Analyst, Provider Configuration-SQL/Python (Remote)

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

Job summary

A leading healthcare company is seeking an individual responsible for maintaining accurate provider information across claims databases. The ideal candidate will have strong auditing skills, experience with SQL, and familiarity with QNXT. This role includes generating compliance reports and supporting provider services. Competitive salary between $77,969 and $128,519 annually based on experience and education.

Benefits

Competitive benefits and compensation package

Qualifications

• Associate degree or equivalent education/experience required.
• Bachelor's Degree or equivalent education/experience preferred.

Responsibilities

• Maintain and synchronize provider information across multiple claim systems.
• Audit provider records for quality and financial accuracy.
• Generate compliance and regulatory reports.

Skills

Auditing provider records

QNXT

SQL-Advanced

Python

Education

Associate degree

Bachelor's Degree

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.