Associate Analyst, Provider Configuration

Molina Talent Acquisition; United States; On-site; USD 42,000 - 54,000; Full time

Job summary

Molina Healthcare is seeking an entry-level analyst to support provider configuration activities, ensuring accurate maintenance of provider information across claims and databases. You will synchronize data across systems and validate data to meet contracting, network management and credentialing requirements.

Responsibilities include loading provider data from external sources, auditing records for quality and financial accuracy, and ensuring correct data flow for claims processing and

Qualifications

• At least 1 year of health care experience.
• Strong critical-thinking and attention to detail.
• Organizational and time-management skills.
• Customer service experience.
• Effective verbal and written communication.
• Proficiency in Microsoft Office, including Excel.

Responsibilities

• Receive provider information from external parties for loading/updating in internal systems.
• Load provider demographic data including affiliation and contract assignment.
• Audit loaded provider records for quality and financial accuracy, with documented feedback.
• Ensure provider information is loaded accurately for claims processing, outbound reporting and directory processes.

Skills

Critical thinking

Organizational skills

Time management

Customer service

Communication

Tools

Microsoft Office

Excel

Job description

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.

Preferred Qualifications

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