Provider Contracts Manager - Complex (Behavioral Health)

{
  "content_hash": "f44bc0e0611bae9abb551f84d9857ad153c5ae20bde68ca4e752a0927603c28d",
  "source_hash": "f795569fd38674e4c7c3eb0385302f125b426374e30c870b09e8f98d00b912fa",
  "last_changed_at": "2026-06-06T11:30:43.000Z",
  "active_status": "deleted"
}

{
  "language": "en",
  "location": {
    "raw": "Bothell, WA, United States",
    "city": "Bothell",
    "region": "WA",
    "country": "United States",
    "is_remote": false,
    "confidence": 0.8
  },
  "salary_max": null,
  "salary_min": null,
  "inferred_at": "2026-06-03T11:24:46.019Z",
  "launch_scope": {
    "reason": "english_us_canada",
    "included": true,
    "language": "en",
    "location": {
      "raw": "Bothell, WA, United States",
      "city": "Bothell",
      "region": "WA",
      "country": "United States",
      "is_remote": false,
      "confidence": 0.8
    },
    "countries": [
      "United States"
    ]
  },
  "remote_policy": "remote",
  "salary_period": null,
  "workplace_type": "remote",
  "salary_currency": null
}

{}

{
  "detail": {
    "Id": "2037333",
    "Title": "Provider Contracts Manager - Complex (Behavioral Health)",
    "media": [],
    "skills": [],
    "JobType": null,
    "Category": "Network",
    "JobGrade": null,
    "JobLevel": null,
    "JobShift": null,
    "WorkDays": null,
    "WorkHours": null,
    "WorkYears": null,
    "Department": null,
    "HotJobFlag": false,
    "StudyLevel": null,
    "WorkMonths": null,
    "WorkerType": null,
    "GeographyId": 300000001299213,
    "JobFamilyId": 300000854814223,
    "JobFunction": "Provider Contracting",
    "JobSchedule": "Full time",
    "BusinessUnit": null,
    "ContractType": null,
    "Organization": null,
    "TrendingFlag": false,
    "workLocation": [
      {
        "Country": "US",
        "Region1": "LOS ANGELES",
        "Region2": "CA",
        "Region3": null,
        "Building": null,
        "Latitude": "33.76764",
        "Longitude": "-118.19338",
        "LocationId": 100000000335481,
        "PostalCode": "90802",
        "TownOrCity": "Long Beach",
        "AddressLine1": "200 Oceangate",
        "AddressLine2": "Ste 100",
        "AddressLine3": null,
        "AddressLine4": null,
        "LocationName": "Remote Employees"
      }
    ],
    "ContentLocale": "en",
    "HiringManager": null,
    "LegalEmployer": null,
    "RequisitionId": 300002817086493,
    "WorkplaceType": "",
    "BusinessUnitId": 100000000335615,
    "OrganizationId": 300000007438744,
    "GeographyNodeId": 100009205141010,
    "JobFunctionCode": "PC",
    "LegalEmployerId": 300000007438744,
    "PrimaryLocation": "Bothell, WA, United States",
    "RequisitionType": "Standard",
    "NumberOfOpenings": null,
    "WorkplaceTypeCode": null,
    "BeFirstToApplyFlag": false,
    "otherWorkLocations": [],
    "secondaryLocations": [],
    "ExternalContactName": null,
    "ShortDescriptionStr": "",
    "ExternalContactEmail": null,
    "ExternalPostedEndDate": null,
    "OtherRequisitionTitle": null,
    "requisitionFlexFields": [
      {
        "Value": "$83,252.00 - $163,931.00 Annually *Actual compensation may vary based on geographic location, work experience, education and/or skill level",
        "Prompt": "Salary Range",
        "ControlType": "TextArea",
        "SequenceNumber": 21
      }
    ],
    "ApplyWhenNotPostedFlag": false,
    "DomesticTravelRequired": null,
    "ExternalDescriptionStr": "<p style=\"margin-left:6pt\">&nbsp;</p>\n<p style=\"margin-left:6pt\"><i><strong><u>***Remote and must live in or be willing to travel to Washington***</u></strong></i></p>\n<p style=\"margin-left:6pt\"><strong>JOB DESCRIPTION</strong></p>\n<p style=\"margin-left:6pt\"><strong>Job Summary</strong></p>\n<p style=\"margin-left:6pt\">Provides subject matter expertise and leadership for health plan provider network complex contracting activities. &nbsp;Supports network strategy and development with respect to adequacy, financial performance and operational performance. &nbsp;Responsible for negotiating agreements, including value-based payment methodology, with complex provider groups that are strategically critical to plan success, including but not limited to: hospitals, independent physician associations (IPAs), and behavioral health organizations.</p>\n<p style=\"margin-left:6pt\">&nbsp;</p>\n<p style=\"margin-left:6pt\"><strong>Essential Job Duties</strong></p>\n<p style=\"margin-left:6pt\">• Negotiates contracts and letters of agreement with the complex provider community to secure high quality, cost-effective and marketable plan providers.&nbsp;<br>\n • Contracts/re-contracts with large-scale entities involving custom reimbursement; executes standardized&nbsp;alternative payment model (APM) contracts; issues escalations, and supports network adequacy, joint operating committees (JOCs), and delegation oversight.&nbsp;</p>\n<p style=\"margin-left:6pt\">• Execution, management, and optimization of value-based contracts and enhanced provider relationship management.</p>\n<p style=\"margin-left:6pt\">• Directs analysis of financial impact of deal terms and prepare details and justification for executive approval for agreements outside of Molina approval guidelines.<br>\n • In conjunction with contracting leadership, negotiates complex provider contracts including high-priority physician group and facility contracts using preferred, acceptable, discouraged, unacceptable (PADU) guidelines (emphasis on number or percentage of membership in value-based relationship contracts).<br>\n • Develops and maintains provider contracts in contract management software.<br>\n • Targets and recruits additional providers to reduce member access grievances.<br>\n • Engages targeted contracted providers in renegotiation of rates and/or language; assists with cost-control strategies that positively impact the medical cost ratio (MCR) within each region.<br>\n • Advises network contracting team members on negotiation of individual provider and routine ancillary contracts.<br>\n • Maintains contractual relationships with significant/highly visible providers.<br>\n • Evaluates provider network and implement strategic plans with the goal of meeting Molina’s network adequacy standards.<br>\n • Assesses contract language for compliance with corporate standards and regulatory requirements and review revised language with assigned corporate attorney.<br>\n • Participates in fee schedule determinations including development of new reimbursement models; seeks input on new reimbursement models from corporate network leadership, legal and senior level engagement as required.<br>\n • Educates internal customers on provider contracts.<br>\n • Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers.&nbsp;<br>\n • Participates with the leadership team and other committees to address the strategic goals of the department and organization.<br>\n • Participates in contracting-related special projects as directed.<br>\n • Provides training, mentoring and support to new and existing contracting team members. &nbsp;<br>\n • Travels regularly throughout designated regions to meet targeted needs.<br>\n &nbsp;</p>\n<p style=\"margin-left:6pt\"><strong>Required Qualifications</strong></p>\n<p style=\"margin-left:6pt\">• At least 5 years of &nbsp;experience in network contracting with large specialty or multispecialty provider groups, and at least 3 years experience in provider contract negotiations in a managed health care setting ideally negotiating different provider contract types (i.e. physician/group/hospital), or equivalent combination of relevant education and experience.<br>\n • Working familiarity with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to: value-based payment (VBP), fee-for service (FFS), capitation and various forms of risk, etc.<br>\n • Negotiation and relationship building capabilities.<br>\n • Ability to navigate complex regulatory environments.<br>\n • Data-driven decision-making skills, and analytical abilities.<br>\n • Organizational skills and attention to detail.<br>\n • Ability to work cross-functionally with internal/external stakeholders in a highly matrixed organization.<br>\n • Ability to manage multiple tasks and deadlines effectively.<br>\n • Effective verbal and written communication skills. &nbsp;<br>\n • Microsoft Office suite and applicable software programs proficiency.<br>\n &nbsp;</p>\n<p style=\"margin-left:6pt\"><strong>Preferred Qualifications</strong></p>\n<p style=\"margin-left:6pt\">• Contracting experience with integrated delivery systems, hospitals and groups (specialty and ancillary).<br>\n • Experience with Medicaid, Medicare, and Marketplace government-sponsored programs.<br>\n &nbsp;</p>\n<p style=\"margin-left:6pt\">#PJCore</p>\n<p style=\"margin-left:6pt\">#LI-AC1</p>\n<p style=\"margin-left:6pt\">To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.<br><br>\n Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V</p>",
    "ObjectVerNumberProfile": "1",
    "PrimaryLocationCountry": "US",
    "CorporateDescriptionStr": "",
    "ExternalPostedStartDate": "2026-05-13T18:46:56+00:00",
    "ExternalQualificationsStr": "",
    "InternalQualificationsStr": "",
    "OrganizationDescriptionStr": "",
    "primaryLocationCoordinates": [
      {
        "Latitude": "47.79888",
        "Longitude": "-122.23367",
        "CountryCode": "US",
        "GeographyId": 300000001299213,
        "GeographyNodeId": 100009205141010
      }
    ],
    "ExternalResponsibilitiesStr": "",
    "InternalResponsibilitiesStr": "",
    "InternationalTravelRequired": null
  },
  "list_job": {
    "Id": "2037333",
    "Title": "Provider Contracts Manager - Complex (Behavioral Health)",
    "JobType": null,
    "Distance": 1778630400000,
    "JobShift": null,
    "Language": "US",
    "WorkDays": null,
    "JobFamily": null,
    "Relevancy": 3,
    "WorkHours": null,
    "Department": null,
    "HotJobFlag": false,
    "PostedDate": "2026-05-13",
    "StudyLevel": null,
    "WorkerType": null,
    "GeographyId": 300000001299213,
    "JobFunction": null,
    "JobSchedule": null,
    "BusinessUnit": null,
    "ContractType": null,
    "ManagerLevel": null,
    "Organization": null,
    "TrendingFlag": false,
    "workLocation": [
      {
        "Country": "US",
        "Region1": "LOS ANGELES",
        "Region2": "CA",
        "Region3": null,
        "Building": null,
        "Latitude": 33.76764,
        "Longitude": -118.19338,
        "LocationId": 100000000335481,
        "PostalCode": "90802",
        "TownOrCity": "Long Beach",
        "AddressLine1": "200 Oceangate",
        "AddressLine2": "Ste 100",
        "AddressLine3": null,
        "AddressLine4": null,
        "LocationName": "Remote Employees"
      }
    ],
    "LegalEmployer": null,
    "MediaThumbURL": null,
    "WorkplaceType": "",
    "BusinessUnitId": 100000000335615,
    "OrganizationId": 300000007438744,
    "PostingEndDate": null,
    "LegalEmployerId": 300000007438744,
    "PrimaryLocation": "Bothell, WA, United States",
    "WorkDurationYears": null,
    "WorkplaceTypeCode": null,
    "BeFirstToApplyFlag": false,
    "WorkDurationMonths": null,
    "otherWorkLocations": [],
    "secondaryLocations": [],
    "ShortDescriptionStr": "",
    "requisitionFlexFields": [],
    "DomesticTravelRequired": null,
    "PrimaryLocationCountry": "US",
    "ExternalQualificationsStr": null,
    "ExternalResponsibilitiesStr": null,
    "InternationalTravelRequired": null
  },
  "detail_meta": {
    "url": "https://hckd.fa.us2.oraclecloud.com/hcmRestApi/resources/latest/recruitingCEJobRequisitionDetails?expand=all&onlyData=true&finder=ById;Id=%222037333%22,siteNumber=CX_1",
    "http_status": 200,
    "content_type": "application/json",
    "response_bytes": 9302
  },
  "detail_errors": []
}