Job Information
Molina Healthcare Senior Analyst, Provider Configuration (Remote) in United States
JOB DESCRIPTION Job Summary
Provides senior level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data within multiple claims systems and validates data stored within provider databases - ensuring adherence to business and system requirements as it pertains to contracting, network management and credentialing.
Essential Job Duties
• Analyses, reviews, and audits provider data for quality and accuracy in systems/databases.
• Develops standard operating procedures (SOPs) and/or business requirement documents (BRDs) related to provider configuration.
• Assists with development of configuration standards and best practices, and recommends processes to ensure systems are working efficiently and assessed for continuous improvement/quality.
• Assists in planning and coordination of claims payment system upgrades and releases, including development and execution of test plans.
• Participates in the implementation and conversion of new and existing health plans.
Required Qualifications
At least 4 years of experience in health care, preferably in a customer/provider services setting, or equivalent combination of relevant education and experience.
Strong critical-thinking skills, and attention to detail.
Strong organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
Customer service experience.
Effective verbal and written communication skills.
Microsoft Office suite proficiency (including Excel) and applicable software program(s) experience.
Preferred Qualifications
Healthcare application experience (even if not QNXT, just being familiar with member/provider modules, claims, etc)
Experience with creating/documenting process changes (Visio)
Flexible in priorities changing
Self-starter, minimal direction
Word/Powerpoint/excel/visio savvy
Comfortable presenting at Executive Level
Comfortable leading projects
Some SQL knowledge
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: $54,373.27 - $117,808.76 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.