management
Risk assessment
network development
Compliance monitoring
Stakeholder
Provider Relations
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
creativity
Attention to detail
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Program Director/ Provider Network Management is between $80,000-$120,000 per year. However, this can vary greatly depending on factors such as location, experience, and specific industry. For example, a Program Director/ Provider Network Management working in a major city or for a large healthcare organization may earn a higher salary compared to someone working in a smaller town or for a smaller organization. Additionally, those with more experience in the field
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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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