Associate Specialist, Provider Contracts HP

Job Description Job Summary Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems when available, and the application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing. Job Duties This role supports negotiations with assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost effective and marketable providers. Maintains tracking system and publish reports according to departmental procedures. u2022 Sends out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members. u2022 Receives calls from prospective providers and answers questions regarding contracting process, policies and procedures. u2022 Forwards requested information/documentation to prospective providers in a timely manner. u2022 Maintains database of all contracts and specific applications sent to prospective new providers. u2022 Completes and updates Provider Information Forms for each new contract. u2022 Ensures accuracy and completeness of provider demographic information and coordinates communication of such information to Provider Configuration team. u2022 Sends out new provider welcome packets to providers who have contracted with the plan. u2022 Utilizes Planu2019s system to track and follow up with Providers who have not responded to Contracts and/or Applications sent as directed by management. u2022 Formats and distributes Provider network resources (e.g. electronic specialist directory). Job Qualifications REQUIRED EDUCATION : High School Diploma or equivalent GED REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : 1 year customer service, provider service, contracting or claims experience in the healthcare industry. PREFERRED EDUCATION : Associateu2019s Degree or Bacheloru2019s Degree in a related field or an equivalent combination of education and experience PREFERRED EXPERIENCE : Managed Care experience To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 - $37.2 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Created: 2025-12-11