Provider Relations Representative

Job description

***Remote and must live in Charlotte, Lee, or Sarasota for provider visits*** JOB 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. - Collaborates directly with the plan’s external providers to educate, advocate and engage as valuable partners - ensuring knowledge of and...