Analyst, Provider Configuration-SQL/Python (Remote)

Molina Healthcare; Everett (WA); Remote; USD 77,000 - 129,000; Full time

Job summary

A leading healthcare organization is seeking a candidate for maintaining critical provider information on various claims databases. Responsibilities include auditing, synchronizing data among systems, and ensuring compliance with regulatory standards. An associate degree is required, while a bachelor's degree is preferred. The role offers a competitive salary ranging from $77,969 to $128,519 annually based on experience and location.

Benefits

Competitive benefits and compensation package

Responsibilities

• Maintain critical provider information on claims and provider databases.
• Synchronize data among multiple claims systems according to business rules.
• Audit provider records for quality and financial accuracy.

Skills

Auditing provider records

Configuration issues assistance

Staff training

Generating compliance reports

Reporting for provider services

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.