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Director, Provider Data Management
Molina Healthcare Lexington-Fayette, Kentucky; Lincoln, Nebraska; Sioux City, Iowa; Iowa City, Iowa; Phoenix, Arizona; Cleveland, Ohio; Albuquerque, New Mexico; Syracuse, New York; Madison, Wisconsin; Las Cruces, New Mexico; Des Moines, Iowa; Yonkers, New York; Milwaukee, Wisconsin; Akron, Ohio; Georgia; Wisconsin; Rio Rancho, New Mexico; Cedar Rapids, Iowa; Rochester, New York; Atlanta, Georgia; Idaho Falls, Idaho; Vancouver, Washington; Austin, Texas; Buffalo, New York; Sterling Heights, Michigan; Nampa, Idaho; San Antonio, Texas; Orem, Utah; Santa Fe, New Mexico; Iowa; Kenosha, Wisconsin; Tucson, Arizona; Augusta, Georgia; Orlando, Florida; Macon, Georgia; Provo, Utah; Everett, Washington; Warren, Michigan; West Valley City, Utah; St. Petersburg, Florida; Bowling Green, Kentucky; New Mexico; Utah; Washington; Fort Worth, Texas; Scottsdale, Arizona; Caldwell, Idaho; Salt Lake City, Utah; Dallas, Texas; Savannah, Georgia; Texas; Florida; Michigan; Columbus, Georgia; Albany, New York; Covington, Kentucky; Green Bay, Wisconsin; Omaha, Nebraska; Davenport, Iowa; Chandler, Arizona; Louisville, Kentucky; Bellevue, Washington; Grand Rapids, Michigan; Meridian, Idaho; Ann Arbor, Michigan; Dayton, Ohio; Jacksonville, Florida; Idaho; Kentucky; Cincinnati, Ohio; Roswell, New Mexico; Kearney, Nebraska; Miami, Florida; Detroit, Michigan; Bellevue, Nebraska; Owensboro, Kentucky; Boise, Idaho; Tacoma, Washington; Racine, Wisconsin; Layton, Utah; Nebraska; New York; Ohio; Mesa, Arizona; Tampa, Florida; Columbus, Ohio; Grand Island, Nebraska; Houston, Texas; Spokane, Washington Job ID 2033968Job Description
Job Summary
The Network Solutions Director is responsible for leading a team designing and executing new solutions. The position requires the ability to lead a diverse team of technical experts and business analysts. The Solutions Director will interface with IT and business leaders to enable enterprise wide capabilities. 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
- Strategically plans, leads, and manages the overall Provider Information process functions.
- Partner with stakeholders to creatively design solutions utilizing provider data such as the Provider Online Directory, Utilization Management, Customer Experience, Enrollment, and Claims Payment and Processing.
- Develop and enforce operating procedures for accurate and timely end to end solution delivery.
- Continuously evolve analytics program to measure effectiveness of current state solutions and identify opportunities for improvement
- Lead engagement model with business stakeholders to shape solution design and delivery throughout delivery timeline.
- Create presentation materials for executive leaders on conceptual and finalized design models
- Supports critical business strategies by providing systematic solutions and or recommendations on business processes.
Engages with IT and other departments to implement changes to business processes and systems for Corporate Operations PMO.
Job Qualifications
Required Education
Graduate Degree or equivalent combination of education and experience
Required Experience
7-9 years Provider Data
Preferred Education
Graduate Degree or equivalent combination of education and experience
Preferred Experience
10+ years Provider Data
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: $97,299 - $227,679 / 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 10/06/2025Job Alerts
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