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Senior Analyst, Provider Configuration
Molina HealthcareAZ, United States; Arizona; Georgia; Ann Arbor, Michigan; Bowling Green, Kentucky; Phoenix, Arizona; Meridian, Idaho; Louisville, Kentucky; Cedar Rapids, Iowa; Rochester, New York; Miami, Florida; Grand Island, Nebraska; Scottsdale, Arizona; Wisconsin; Kentucky; Davenport, Iowa; Fort Worth, Texas; Columbus, Georgia; Utah; Augusta, Georgia; Detroit, Michigan; Everett, Washington; Albany, New York; Bellevue, Washington; Green Bay, Wisconsin; Omaha, Nebraska; Orem, Utah; Buffalo, New York; Mesa, Arizona; Cincinnati, Ohio; Des Moines, Iowa; Florida; Atlanta, Georgia; Macon, Georgia; Austin, Texas; Vancouver, Washington; Owensboro, Kentucky; Savannah, Georgia; Ohio; Nampa, Idaho; Covington, Kentucky; Akron, Ohio; Santa Fe, New Mexico; Chandler, Arizona; Kenosha, Wisconsin; Nebraska; Yonkers, New York; Houston, Texas; Boise, Idaho; Tacoma, Washington; Dayton, Ohio; Cleveland, Ohio; Madison, Wisconsin; Lexington-Fayette, Kentucky; Sterling Heights, Michigan; Orlando, Florida; Racine, Wisconsin; Grand Rapids, Michigan; Columbus, Ohio; Tucson, Arizona; Roswell, New Mexico; Iowa; Washington; Idaho Falls, Idaho; Provo, Utah; West Valley City, Utah; New York; Michigan; New Mexico; Sioux City, Iowa; St. Petersburg, Florida; Jacksonville, Florida; Layton, Utah; Syracuse, New York; Warren, Michigan; Kearney, Nebraska; Spokane, Washington; Milwaukee, Wisconsin; Texas; Bellevue, Nebraska; Caldwell, Idaho; Idaho; Lincoln, Nebraska; Iowa City, Iowa; San Antonio, Texas; Albuquerque, New Mexico; Las Cruces, New Mexico; Salt Lake City, Utah; Dallas, Texas; Tampa, Florida; Rio Rancho, New Mexico Job ID 2034189
JOB DESCRIPTION
Job Summary
Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information (using SQL, PowerBI, and Excel) 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
- Generates data to support continuous quality of provider data and developing SOPs and/or BRDs.
- Develops and maintains documentation and guidelines for all assigned areas of responsibility.
- Assists with development of configuration standards and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality.
- Assists in planning and coordination of the claim payment system upgrades and releases, including development and execution of some test plans.
- Participates in the implementation and conversion of new and existing health plans.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
5-7 years Healthcare analytical experience
Preferred Education
Graduate Degree or equivalent combination of education and experience
Preferred Experience
7-9 years healthcare analytical experience
SQL, PowerBI, and Excel
QNXT
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 - $141,371 / 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 10/22/2025Job Alerts
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