Analyst, Provider Configuration-SQL/Python (Remote)

Molina Healthcare; Ann Arbor (MI); Remote; USD 77,000 - 129,000; Full time

Job summary

A healthcare provider in Ann Arbor is seeking an individual responsible for maintaining accurate provider information across claims databases. The role involves auditing provider records and assisting in data configuration issues. Candidates should have an associate degree or higher, with skills in SQL and Python. The salary range is competitive, reflecting experience and education.

Qualifications

• Associate degree or equivalent combination of education and experience.
• Bachelor's Degree or equivalent combination of education and experience is preferred.

Responsibilities

• Responsible for accurate maintenance of provider information on claims databases.
• Synchronizes data among multiple claims systems.
• Validates data for provider databases according to business rules.

Skills

Auditing records

Configuration assistance

Training staff

Generating compliance reports

QNXT

SQL-Advanced

Python

Education

Associate degree or equivalent

Bachelor's degree or equivalent

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.

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.
• QNXT
• SQL-Advanced
• Python

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.