Health Plan Provider Relations Manager (MA State Health Plan)

Molina Healthcare

Springfield, MA

JOB DETAILS
SKILLS
Business Strategy, Communication Skills, Health Plan, Healthcare, Healthcare Providers, Identify Issues, Leadership, Maintain Compliance, Problem Solving Skills, Provider Contracting, Provider Relations, Strategic Planning, Training/Teaching, Willing to Travel
LOCATION
Springfield, MA
POSTED
2 days ago

Provides expertise and leadership in provider relations, supporting network development, adequacy, and education.
Acts as the primary contact for contracted providers, ensuring compliance and satisfaction.
Engages high-priority providers, facilitates issue resolution, and conducts site visits to assess non-compliance and service quality.
Delivers training, troubleshoots problems, and collaborates with stakeholders to improve provider engagement.
Manages provider satisfaction surveys, develops network strategies, and supports organizational standards.
Requires 6+ years in provider services, strong healthcare system knowledge, and excellent communication skills.
Travel of 50%+ may be needed. Preferred experience includes leadership and contract negotiation.
Offers competitive salary and benefits, with an emphasis on compliance and provider partnerships.

About the Company

M

Molina Healthcare