![]() All other marks are the property of their respective owners. We support an inclusive workplace where associates excel based on personal merit, qualifications, experience, ability, and job performance.ĪDP, the ADP logo, and Always Designing for People are trademarks of ADP, Inc. ADP is committed to equal employment opportunities regardless of any protected characteristic including: race, color, genetic information, creed, national origin, religion, sex, affectional or sexual orientation, gender identity or expression, lawful alien status, ancestry, age, marital status, or protected veteran status and will not discriminate against anyone on the basis of a disability. Together, we unite for equality and equity. Our goal is to impact lasting change through our actions. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.Diversity, Equity, Inclusion & Equal Employment Opportunity at ADP: ADP affirms inequality is detrimental to our associates, our clients, and the communities we serve. Molina Healthcare offers a competitive benefits and compensation package. Bring your passion and talents and together we can make a difference in the lives of others. 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. Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Participates on the management team and other committees addressing the strategic goals of the department and organization.īachelor's Degree in a healthcare related field or an equivalent combination of education and experience.Educates internal customers on provider contracts.Seeks input on new reimbursement models from Corporate Network Management and legal. 5,000+ Jobs in Greater Sioux Falls Area (304 new) Corporate Administrative Coordinator CAD Drafter Intern Territory Sales Representative Director of People. Participates in fee schedule determinations including development of new reimbursement models.Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney.Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards.Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts.Maintains contractual relationships with significant/highly visible providers.Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. Engages targeted contracted providers in renegotiation of rates and/or language.Targets and recruits additional providers to reduce member access grievances.New System Administrator jobs added daily. Leverage your professional network, and get hired. Develops and maintains provider contracts in APTTUS contract management software. Today’s top 32 System Administrator jobs in Sioux Falls, South Dakota, United States.In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines.Negotiates agreements with highly visible providers who are strategic to the success of the Plan, including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. ![]()
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