Associate Analyst, Provider Configuration

Molina Healthcare; Long Beach (CA); Remote; USD 40,000 - 60,000; Full time

Job summary

A leading healthcare company is seeking a detail-oriented candidate for a role focused on the maintenance and accuracy of provider information. The position involves data management tasks critical for claims processing, requiring attention to detail and the ability to analyze information. Candidates with a high school diploma or GED and 0-3 years of experience are encouraged to apply.

Benefits

Competitive benefits and compensation package

Qualifications

• Ability to analyze information and apply knowledge for accuracy.
• Experience maintaining provider demographic data.
• 0-3 years of relevant experience required.

Responsibilities

• Maintain critical provider information on all claims and provider databases.
• Audit loaded provider records for quality and financial accuracy.
• Ensure proper claims processing by accurately loading provider data.

Skills

Data analysis

Attention to detail

Data management

Education

HS Diploma or GED

Associate degree or equivalent

Job description

***Remote and must live in the United States***

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

• Receives information from outside party(ies) for update of information in computer system(s). Analyzes by applying knowledge and experience to ensure appropriate information has been provided.
• Maintains department standard for loading of provider demographic data with affiliation and contract assignment.
• Load and maintain provider information into computer system(s) with attention to detail and accuracy in a timely manner to meet department standards of turnaround time and quality.
• Audit loaded provider records for quality and financial accuracy and provide documented feedback.
• Ensure that provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes.

JOB QUALIFICATIONS

Required Education

HS Diploma or GED

Required Experience

0-3 years

Preferred Education

Associate degree or equivalent combination of education and experience

Preferred Experience

1-3 years

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