Associate Analyst, Provider Configuration (Remote)

Molina Healthcare; Milwaukee (WI); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider in Milwaukee is seeking a detail-oriented individual to maintain critical provider information across multiple databases. This role requires accurate data entry and quality auditing to ensure compliance with business standards. Candidates should have a high school diploma or GED, with preferred education being an associate degree. The position offers a competitive hourly pay ranging from $21.16 to $42.20.

Benefits

Competitive benefits package

Equal Opportunity Employer

Qualifications

• Analyzes incoming information for database updates.
• Maintains accuracy in demographic data loading.
• Audits provider records for quality and financial accuracy.

Responsibilities

• Maintain accuracy of provider information in databases.
• Load and update provider data in a timely manner.
• Ensure proper claims processing and reporting.

Skills

Attention to detail

Data analysis

Quality auditing

Education

HS Diploma or GED

Associate degree or equivalent

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.