Associate Analyst, Provider Configuration (Remote)

Molina Healthcare; Houston (TX); Remote; USD 80,000 - 100,000; Full time

Job summary

A healthcare organization in Houston, Texas is seeking a Data Management Specialist responsible for the accurate maintenance of critical provider information across claims and provider databases. The ideal candidate will ensure data integrity and synchronization among systems while adhering to business rules. An HS Diploma or GED is required; an Associate degree is preferred. This role offers competitive pay ranging from $21.16 to $42.20 per hour.

Qualifications

• Responsible for maintenance of critical provider information on claims databases.
• Must ensure accuracy in data loading and adherence to business rules.
• Experience with provider demographic data management preferred.

Responsibilities

• Validate and load provider information into computer systems.
• Audit loaded provider records for accuracy and quality.
• Synchronize data among multiple claims systems.

Skills

Data validation

Attention to detail

Data analysis

Education

HS Diploma or GED

Associate degree (preferred)

Job description

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

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

Pay Range: $21.16 - $42.2 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.