[Hiring] Representative, Health Plan Provider Relations @Molina Healthcare

Role Description

Provides administrative, operational, and provider relations support to ensure the effective coordination and execution of Provider Relations activities. Responsible for organizing, tracking, scheduling, reporting, documenting, and maintaining systems and workflows that support provider engagement, issue resolution, network activities, and departmental priorities.

• Coordinates meetings, maintains provider and operational trackers, pulls and analyzes routine reports, develops dashboards, monitors work queues and deliverables, and supports accurate documentation within applicable systems, including Salesforce and Microsoft 365 tools.
• Provides support to Provider Relations leadership and representatives by coordinating information and follow-up across internal teams.
• May also support routine provider communications, education, issue intake, research, and resolution as needed.

The role requires strong organization, attention to detail, follow-through, technical proficiency, and the ability to manage multiple priorities in a fast-paced, highly matrixed healthcare environment.

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.

Requirements

• 10% travel required within WA/OR

Benefits

Molina Healthcare offers a competitive benefits and compensation package.

Company Description

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.