Analyst, Provider Configuration-SQL/Python (Remote)

Molina Healthcare; Mesa (AZ); Remote; USD 77,000 - 129,000; Full time

Job summary

A healthcare organization in Mesa, Arizona seeks a candidate responsible for maintaining provider information on claims and provider databases. The role involves auditing records for accuracy, assisting with configuration issues, and generating compliance reports. Requires an Associate degree with a preference for Bachelor's. The salary range is $77,969 - $128,519 annually.

Benefits

Competitive benefits and compensation package

Responsibilities

• Maintain critical provider information on all claims and provider databases.
• Synchronize data among multiple claims systems.
• Validate data for provider databases.

Skills

Auditing records

Configuration issues

Training staff

Generating 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.