Job DescriptionJob SummaryThe VP, National Contracts and Strategic Partnerships leadership is a highly visible strategic leadership role that contributes to developing and improving Molina’s provider networks through the strategy and execution of national contracts and programs and by deploying tools, templates, training and guidance for all Health Plan Network Management teams. Executes on strategic partnerships at the national level to enhance Molina’s Network market presence and competitiveness. Collaborates cross-functionally through shared services to improve Network performance and provider satisfaction across all Health Plans.Job Duties
In conjunction with Health Plan leadership, develops and implements provider network and contract strategies across the Molina enterprise (new & existing markets), identifying those facilities, specialties, other medical services, and geographic locations on which to concentrate resources for purposes of establishing a high-performance network of Participating Providers to serve the health care needs of the Plan’s membership and meet established financial goals.
Directs the strategy, preparation, and negotiations of national provider contracts across the enterprise. Oversees negotiation of national contracts in concert with established company templates and guidelines with vendors, physicians, hospitals, and other health care providers.
Develops key vendor relationships that enhances Molina’s national presence and improves strategic opportunities for market innovation.
Collaborate with providers to explore innovative care models and progressive payment structures that align overarching company goals and objectives for quality improvement and member choice.
Directs the management process of identifying network cost of care improvement opportunities across the enterprise and leads the development and execution of plans to achieve targeted results. Works effectively with Health Plan, Product and other functional leaders to drive support and execution of key initiatives.
Serves as trusted partner and go-to resource for strategic network expertise.
Develop multi-year road maps for multi-state provider systems and national service providers.
Contributes as a key member of the Corporate Network Management Team, facilitates development of network strategic goals of the enterprise in conjunction with leadership overseeing Health Plans
Support the innovation, expansion and execution of provider incentive and value-based contract models in accordance with Molina contract standards and guidelines, improving overall quality results and financial performance
Expert level of knowledge regarding health care reimbursement methodologies and contract models.
Lead, manage and direct the team responsible for national contracts and programs.
Job QualificationsREQUIRED EDUCATION :Bachelor’s Degree in a related field (Healthcare Management, Business Administration, etc.) or equivalent combination of years of experience in lieu of Degree.REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES :10 + years’ experience in healthcare to include experience in provider network managementTrack record of building excellent relationships with key internal stakeholders to drive results (health plans, segment leaders, MedEcon, actuarial, etc.)Demonstrated strategic thinker with ability to create and execute on long-term vision and strategyExcellent verbal and written communication skillsStrong executive presence and leadership capabilityPREFERRED EDUCATION :Master's Degree in related field (Healthcare Management, Business Administration, etc.)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: $214,131.6 - $417,556.62 / ANNUALActual compensation may vary from posting based on geographic location, work experience, education and/or skill level.