Analyst Provider Configuration

Molina Healthcare; Remote; USD 49,000 - 108,000; Full time

Job summary

A healthcare provider in California is seeking a qualified candidate to ensure the accurate and timely maintenance of provider information across various claims databases. The role involves auditing provider records, generating compliance reports, and assisting with complex configuration issues. Candidates should possess at least 2 years of healthcare experience, strong organizational and critical-thinking skills, and proficiency in Microsoft Office, particularly Excel. This position offers competitive compensation based on experience and location.

Benefits

Competitive benefits package

Equal Opportunity Employer policies

Qualifications

• At least 2 years of experience in health care, preferably in a customer/provider services setting.
• Strong critical-thinking and attention to detail.
• Ability to manage simultaneous projects and meet internal deadlines.
• Demonstrated customer service experience.
• Effective verbal and written communication skills.
• Proficiency in Microsoft Office suite.

Responsibilities

• Audit provider records for quality and financial accuracy.
• Assist in complex configuration issues and loading of provider information.
• Generate network-related compliance and regulatory reports.
• Create provider-related reports for support and research.

Skills

Critical-thinking skills

Attention to detail

Organizational skills

Time-management skills

Customer service experience

Effective verbal communication

Effective written communication

Microsoft Office proficiency

Education

2 years of experience in health care or equivalent education

Tools

Microsoft Excel

Applicable software programs

Job 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.

Essential Job Duties

• Audits loaded provider records for quality and financial accuracy, and provides documented feedback.
• Assists in complex configuration issues and loading of provider information.
• Generates and distributes network-related compliance, regulatory and accreditation reports.
• Generates provider-related reports to facilitate and support provider services and provider issue research and resolution.

Required Qualifications

• At least 2 years of experience in health care, preferably in a customer/provider services setting, or equivalent combination of relevant education and experience.
• Critical‑thinking skills, and attention to detail.
• 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 (including Excel) and applicable software program(s) proficiency.

Preferred Qualifications

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: $49,430.25 - $107,098.87 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.