Analyst, Provider Configuration - Claims/QNXT - Remote
Molina Healthcare Arizona; Warren, Michigan; Las Cruces, New Mexico; Santa Fe, New Mexico; Roswell, New Mexico; Yonkers, New York; Akron, Ohio; Austin, Texas; Spokane, Washington; Kenosha, Wisconsin; Milwaukee, Wisconsin; Wisconsin; Green Bay, Wisconsin; Miami, Florida; Georgia; Augusta, Georgia; Owensboro, Kentucky; Grand Rapids, Michigan; Ann Arbor, Michigan; Nebraska; Omaha, Nebraska; Albuquerque, New Mexico; Dayton, Ohio; Cleveland, Ohio; Cincinnati, Ohio; Utah; West Valley City, Utah; Scottsdale, Arizona; Columbus, Georgia; Houston, Texas; Texas; Florida; Savannah, Georgia; Idaho; Caldwell, Idaho; Covington, Kentucky; Grand Island, Nebraska; Rio Rancho, New Mexico; Rochester, New York; Syracuse, New York; Buffalo, New York; Dallas, Texas; Washington; Cedar Rapids, Iowa; Kentucky; Seattle, Washington; Madison, Wisconsin; Racine, Wisconsin; Chandler, Arizona; Des Moines, Iowa; Meridian, Idaho; Nampa, Idaho; Bowling Green, Kentucky; Louisville, Kentucky; Lexington-Fayette, Kentucky; Michigan; Lincoln, Nebraska; Kearney, Nebraska; Provo, Utah; Bellevue, Washington; Phoenix, Arizona; St. Petersburg, Florida; Iowa; Iowa City, Iowa; Sioux City, Iowa; Idaho Falls, Idaho; Sterling Heights, Michigan; Detroit, Michigan; New York; New York, New York; Ohio; Columbus, Ohio; San Antonio, Texas; Orem, Utah; Vancouver, Washington; Tucson, Arizona; Orlando, Florida; Tampa, Florida; Macon, Georgia; Davenport, Iowa; Boise, Idaho; Bellevue, Nebraska; New Mexico; Fort Worth, Texas; Layton, Utah; Salt Lake City, Utah; Tacoma, Washington; Mesa, Arizona; Jacksonville, Florida; Atlanta, Georgia Job ID 2030503JOB DESCRIPTION
Job Summary
Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
KNOWLEDGE/SKILLS/ABILITIES
- Audits loaded provider records for quality and financial accuracy and provides documented feedback.
- Assists in configuration issues and loading of provider information, as needed.
- Assists in training current staff and new hires as necessary.
- Generates and distributes Network Related Compliance/Regulatory/Accreditation reports.
- Generates Provider Related reports to facilitate and support Provider Services/Provider Problem Research & Resolution.
JOB QUALIFICATIONS
Required Education
Associate degree or equivalent combination of education and experience
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $128,519 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 02/27/2025ABOUT OUR LOCATION
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