Provider Network Administration Lead

Molina Healthcare; Tampa (FL); On-site; USD 50,000 - 97,000; Full time

Job summary

Molina Healthcare is seeking a Provider Network Administration Lead in Tampa, FL. The role manages a team responsible for accurate provider information across claims and provider databases, ensuring compliance with business and system requirements.

You will drive data quality, reporting, and cross‑functional collaboration to support provider demographics and contracts. Ideal candidates have extensive health care experience, strong data analysis and communication skills, and a track record of

Qualifications

• 5+ years in health care with claims, provider services, or provider network operations.
• 3+ years with CPT/ICD codes or equivalent.
• Attention to detail and accurate data entry.
• Data analysis and customer service skills.
• Ability to manage multiple priorities and meet deadlines.
• Workflow design experience.
• Effective verbal and written communication.
• Proficiency in Microsoft Office, including Excel.

Responsibilities

• Oversee provider network administration activities with timely, accurate updates.
• Oversee provider data review/analytics/reporting for quality.
• Maintain SOPs and internal procedures for data handling.
• Ensure accuracy of provider information in health plan systems.
• Educate health plan representatives on provider record setup.
• Collaborate across departments to ensure data quality and resolve issues.
• Identify PNA issues, resolve problems, and implement best practices.
• Lead monthly PNA operational meetings and reporting.
• Support cross-functional provider network administration projects.
• Hire, train, manage and evaluate team members.

Skills

Health care experience

Data analysis

Customer service

Attention to detail

Multitasking

Workflow design

Verbal communication

Written communication

Tools

Excel

Microsoft Office

Job description

Molina Healthcare is seeking a Provider Network Administration Lead in Tampa, FL. The role manages a team responsible for accurate provider information across claims and provider databases, ensuring compliance with business and system requirements.

You will drive data quality, reporting, and cross‑functional collaboration to support provider demographics and contracts. Ideal candidates have extensive health care experience, strong data analysis and communication skills, and a track record of