Skip to main content
Search Jobs

Let us search jobs for you based on the skills and experience listed in your LinkedIn profile.

Start Matching Jobs
close message

As part of Molina’s response to the COVID-19 pandemic, unless otherwise prohibited by law, new hires with a start date of November 1, 2021 or later will be required to be fully vaccinated.

Dir, Provider Contracts

Molina Healthcare Reno, Nevada Job ID 2009152
Apply Now

KNOWLEDGE, SKILLS & ABILITIES (Generally, the occupational knowledge and specific technical and professional skills and abilities required to perform the essential duties of this job):

Plans, organizes, staffs, and coordinates the Provider Contracts activities for the state health plan.  Works with direct management, senior leadership/management, Corporate, and staff to develop and implement standardized provider contracts and contracting strategies.

• Monitors and reports network adequacy for Medicare and Medicaid services.

• In conjunction with direct management and senior leadership, oversees development of provider contracting strategies, identifying those specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of members and patients.

• Advises in preparation and negotiations of provider contracts and oversee negotiation of contracts in concert with established company guidelines with physicians, hospitals, and other health care providers.

• Utilizes standardized contract templates and Pay for Performance strategies.

• Develops and maintains Reimbursement Tolerance Parameters (across multiple specialties/ geographies). Oversees the development of new reimbursement models in concert with direct management and senior leadership/management.

• Communicates new strategies to corporate provider network leadership for input.

• Utilize standardized system(s) to track contract negotiation activity on an ongoing basis throughout the year.

• Participates on the management team and other committees addressing the strategic goals of the department and organization.

• Oversees the maintenance of all Provider Contract templates.  Works with Legal and Corporate Network Management as needed to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.

• Manages the relationship with area agencies and community provider partners to support and advance Plan initiatives.

• Develops and implements strategies to comply with state, federal, NCQA, HEDIS initiatives and regulations.


Bachelor’s Degree in a related field (Business Administration, etc.) or equivalent experience.


• 7+ years experience in Healthcare Administration, Managed Care, Provider Contracting and/or Provider Services. 

• Min. 2 years experience managing/supervising employees.



Master's Degree


6+ years in Provider Network contracting



About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type: Full Time Posting Date: 07/13/2021


View Map

Job Alerts

Sign up to receive automatic notices when jobs that match your interests are posted.

By uploading your resume you are not submitting an application for employment

Interested InSelect a job category from the list of options. Search for a location and select one from the list of suggestions. Finally, click “Add” to create your job alert.