Provider Services Team
Molina’s Provider Services Department supports multiple functions with network development. Our Provider Services staff serves as a liaison between the health plan and the provider community. This includes evaluation of the provider network, and compliance with regulatory network capacity standards. Our staff is responsible for provider training, education and coaching. Provider Services Reps territory assignment is based on providers servicing zip codes and or centralized billing office. Our Provider Contact center representatives are available by phone at (833) 685-2103.
- Provider education, training & coaching.
- Changes to provider demographics.
- Provide onsite visits and assessments.
- Provide support on Medicaid policies and procedures.
- Educate provider on compliance in respond to member's complaint from grievance and appeals.
- Assist having the provider directory updated.
Meet the Team
Provider Service Reps (PSR) are assigned to our In-network providers by servicing zip code. Providers with multiple locations (large health systems and large groups) are assigned a PSR based on the zip code of their centralized billing location.
Please use the zip code list below to identify the Provider Services Representative and their direct contact information.
Note: Assignments are subjected to change based on network growth and staffing changes. All updates will be posted to our Molina Healthcare website as they occur.
If you have additional questions pertaining to PSR assignment please contact our Provider Service Department via email NVProviderRelations@MolinaHealthcare.com
Provider Services Rep. | Zip Codes | Contact Info |
---|---|---|
Nicole Spaight | Clark County 89044, 89052, 89054, 89101, 89107, 89108, 89115, 89114, 89128, 89129, 89130, 89131, 89139, 89141, 89161, 89178, 89179, 89183. |
(702) 239-6982 Nicole.Spaight@molinahealthcare.com |
Melvin Goree |
Clark County |
(702) 218-0498 Melvin.Goree@molinahealthcare.com
|
LaDonna Washington | Clark County 89048, 89049, 89102, 89103, 89104, 89105, 89106, 89109, 89110, 89112, 89116, 89121, 89135, 89142, 89146, 89158. |
(702) 232-7555 LaDonna.Washington@molinahealthcare.com |
Paris Graham | Clark County 89002, 89005, 89011, 89020, 89029, 89031, 89032, 89060, 89074, 89081, 89084, 89085, 89086, 89087, 89117, 89133, 89134, 89138, 89143, 89144, 89145. 89147, 89149, 89165, 89166, 89167, 89169. |
(725) 270-0703
|
Brittany Lloyd | Washoe County 89402, 89403, 89406, 89408, 89423, 89431, 89433, 89440, 89442, 89447, 89451, 89501, 89502, 89503, 89504, 89505, 89506, 89507, 89510, 89511, 89512, 89513, 89515, 89520, 89521, 89704. |
(775) 530-9457 Brittany.Lloyd@molinahealthcare.com |
Tyler Ranville | Washoe County 89405, 89410, 89412, 89424, 89429, 89432, 89434, 89435, 89436, 89439, 89445, 89450, 89452, 89508, 89509, 89519, 89523, 89533, 89555, 89557, 89570, 89595, 89599, 89701, 89702, 89703, 89706, 89801, 89825, 89883. |
(775) 484-0393 Tyler.Ranville@molinahealthcare.com |