Senior Level Primary Care Provider Jobs
Senior level primary care provider jobs place experienced clinicians in charge of complex patient panels, clinical decision-making, and often the mentorship of junior providers within a practice or health system. Openings concentrate across Healthcare & Medical Services, Education, and Sports & Recreation, with on-site, hybrid, and remote positions available from employers like UiPath, Turquoise, and ePlus hiring at this level now.
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JOB DESCRIPTION
***Employee for this role must reside in Michigan***
Job Summary
Leads and manages team responsible for health plan provider network contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operational performance. Responsible for negotiating complex contracts that are strategically critical to plan 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.
Essential Job Duties
- Oversees the plan’s provider contracting function; collaborates with other operational departments and functional business unit stakeholders on various provider contracting activities.
- Negotiates contracts with the complex provider community that result in high quality, cost-effective and marketable providers.
- Contracts/re-contracts with large-scale entities involving custom reimbursement.
- Executes and oversees non-standard contracts.
- Issues escalations and supports network adequacy, joint operating committees (JOCs), and delegation oversight.
- In conjunction with contracting leadership, develops health plan-specific provider contracting strategies including VBP; includes 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 the plan's members, in addition to identifying VBP provider targets to meet Molina goals.
- Assists in achieving annual savings through recontracting initiatives; implements cost-control initiatives to positively influence the medical cost ratio (MCR) in each contracted region.
- Prepares the provider contracts in concert with established company guidelines with physicians, hospitals, managed long-term services and supports (MLTSS) and other health care providers.
- Utilizes established reimbursement tolerance parameters (across multiple specialties/ geographies), and oversees the development of new reimbursement models.
- Oversees the maintenance of all provider and payer contract templates; collaborates with legal and corporate network management on an as needed basis to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.
- Ensures compliance with applicable provider panel and network capacity, adequacy requirements and guidelines; produces and monitors weekly/monthly reports to track and monitor compliance with network adequacy requirements.
- Develops and implements strategies to minimize the company’s financial exposure; monitors and adjusts strategy implementation as needed to achieve desire goals and reduce minimize the company’s financial exposure.
- Advises network provider contract specialists on negotiation of individual provider and routine ancillary contracts.
- 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 management, legal and senior level engagement as required.
- Educates internal customers on provider contracts.
- Participates on the management team and other committees addressing the strategic goals of the department and organization.
- 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.
Required Qualifications
- At least 7 years of experience in network contracting with large specialty or multispecialty provider groups, and at least 4 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.
- At least 1 year of management/leadership experience.
- Experience 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.
- Strong negotiation and relationship building capabilities.
- Ability to navigate complex regulatory environments.
- Strong organizational skills and attention to detail.
- Data-driven decision-making skills, and analytical abilities.
- Ability to work cross-functionally with internal/external stakeholders in a highly matrixed organization.
- Strong ability to manage multiple tasks and deadlines effectively.
- Strong verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
- Experience negotiating alternative payment models (APMs).
- Experience with Medicaid, Medicare, and Marketplace government-sponsored programs.
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: $80,412 - $156,803 / ANNUAL
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
JOB DESCRIPTION
***Employee for this role must reside in Michigan***
Job Summary
Leads and manages team responsible for health plan provider network contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operational performance. Responsible for negotiating complex contracts that are strategically critical to plan 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.
Essential Job Duties
- Oversees the plan’s provider contracting function; collaborates with other operational departments and functional business unit stakeholders on various provider contracting activities.
- Negotiates contracts with the complex provider community that result in high quality, cost-effective and marketable providers.
- Contracts/re-contracts with large-scale entities involving custom reimbursement.
- Executes and oversees non-standard contracts.
- Issues escalations and supports network adequacy, joint operating committees (JOCs), and delegation oversight.
- In conjunction with contracting leadership, develops health plan-specific provider contracting strategies including VBP; includes 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 the plan's members, in addition to identifying VBP provider targets to meet Molina goals.
- Assists in achieving annual savings through recontracting initiatives; implements cost-control initiatives to positively influence the medical cost ratio (MCR) in each contracted region.
- Prepares the provider contracts in concert with established company guidelines with physicians, hospitals, managed long-term services and supports (MLTSS) and other health care providers.
- Utilizes established reimbursement tolerance parameters (across multiple specialties/ geographies), and oversees the development of new reimbursement models.
- Oversees the maintenance of all provider and payer contract templates; collaborates with legal and corporate network management on an as needed basis to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.
- Ensures compliance with applicable provider panel and network capacity, adequacy requirements and guidelines; produces and monitors weekly/monthly reports to track and monitor compliance with network adequacy requirements.
- Develops and implements strategies to minimize the company’s financial exposure; monitors and adjusts strategy implementation as needed to achieve desire goals and reduce minimize the company’s financial exposure.
- Advises network provider contract specialists on negotiation of individual provider and routine ancillary contracts.
- 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 management, legal and senior level engagement as required.
- Educates internal customers on provider contracts.
- Participates on the management team and other committees addressing the strategic goals of the department and organization.
- 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.
Required Qualifications
- At least 7 years of experience in network contracting with large specialty or multispecialty provider groups, and at least 4 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.
- At least 1 year of management/leadership experience.
- Experience 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.
- Strong negotiation and relationship building capabilities.
- Ability to navigate complex regulatory environments.
- Strong organizational skills and attention to detail.
- Data-driven decision-making skills, and analytical abilities.
- Ability to work cross-functionally with internal/external stakeholders in a highly matrixed organization.
- Strong ability to manage multiple tasks and deadlines effectively.
- Strong verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
- Experience negotiating alternative payment models (APMs).
- Experience with Medicaid, Medicare, and Marketplace government-sponsored programs.
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: $80,412 - $156,803 / ANNUAL
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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- Healthcare & Medical Services
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Senior Level Primary Care Provider Jobs: Frequently Asked Questions
How do I get a senior level primary care provider job?
Employers hiring at this level look for clinicians who have built independent, complex patient panels and can demonstrate ownership of clinical outcomes rather than just task completion. Board certification in your specialty, a history of leading quality improvement initiatives, and experience supervising or mentoring mid-level providers all strengthen a candidacy. Highlighting specific outcomes, such as improved patient retention or reduced readmissions, signals the depth these roles require.
Which companies hire senior level primary care providers?
Companies hiring senior level primary care providers right now include UiPath, Turquoise, and ePlus, based on current listings on Migrate Mate as of November 2026. At this experience level, hiring tends to come from large integrated health systems, multispecialty medical groups, federally qualified health centers, and direct-to-employer clinical programs seeking providers who can operate autonomously and take on leadership responsibilities.
Are there remote senior level primary care provider jobs?
Yes, though most primary care roles remain on-site or hybrid due to hands-on patient care requirements. About 45% of senior level primary care provider openings are remote or hybrid as of November 2026, with remote positions typically focused on telehealth panels, chronic disease management, or population health programs where in-person visits are supplemented by virtual care.
What makes a primary care provider role senior level?
Senior level primary care provider roles are defined by clinical autonomy, complexity of patient population, and responsibility beyond individual patient encounters. These positions involve leading quality or safety initiatives, supervising advanced practice providers or residents, contributing to protocol development, and serving as a clinical resource for the broader care team. The expectation is that you set the standard, not follow it.
Which industries hire the most senior level primary care providers?
Senior Level primary care provider roles concentrate in Healthcare & Medical Services, Education, and Sports & Recreation, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at this level because they operate at scale, manage complex or underserved patient populations, and need experienced clinicians who can provide both high-volume care and organizational leadership without close supervision.