Senior Representative, Health Plan Provider Relations-Las Vegas, Nevada

Job description

JOB DESCRIPTION Job Summary Provides senior level support for network development, network adequacy, and provider training and education in alignment with Molina Healthcare’s mission and regulatory requirements. Serves as the primary point of contact for high-priority and complex providers. Manages complex network relationships, facilitates contracting and issue resolution, and promotes provider engagement and compliance while delivering exceptional service and communication. Essential Job Duties: - Acts as the primary liaison between Molina Healthcare and high-volume or complex providers, including those under fee-for-service and pay-for-performance programs. - Engages provider leadership and physicians to strengthen partnerships and improve provider satisfaction. - Resolves complex issues, ensuring timely communication and resolution across multiple departments. - Negotiates and manages provider Letters of Agreement, contracts, and amendments through full execution using approved templates. - Serves as a subject matter expert for provider contracting and maintains contracts within contract management systems. - Supports network development through provider research, recruitment,...