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Representative, Health Plan Provider Relations - Duals/DSNP - Remote
Molina Healthcare
Boston, USA
Full-time
Junior · 2+ years experience
Onsite
Discovered Today
Communication
Role Overview
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.
Key Skills for This Role
Communication
Full Job Posting
Required Qualifications
- At least 2 years of customer service, provider services, or claims experience in a managed care or medical office setting, or equivalent combination of relevant education and experience. • General understanding of the health care delivery system, including government-sponsored health plans. • Organizational skills and attention to detail. • Ability to manage multiple tasks and deadlines effectively. • Interpersonal skills, including ability to interface with providers and medical office staff. • Ability to work in a cross-functional highly matrixed organization. • Effective verbal and written communication skills. • Microsoft Office suite and applicable software programs proficiency.
- At least 2 years of customer service, provider services, or claims experience in a managed care or medical office setting, or equivalent combination of relevant education and experience.
- General understanding of the health care delivery system, including government-sponsored health plans.
- Organizational skills and attention to detail.
- Ability to manage multiple tasks and deadlines effectively.
- Interpersonal skills, including ability to interface with providers and medical office staff.
- Ability to work in a cross-functional highly matrixed organization.
- Effective verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
- Familiarity with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc. • Experience delivering training and facilitating educational presentations.
- To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
- Familiarity with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc.
- Experience delivering training and facilitating educational presentations.
- To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
- Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
About Molina Healthcare
Health Insurance & Managed Care18853 employeesFounded 1980
Provider of managed healthcare services for government-sponsored programs.
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