Provider Configuration & Data Integrity Associate

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

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