Associate Analyst, Provider Configuration

Molina Healthcare; United States; On-site; USD 22,000 - 48,000; Full time

Job summary

Molina Healthcare is seeking an entry-level Analyst to support provider configuration activities, including accurate maintenance of provider information across claims and provider databases. The role emphasizes data synchronization and validation to support contracting, network management and credentialing.

As part of an extensive training program, you will participate in a three-week paid training on QNXT followed by state-specific training, and you will load data manually and through

Qualifications

• At least 1 year of health care experience preferred, in a customer/provider services setting.
• Critical-thinking skills and attention to detail.
• Organizational and time-management skills; ability to manage multiple tasks to meet deadlines.
• Customer service experience.
• Effective verbal and written communication skills.
• Proficiency with Microsoft Office suite (including Excel) and related software.

Responsibilities

• Receives provider information from outside parties for loading/updating in internal systems; ensures timely and accurate entry per standards.
• Maintains provider demographic data including affiliations and contract assignments.
• Audits loaded provider records for quality and financial accuracy, providing documented feedback.
• Ensures provider information is loaded accurately to support claims processing, outbound reporting, and directory updates.

Skills

Critical-thinking

Attention to detail

Organizational skills

Time-management

Customer service

Verbal and written communication

Microsoft Excel

Tools

Microsoft Office

Job description

JOB DESCRIPTION Job Summary

Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data within multiple claims systems and validates data stored within provider databases - ensuring adherence to business and system requirements as it pertains to contracting, network management and credentialing.

This is a production and quality-based role. An Associate Analysts loads provider data manually and through automation tools into the QNXT provider module. We do have tracking and auditing tools to track and assist team members through the loading process.

We have an extensive three-week paid training session with a training team to learn QNXT followed by additional state specific training.

Essential Job Duties

• Receives provider information from outside parties for loading/update in internal computer systems and databases; analyzes information and applies knowledge, experience, attention to detail and accuracy to ensure appropriate information has been provided and entry is completed timely and accordance with department standards related to turnaround times and quality.

• Maintains department standard for loading provider demographic data including affiliation and contract assignment.

• Audits loaded provider records for quality and financial accuracy, and provides documented feedback.

• Ensures that provider information is loaded accurately to ensure proper claims processing, outbound reporting and directory processes.

Required Qualifications

• At least 1 year of experience in health care, preferably in a customer/provider services setting, or equivalent combination of relevant education and experience.

• Critical-thinking skills, and attention to detail.

• Organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.

• Customer service experience.

• Effective verbal and written communication skills.

• Microsoft Office suite (including Excel) and applicable software program(s) proficiency.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $16.23 - $35.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.