Medical Provider Configuration Analyst I

Moda Health; Portland (OR); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading health insurance provider in Portland, Oregon, is seeking a Medical Provider Configuration Analyst I. This entry-level role focuses on provider configuration, requiring strong analytical and communication skills. Successful candidates will have a bachelor's degree and a keen eye for detail, as well as a passion for the healthcare field. The position offers a competitive hourly wage and the opportunity to work from home.

Benefits

Medical, Dental, Vision, Pharmacy, Life, & Disability

401K- Matching

FSA

Employee Assistance Program

PTO and Company Paid Holidays

Qualifications

• 0-2 years of experience in health insurance or a related field.
• Basic knowledge of healthcare provider data and claims processing.
• Eagerness to learn advanced Excel functions for data analysis.

Responsibilities

• Analyze and configure provider information in the system following established procedures.
• Perform data analysis and validation using Excel.
• Identify and resolve provider configuration errors using SQL.

Skills

Analytical skills

Attention to detail

Communication skills

Organizational skills

Education

Bachelor's degree or equivalent

Tools

Microsoft Excel

SQL

Microsoft Word

Job description

Let’s do great things, together!

About Moda

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Position Summary

The Medical Provider Configuration Analyst I is responsible for performing basic configuration activities, assisting in research and resolution of configuration issues, and supporting system testing and projects. This entry-level position focuses on learning and applying provider configuration principles in Facets or similar systems. This is a FT WFH.

Pay Range

$18.03 - $20.18 hourly (depending on experience)

• Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
  
  

Please fill out an application on our company page, linked below, to be considered for this position.

https://j.brt.mv/jb.do?reqGK=27760300&refresh=true

Benefits

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays
  
  

Required Skills, Experience & Education

• Bachelor's degree or equivalent education and experience.
• 0-2 years of experience in health insurance or a related field.
• Basic knowledge of healthcare provider data and claims processing.
• Proficient in Microsoft Office, especially Excel and Word; eagerness to learn advanced Excel functions for data analysis.
• Basic SQL knowledge.
• Basic understanding of data integrity and quality assurance.
• Strong analytical and critical thinking skills with the ability to apply business rules to configuration tasks.
• Strong attention to detail, organizational skills, and ability to manage multiple tasks effectively.
• Ability to follow rules for data validation and preparation.
• Good written and verbal communication skills.
• Ability to learn new concepts quickly and adapt to changing processes.
• Ability to work well in a remote team environment.
  
  

Primary Functions

• Analyze and configure provider information in the system following established procedures and business rules.
• Perform data analysis and validation using Excel, including formulas, data sorting and VLOOKUP functions.
• Prepare and validate provider rosters for RAS processing.
• Identify and resolve provider configuration errors using SQL and other tools.
• Report data issues to the lead or supervisor.
• Participate in projects with guidance from senior team members.
• Assist in documenting configuration processes and updating department manuals.
• Conduct quality reviews of configuration work and submit for timely auditing.
• Attend training to improve skills and knowledge.
• Follow quality standards and help with quality checks.
• Other duties as assigned.
  
  

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our [e-mail] email.