Behavioral Health Plan Provider Relations Manager

11 days ago
IllinoisFull TimeHealthcare Administration
✓ No Call✓ No Weekends

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

WeekdayDoc rates Behavioral Health Plan Provider Relations Manager at Molina Healthcare a 4.0/10 for work-life balance — below average.

This position offers no on-call requirements, no weekend shifts.

Key skills for this role include Provider Relations, Network Development, Network Adequacy, Provider Training, Issue Resolution.

Benefits include Competitive benefits and compensation package.

Molina Healthcare logo

About Molina Healthcare

Hospitals and Health Care
Long Beach, California
5-10

Benefits & Perks

Competitive benefits and compensation package
4.0

Work-Life Balance Score

Below Average

Protective Factors (2)

No on-call (β=6.95; p<0.001 for ↓ exhaustion)

No weekends (57% ↓ work-life conflict)

Interpretation: Position shows moderate burnout protection with 2 validated protective factors.

Job Details

Employment Type

Full-time

Posted

11d ago