Behavioral Health Plan Provider Relations Manager

Molina Healthcare

2 months ago

IllinoisFull TimeHealthcare Admin

✓ No Call✓ No Weekends

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Job Description

About the Role

Join Molina Healthcare as a Behavioral Health Plan Provider Relations Manager – Illinois in United States. JOB DESCRIPTION **

Employee for this role must reside in the state of Illinois

* Job Summary Provides subject matter expertise and leadership for health plan provider relations activities. Supports network development, network adequacy and provider training and education.

Key Responsibilities

Supporting Behavioral Health providers, including Community Mental Health Centers (CMHCs), SUPR

certified providers, and other BH organizations.

Behavioral Health billing practices, common claim issues, coding

Requirements

Successfully engages the plan's highest priority, high

volume and strategic complex provider community providers (including value

Serves as the primary point of contact between Molina health plan and the for non

complex provider community that services Molina members, including but not limited to fee

Benefits & Compensation

for service (FFS), capitation and various forms of risk, ASO, etc.

Previous experience with community agencies and providers.

Strong organizational skills and attention to detail.

Ability to manage multiple tasks and deadlines effectively.

Work Schedule

Full-Time position.

Night or evening shifts may be required.

Apply to join Molina Healthcare as a Behavioral Health Plan Provider Relations Manager – Illinois.

Key Skills

Provider RelationsNetwork DevelopmentNetwork AdequacyProvider TrainingIssue ResolutionBehavioral HealthPolicy ComplianceStakeholder EngagementSite VisitsPresentation DeliveryProblem SolvingEMR ConnectivityProvider Portal AdoptionUtilization ManagementQuality AssuranceData Analysis

HealthcareManagement & LeadershipCustomer Service & SupportSocial Servicesvia Oraclecloud

Position Insights

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Behavioral Health Plan Provider Relations Manager at Molina Healthcare a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Healthcare Administration healthcare professional listings evaluated on our platform. Contributing factors include no on-call duties, no weekend requirements.

This score reflects a generally positive work environment with some areas for improvement. Clinicians should evaluate scheduling and workload expectations carefully.

Healthcare Administration — healthcare professional Career Context

This Healthcare Administration position at Molina Healthcare is open to healthcare professional candidates.

Location & Logistics

This position is based in Illinois.

Why This Position Stands Out

No on-call requirements — clinicians are completely off-duty after hours
No weekend shifts — preserving personal and family time

Skills, Responsibilities & Benefits

Key skills and qualifications: Provider Relations, Network Development, Network Adequacy, Provider Training, Issue Resolution, Behavioral Health, Policy Compliance, Stakeholder Engagement. Candidates with experience in these areas may be especially well-suited for this Healthcare Administration role.

Core responsibilities: This role provides subject matter expertise and leadership for health plan provider relations, supporting network development, adequacy, training, and serving as the primary contact between the business and contracted providers within the Molina network. Responsibilities include managing provider ed...

Benefits package: Competitive benefits and compensation package. A comprehensive benefits package is an important factor in evaluating total compensation beyond base salary.

About WeekdayDoc

WeekdayDoc is the only healthcare job board that scores every position for burnout risk and work-life balance. Every listing includes a proprietary burnout score, transparent salary data when available, and lifestyle filters for no-call, no-weekends, and remote positions. Browse more Healthcare Administration healthcare professional jobs on WeekdayDoc to compare work-life balance scores and compensation across employers.