Molina Healthcare

Provider Quality Coordinator (Remote in WI)


PayCompetitive
LocationLong Beach/California
Employment typeFull-Time

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  • Job Description

      Req#: 2031177
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Opportunity for career advancement and growth within the organization
      - Competitive benefits and compensation package
      - Work in a field-based position with significant interaction with healthcare providers
      - Chance to make a positive impact on provider satisfaction and healthcare delivery
      - Engage with senior leaders and physicians to improve coordination and partnerships
      - Supportive and collaborative work environment

      What to Expect (Job Responsibilities):
      - Serve as the primary point of contact between the employer and contracted provider network, ensuring compliance with policies and procedures
      - Conduct regular site visits within the assigned region, assessing provider compliance and quality of customer service
      - Provide on-the-spot training and education to providers and their staff
      - Troubleshoot problems independently and coordinate meetings to resolve issues with stakeholders
      - Deliver training and presentations to assigned providers, management, and larger groups

      What is Required (Qualifications):
      - Associate's Degree or equivalent experience in provider contract, network development, or project management in a managed healthcare setting
      - 2-3 years of customer service, provider service, or claims experience in a managed care environment
      - Familiarity with various managed healthcare provider compensation methodologies, particularly in Medicaid and Medicare
      - Ability to travel 60%+ for same-day or overnight visits
      - Strong communication and organizational skills

      How to Stand Out (Preferred Qualifications):
      - Bachelor's Degree in a related field or equivalent combination of education and experience
      - 3+ years of experience in managed healthcare administration and/or Provider Services

      #HealthcareServices #ProviderRelations #CareerOpportunity #FieldBasedRole #TrainingProvided

      "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
  • About the company

      Molina Healthcare is a managed care company headquartered in Long Beach, California, United States.