[Skip to main content](#main-content) [OpenNash Jobs](https://jobs.opennash.com/) [Hiring report](/reports/hiring/) · [All Molina Healthcare jobs](https://jobs.opennash.com/companies/molina-healthcare/) · [Search jobs](/search/) Molina Healthcare · New York, NY # Health Plan Provider Contracts Mgr - Complex (Behavioral Health - New York) New York, NY, United States Healthcare & Clinical Listed on Molina Healthcare’s official careers site. Posted October 23, 2026. Check that it is still open and apply there. [Apply on Molina Healthcare’s careers site →](https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2039633) [OpenNash Jobs](https://jobs.opennash.com/) / [Molina Healthcare](https://jobs.opennash.com/companies/molina-healthcare/) / Health Plan Provider Contracts Mgr - Complex (Behavioral Health - New York) ## Job description ### Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operational performance. Responsible for negotiating agreements, including but not limited to: hospitals, independent physician associations (IPAs), and behavioral health organizations. OMH and OASAS, Ancillary facilities and Out of Network Providers. ### Essential Job Duties - Negotiates contracts with Behavioral Health Provider within the complex provider community to secure high quality, cost-effective and marketable plan providers. - Contracts/re-contracts with large-scale entities involving custom reimbursement; executes standardized alternative payment model (APM) contracts; issues escalations, and supports network adequacy, joint operating committees (JOCs), and delegation oversight. - Execution, management, and optimization of provider contracts. - Knowledge of contracting reimbursements methodology, including but not limitied to Medicaid/Medicare Fee schedule, APG, Case Rates and Per Diems. - Directs analysis of financial impact of deal terms and prepare details and justification for executive approval for agreements outside of Molina approval guidelines. - In conjunction with contracting leadership, negotiates complex provider contracts including high-priority physician group and facility contracts using preferred, acceptable, discouraged, unacceptable (PADU) guidelines (emphasis on number or percentage of membership in value-based relationship contracts). - Develops and maintains provider contracts in contract management software. - Targets and recruits additional providers to reduce member access grievances. - Engages targeted contracted providers in renegotiation of rates and/or language; assists with cost-control strategies that positively impact the medical cost ratio (MCR) within each region. - Advises network contracting team members on negotiation of individual provider and routine ancillary contracts. - Maintains contractual relationships with significant/highly visible providers. - Evaluates provider network and implement strategic plans with the goal of meeting Molina’s network adequacy standards. - Assesses contract language for compliance with corporate standards and regulatory requirements and review revised language with assigned corporate attorney. - Participates in fee schedule determinations including development of new reimbursement models; seeks input on new reimbursement models from corporate network leadership, legal and senior level engagement as required. - Educates internal customers on provider contracts. - Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers. - Participates with the leadership team and other committees to address the strategic goals of the department and organization. - Participates in contracting-related special projects as directed. - Provides training, mentoring and support to new and existing contracting team members. - Approximately 3-10% travel within the state of New York - Ability to work independently with minimal supervision to complete daily objectives ### Required Qualifications - At least - 5 years of experience in network contracting with large specialty or multispecialty provider groups, and at least - 3 years experience in provider contract negotiations in a managed health care setting ideally negotiating different provider contract types (i.e. physician/group/hospital), or equivalent combination of relevant education and experience. - Working familiarity with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to: value-based payment (VBP), fee-for service (FFS), capitation and various forms of risk, etc. - Negotiation and relationship building capabilities. - Ability to navigate complex regulatory environments. - Data-driven decision-making skills, and analytical abilities. - Organizational skills and attention to detail. - Ability to work cross-functionally with internal/external stakeholders in a highly matrixed organization. - Ability to manage multiple tasks and deadlines effectively. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. ### Preferred Qualifications - Contracting experience with integrated delivery systems, hospitals and groups (specialty and ancillary). - Experience with Medicaid, Medicare, and Marketplace government-sponsored programs. - Behavioral Health experience highly preferred. - Experience with Docusign, salesforce, MS Office and contract management software. ### To all current Molina employees If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V ## At a glance - Posted by the employer: Oct 23, 2026 - First seen by OpenNash: Oct 25, 2026 - Last checked: Nov 1, 2026 - Listed for: 9 days - Location: New York, NY, United States[Apply on Molina Healthcare’s careers site →](https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2039633) ## Hiring at Molina Healthcare - Open jobs: 439 - New in the last 7 days: After two weekly collections - Tracked since: Jul 10, 2026 [All Molina Healthcare jobs](https://jobs.opennash.com/companies/molina-healthcare/) · [Weekly hiring report](/reports/hiring/) ## More jobs at Molina Healthcare ### [Associate Representative, Health Plan Provider Relations-NY City](https://jobs.opennash.com/companies/molina-healthcare/jobs/f386172bfaacaf413d7e/) New York, NY, United States ### [Care Manager, LTSS (RN) - Bilingual -Spanish/Cantonese/Mandarin](https://jobs.opennash.com/companies/molina-healthcare/jobs/806e4ef0d574da8e60e9/) New York, NY, United States ### [Investigator, Special Investigative Unit Coding (Remote)](https://jobs.opennash.com/companies/molina-healthcare/jobs/25e6b65e207a647f2a22/) New York, NY, United States ### [Uniform System Assessor Nurse (RN) - must be licensed in the state of NY](https://jobs.opennash.com/companies/molina-healthcare/jobs/89dc05334288c944306a/) New York, NY, United States ### [Care Manager, LTSS (RN) - must have an active RN license in NY](https://jobs.opennash.com/companies/molina-healthcare/jobs/aa2861b99432f051ff52/) New York, NY, United States ## Similar jobs at other companies ### [Primary Care Provider APC | Atrius Health](https://jobs.opennash.com/companies/unitedhealth-group/jobs/32d8df9a278e7a072eeb/) UnitedHealth Group · Chelmsford, Massachusetts ### [Product Development Manager - Health Plan](https://jobs.opennash.com/companies/universal-health-services/jobs/18ced75828b83f8f975b/) Universal Health Services · RENO, Nevada ### [Pediatric Provider (LMHC or LICSW) - Behavioral Health | Atrius Health](https://jobs.opennash.com/companies/unitedhealth-group/jobs/dfdf645d007f871f4400/) UnitedHealth Group · Medford, Massachusetts ### [Retirement Plan Consultant](https://jobs.opennash.com/companies/sentry-insurance/jobs/32d0bdf1efcb4c7db9b8/) Sentry Insurance · Denver, CO ### [Sales Director - Oncology Provider](https://jobs.opennash.com/companies/cardinal-health/jobs/903f196cbb24a85da079/) Cardinal Health · International OpenNash lists jobs from employers’ own careers sites and does not handle applications. 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