Provider Contracts Manager - Complex (Remote in ID)

M Molina Health Plan is seeking a Provider Contracts Manager to develop and negotiate contracts with complex providers, including hospitals, independent practices, and behavioral health providers. This role focuses on ensuring quality, cost effectiveness, and marketability of contract terms to align with Molina's strategic goals and comply with regulations. The position involves contract management, network assessment, strategic planning, and communication with internal and external stakeholders.

Requirements

• Negotiates agreements with Complex providers, including HSOs and behavioral health.
• Develops and maintains provider contracts in contract management software.
• Evaluates provider network and implements strategic plans for network adequacy.
• Evaluates and approves contract language for compliance.
• Educates internal customers on provider contracts.

Benefits

• Competitive benefits package