- Molina Healthcare (New York, NY)
- …the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through financial and ... Experience** + 5+ years of analytics experience in financial analysis, healthcare pricing, network management , healthcare economics or related… more
- Molina Healthcare (Buffalo, NY)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Syracuse, NY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Yonkers, NY)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... network for entry into the plan's provider management system. + Reviews/analyzes data by...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Rochester, NY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... regulators in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other… more
- Molina Healthcare (Rochester, NY)
- … Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for ... network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring...network development and management , or project management experience in a managed healthcare setting.… more
- Molina Healthcare (Newburgh, NY)
- … Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for ... network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring...network development and management , or project management experience in a managed healthcare setting.… more
- Molina Healthcare (Rochester, NY)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, ... staff are the primary point of contact between Molina Healthcare and contracted provider network .... network . They are responsible for the provider training, network management and… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This... provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare … more