Manager, Health Plan Provider Contracts (Value-Based Contracts)
hckd.fa.us2.oraclecloud.com.CX_1
Apply to this jobJOB DESCRIPTION Job Summary Molina Health Plan Provider Network Contracting jobs are responsible for the value-based payments (VBP) network strategy and development with respect to financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for contracting/re-contracting of complex contracts with Alternative Payment Methods including but not limited to Value Based and Capitated payments for Hospitals, Independent Practice Associations, and complex Behavioral Health arrangements. Manages VBPs through negotiation, implementation and management. Entails value-based contracting negotiations and understanding of alternative arrangements. Maintains critical Complex provider information on claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each datab...
Summary
Manage value-based provider contracts, negotiate agreements, and optimize financial performance.
Job title
Manager, Health Plan Provider Contracts (Value-Based Contracts)
Experience level
senior level
Industry
healthcare
Location requirements
Remote work allowed, location unspecified
Salary
Not specified
Management role
Yes
Required skills
Preferred skills
Specializations
Structured locations inferred from the posting.
No structured locations extracted for this role yet.