Analyst, Provider Configuration-SQL/Python (Remote)

Molina Healthcare; Lincoln (NE); Remote; USD 77,000 - 129,000; Full time

Job summary

A healthcare provider organization in Lincoln, Nebraska is seeking a team member responsible for maintaining critical provider information in claims databases. The ideal candidate will have skills in auditing, SQL, and Python. An Associate degree is required, with a preference for a Bachelor's degree. The position offers a competitive salary range of $77,969 - $128,519 annually.

Qualifications

• Requires an Associate degree or equivalent combination of education and experience.
• Preferred Bachelor's Degree or equivalent.
• Experience in auditing and data quality management.

Responsibilities

• Maintain and synchronize critical provider information on claims databases.
• Audit provider records for quality and financial accuracy.
• Assist in training staff on provider information processes.

Skills

Auditing provider records

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.