Representative, Health Plan Provider Relations (Remote)
hckd.fa.us2.oraclecloud.com.CX_1
Apply to this jobJOB DESCRIPTION Job Summary Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina policies and procedures. Essential Job Duties • Successfully engages high-volume, high-visibility plan providers, to ensure provider satisfaction, facilitate education on key Molina initiatives, and improve coordination and partnership between the health plan and contracted providers. • Serves as the primary point of contact between Molina health plan and the non-complex provider community that services Molina members, including but not limited to fee-for-service (FFS) and pay-for-performance (P4P) providers. • Collabo...
Summary
Supports provider relations, network management, education, and communication for health plan.
Job title
Representative, Health Plan Provider Relations
Experience level
none
Industry
healthcare
Location requirements
remote work allowed, no specific location required
Salary
Not specified
Management role
No
Required skills
Preferred skills
Specializations
Structured locations inferred from the posting.
No structured locations extracted for this role yet.