Provider Network Management Green Card Jobs
Provider Network Management roles at health plans, managed care organizations, and hospital systems regularly qualify for EB-2 and EB-3 green card sponsorship through PERM labor certification. Employers file on behalf of credentialed professionals whose contract negotiation, network adequacy, and provider relations experience aligns with specialty occupation standards.
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Get Access To All JobsJOB SUMMARY
Provides strategy and leadership to team responsible for network operations and contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operational performance. Also responsible for negotiating complex contracts that are strategically critical to plan/product success, including but not limited to: alternative payment models (APMs), value-based payment (VBP) contracts and capitated payments for hospitals, independent physician associations (IPAs), and complex behavioral health arrangements. Establishes and maintains a distinct high-performing and adequate network of compassionate and culturally sensitive providers aligned with Molina's mission, vision and values.
ESSENTIAL JOB DUTIES
- Supports strategy development, vision and direction for the network function. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
- Develops and implements provider network and contract strategies - identifying specialties and geographic locations to concentrate resources for the purpose of establishing a sufficient network of participating providers to serve the health care needs of Molina's membership and meet established financial goals.
- Develops and maintains a market-specific provider reimbursement strategy consistent with reimbursement tolerance parameters (across multiple specialties/geographies); oversees the development of new reimbursement models, and obtains input from corporate and legal on new reimbursement models.
- Develops and maintains a system to track contract negotiation activity on an ongoing basis throughout the year; utilizes and oversees departmental training on the contract management system.
- Directs the preparation and negotiations of provider contracts and oversees negotiation of contracts in concert with established company templates and guidelines related to contracting with physicians, hospitals, and other health care providers.
- Contributes as a key member of the senior leadership team and other committees; responsible to address the strategic goals of the department and organization.
- Oversees the maintenance of all provider contract information, provider contract templates and ensure that all contracts negotiated can be configured in the QNXT system; collaborates with legal and corporate on an as needed basis to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.
- Oversees plan-specific fee schedule management.
- Develops strategies to improve EDI/MASS rates.
- Provides oversight of provider services and coordinates activities with provider associations and joint operating committee (JOC) leadership.
- Provides accountability for the delegation oversight function in the plan.
- Provides oversight of the provider network administration area including: provider information management and business analyses of contracts and benefits to support accurate configuration for claims payment.
- Oversees all provider/member problem prevention, research and resolution, and provides oversight of the provider/member appeals and grievance process.
- Coordinates with enrollment growth to ensure that Molina grows faster (profitable growth) than competitors in key provider practices.
- Hires, trains, manages and evaluates team member performance - provides coaching, development, and recognition; ensures ongoing appropriate staff training, holds regular team meetings, and drives communication and collaboration.
- Develops and sustains a high-performance team, dedicated to best in class solutions; responsible for attracting, developing and retaining top-tier talent to support strategy and long-term business objectives.
REQUIRED QUALIFICATIONS
- At least 10 years of experience in health care to include experience in provider network management/contracting, health care operations, and/or government-sponsored programs, and at least 8 years of senior level network operations experience, or equivalent combination of relevant education and experience.
- At least 5 years of management/leadership experience.
- Extensive experience in the health insurance industry.
- Track record of strong relationships with hospitals, provider groups, and independent physician associations (IPAs).
- Expert level knowledge regarding reimbursement methodologies across all lines of business (Medicaid, Medicare, Marketplace).
- Strong experience with various managed health care provider compensation methodologies.
- Excellent negotiation and relationship building capabilities.
- Ability to navigate complex regulatory environments.
- Strong data-driven decision-making skills, and analytical abilities.
- Strong organizational skills and attention to detail.
- Ability to work cross-functionally with internal/external stakeholders in a highly matrixed organization, and influence business decisions.
- Ability to manage multiple tasks and deadlines effectively.
- Strong project management skills.
- Excellent verbal and written communication skills, and ability to present at an executive level.
- Microsoft Office suite and applicable software programs proficiency.
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
PAY RANGE
- Pay Range: $140,795 - $274,550.26 / ANNUAL
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
JOB SUMMARY
Provides strategy and leadership to team responsible for network operations and contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operational performance. Also responsible for negotiating complex contracts that are strategically critical to plan/product success, including but not limited to: alternative payment models (APMs), value-based payment (VBP) contracts and capitated payments for hospitals, independent physician associations (IPAs), and complex behavioral health arrangements. Establishes and maintains a distinct high-performing and adequate network of compassionate and culturally sensitive providers aligned with Molina's mission, vision and values.
ESSENTIAL JOB DUTIES
- Supports strategy development, vision and direction for the network function. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
- Develops and implements provider network and contract strategies - identifying specialties and geographic locations to concentrate resources for the purpose of establishing a sufficient network of participating providers to serve the health care needs of Molina's membership and meet established financial goals.
- Develops and maintains a market-specific provider reimbursement strategy consistent with reimbursement tolerance parameters (across multiple specialties/geographies); oversees the development of new reimbursement models, and obtains input from corporate and legal on new reimbursement models.
- Develops and maintains a system to track contract negotiation activity on an ongoing basis throughout the year; utilizes and oversees departmental training on the contract management system.
- Directs the preparation and negotiations of provider contracts and oversees negotiation of contracts in concert with established company templates and guidelines related to contracting with physicians, hospitals, and other health care providers.
- Contributes as a key member of the senior leadership team and other committees; responsible to address the strategic goals of the department and organization.
- Oversees the maintenance of all provider contract information, provider contract templates and ensure that all contracts negotiated can be configured in the QNXT system; collaborates with legal and corporate on an as needed basis to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.
- Oversees plan-specific fee schedule management.
- Develops strategies to improve EDI/MASS rates.
- Provides oversight of provider services and coordinates activities with provider associations and joint operating committee (JOC) leadership.
- Provides accountability for the delegation oversight function in the plan.
- Provides oversight of the provider network administration area including: provider information management and business analyses of contracts and benefits to support accurate configuration for claims payment.
- Oversees all provider/member problem prevention, research and resolution, and provides oversight of the provider/member appeals and grievance process.
- Coordinates with enrollment growth to ensure that Molina grows faster (profitable growth) than competitors in key provider practices.
- Hires, trains, manages and evaluates team member performance - provides coaching, development, and recognition; ensures ongoing appropriate staff training, holds regular team meetings, and drives communication and collaboration.
- Develops and sustains a high-performance team, dedicated to best in class solutions; responsible for attracting, developing and retaining top-tier talent to support strategy and long-term business objectives.
REQUIRED QUALIFICATIONS
- At least 10 years of experience in health care to include experience in provider network management/contracting, health care operations, and/or government-sponsored programs, and at least 8 years of senior level network operations experience, or equivalent combination of relevant education and experience.
- At least 5 years of management/leadership experience.
- Extensive experience in the health insurance industry.
- Track record of strong relationships with hospitals, provider groups, and independent physician associations (IPAs).
- Expert level knowledge regarding reimbursement methodologies across all lines of business (Medicaid, Medicare, Marketplace).
- Strong experience with various managed health care provider compensation methodologies.
- Excellent negotiation and relationship building capabilities.
- Ability to navigate complex regulatory environments.
- Strong data-driven decision-making skills, and analytical abilities.
- Strong organizational skills and attention to detail.
- Ability to work cross-functionally with internal/external stakeholders in a highly matrixed organization, and influence business decisions.
- Ability to manage multiple tasks and deadlines effectively.
- Strong project management skills.
- Excellent verbal and written communication skills, and ability to present at an executive level.
- Microsoft Office suite and applicable software programs proficiency.
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
PAY RANGE
- Pay Range: $140,795 - $274,550.26 / ANNUAL
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Get Access To All JobsTips for Finding Green Card Sponsorship in Provider Network Management
Document your credentialing and network analytics work
PERM requires your employer to define a specific minimum requirement for the role. Compile evidence that your provider contracting, network adequacy analysis, or value-based care experience directly informed that requirement, not just your daily duties.
Target managed care organizations with PERM filing history
Large regional health plans and national managed care organizations file PERM petitions far more frequently than small physician groups. Search OFLC disclosure data to confirm whether a prospective employer has sponsored provider network roles before.
Use Migrate Mate to filter green card sponsoring employers
Search Migrate Mate by role type and sponsorship history to surface health plan and managed care employers actively filing EB-2 or EB-3 petitions for Provider Network Management positions, saving weeks of manual research.
Verify your role qualifies as a specialty occupation
USCIS evaluates whether the position normally requires at least a bachelor's degree in a specific field. Reference the O*NET profile for Healthcare Network Managers to confirm the degree and field alignment your employer will need to document.
Negotiate PERM sponsorship terms before accepting an offer
Ask directly whether the employer will cover attorney fees and whether they use premium processing for the I-140. Misaligned expectations here cause most sponsorship breakdowns after onboarding, not during the interview stage.
Understand the PERM supervised recruitment timeline
DOL requires employers to complete a specific recruitment process before filing PERM, which typically spans 60 to 90 days. Starting a new role and expecting immediate filing is unrealistic; most employers begin PERM no earlier than six months after your hire date.
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Find Provider Network Management JobsProvider Network Management Green Card Sponsorship: Frequently Asked Questions
Do Provider Network Management roles qualify for EB-2 or EB-3 green card sponsorship?
Both categories are available depending on the role's defined requirements and your credentials. EB-2 applies when the position requires an advanced degree or your employer documents an advanced-degree justification. EB-3 covers roles requiring at least a bachelor's degree. Most health plan and managed care employers sponsor provider network professionals under EB-3, with EB-2 reserved for senior or analytics-heavy positions.
How does PERM green card sponsorship differ from H-1B sponsorship for this role?
PERM leads to permanent residency, not a temporary work authorization period. There is no lottery, and EB-3 has no annual cap that would prevent your employer from filing. The tradeoff is timeline: PERM labor certification, I-140, and adjustment of status typically takes two to four years for most countries, compared to H-1B approval in a few months. The permanence makes PERM the stronger long-term path.
What credentials strengthen a PERM petition for a Provider Network Management role?
A bachelor's degree in healthcare administration, public health, business, or a related field is the baseline. Certifications such as Certified Provider Credentialing Specialist or Certified Managed Care Professional add weight to EB-2 arguments. Your employer must document that the role genuinely requires these credentials, so roles tied to network adequacy reporting, CMS compliance, or value-based contract negotiation tend to support stronger petitions.
How can I find employers in Provider Network Management that sponsor green cards?
Migrate Mate lets you search specifically for Provider Network Management roles at employers with active EB-2 and EB-3 sponsorship history, filtering out positions where sponsorship is unlikely. This is more reliable than inferring sponsorship willingness from job postings alone, since most postings in this field don't disclose green card intent upfront.
Can my employer file PERM while I'm working on an H-1B in the same role?
Yes. Concurrent H-1B status and an active PERM filing is the standard path for most sponsored professionals in healthcare management. Your employer files PERM while you maintain H-1B authorization, then files I-140 after PERM certification. USCIS allows you to extend H-1B status beyond the standard six-year cap once your I-140 is approved and your priority date is within one year of becoming current.
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