Director, Provider Data Management (Network Solutions)

Molina Healthcare; Miami (FL); On-site; USD 97,000 - 228,000; Full time

Job summary

A healthcare organization based in Florida is seeking a Network Solutions Director. The role involves leading a diverse team, designing solutions for provider data management, and collaborating with various departments. Candidates should have significant experience in provider data and a graduate degree. This position offers a competitive compensation package ranging from $97,299 to $227,679 annually.

Benefits

Competitive benefits

Annual compensation package

Qualifications

• 7-9 years of experience in Provider Data management.
• Ability to collaborate with business and IT stakeholders.
• Strong problem-solving and strategic planning skills.

Responsibilities

• Lead and manage Provider Information process functions.
• Design solutions utilizing provider data.
• Create presentation materials for executive leaders.

Skills

Leadership

Data Management

Analytical Skills

Communication

Education

Graduate Degree or equivalent

Job description

Job Summary

The Network Solutions Director is responsible for leading a team designing and executing new solutions. The position requires the ability to lead a diverse team of technical experts and business analysts. The Solutions Director will interface with IT and business leaders to enable enterprise wide capabilities. 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

• Strategically plans, leads, and manages the overall Provider Information process functions.
• Partner with stakeholders to creatively design solutions utilizing provider data such as the Provider Online Directory, Utilization Management, Customer Experience, Enrollment, and Claims Payment and Processing.
• Develop and enforce operating procedures for accurate and timely end to end solution delivery.
• Continuously evolve analytics program to measure effectiveness of current state solutions and identify opportunities for improvement
• Lead engagement model with business stakeholders to shape solution design and delivery throughout delivery timeline.
• Create presentation materials for executive leaders on conceptual and finalized design models
• Supports critical business strategies by providing systematic solutions and or recommendations on business processes. Engages with IT and other departments to implement changes to business processes and systems for Corporate Operations PMO.

Job Qualifications

Required Education

Graduate Degree or equivalent combination of education and experience

Required Experience

7-9 years Provider Data

Preferred Education

Graduate Degree or equivalent combination of education and experience

Preferred Experience

10+ years Provider Data

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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

Pay Range: $97,299 - $227,679 / ANNUAL

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