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Associate Representative, Health Plan Provider Relations

Company

Molina Healthcare

Location

Louisville, United States

Type

Full-time

JOB DESCRIPTION Job Summary

Provides entry level support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina policies and procedures.

The role will support the Kentucky plan and could require travel to a Molina Kentucky office up to 15 percent of the time.

**Essential Job Duties**

• Provides support for provider-related inquiries; successfully engages with providers and maintains provider satisfaction primarily for non-complex providers including but not limited to fee-for-service (FFS) and pay-for-performance (P4P) providers.
• Receives, researches, and resolves provider inquiries ...

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