Provider Network Data Quality Specialist - Iowa

Molina Healthcare; Iowa; Hybrid; USD 22,000 - 48,000; Full time

Job summary

Molina Healthcare is seeking a provider data support specialist with a focus on Iowa health plan operations. You will help validate and maintain provider information across claims and databases, ensuring accuracy and compliance with internal requirements.

The role emphasizes data entry precision, attention to detail, and strong communication with internal teams. Prior health plan experience and proficiency with Microsoft Office are preferred.

Qualifications

• At least 3 years of health care experience in claims, provider services, provider network operations, or equivalent.
• Attention to detail and ability to facilitate accurate data entry and review.
• Data entry/processing skills and strong customer service orientation.
• Effective verbal and written communication skills.
• Proficient in Microsoft Office and applicable software programs.

Responsibilities

• Receive information from outside parties for provider data updates in systems.
• Review and analyze data to ensure completeness and accuracy.
• Maintain quality standards for provider demographic data with affiliation and fee schedules.
• Ensure accurate entries of information into health plan systems.
• Audit provider records for quality and financial accuracy and provide feedback.
• Support provider network administration projects and resolve configuration issues with teams.

Skills

Health care experience

Data entry

Customer service

Attention to detail

Communication skills

Microsoft Office

Tools

Microsoft Excel

Job description

Molina Healthcare is seeking a provider data support specialist with a focus on Iowa health plan operations. You will help validate and maintain provider information across claims and databases, ensuring accuracy and compliance with internal requirements.

The role emphasizes data entry precision, attention to detail, and strong communication with internal teams. Prior health plan experience and proficiency with Microsoft Office are preferred.