Associate Analyst, Provider Configuration

Molina Healthcare Inc; United States; On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is seeking an entry-level analyst to support provider configuration activities, maintaining accurate provider information across claims and provider databases, and validating data for contracting, network management and credentialing.

You will review data from outside parties, ensure timely updates, and help maintain data consistency across systems to support claims processing and directory services.

Qualifications

• 1 year of health care experience or equivalent.
• Strong critical-thinking and attention to detail.
• Organizational and time-management skills.
• Customer service experience.
• Excellent verbal and written communication.
• Proficient in Microsoft Office, especially Excel.

Responsibilities

• Load/update provider information from outside parties into internal systems and databases; analyze information for accuracy and timely entry.
• Maintain provider demographic data including affiliation and contract assignment.
• Audit loaded provider records for quality and financial accuracy.
• Ensure provider data is loaded accurately to support claims processing, outbound reporting and directory processes.

Skills

Critical thinking

Attention to detail

Organizational skills

Time management

Customer service

Verbal and written communication

Tools

Excel

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.

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