Senior Analyst, Provider Data Management -SQL/QNXT - Remote

Molina Healthcare; Albuquerque (NM); Remote; USD 70,000 - 90,000; Full time

Job summary

A healthcare organization in Albuquerque is seeking a Business Analyst to ensure accurate and timely maintenance of critical provider information across databases. The role involves data synchronization, documentation, and process improvement. Candidates should hold a Bachelor's Degree in a relevant field and have 5-7 years of business analysis experience, with proficiency in data analysis tools such as Excel or SQL. A competitive benefits package is offered.

Qualifications

• 5-7 years of business analysis experience is required.
• Excellent communication and interpersonal skills are essential.
• Proficiency in data analysis tools such as Excel or SQL is necessary.

Responsibilities

• Maintain critical provider information on claims and provider databases.
• Develop configuration standards and best practices for systems.
• Assist with the implementation and conversion of health plans.

Skills

Data analysis

Documentation development

Stakeholder communication

Education

Bachelor's Degree in business administration or healthcare management

Tools

Excel

SQL

Job description

JOB DESCRIPTION

Job Summary

Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. 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

• Generates data to support continuous quality of provider data and developing SOPs and/or BRDs.
• Develops and maintains documentation and guidelines for all assigned areas of responsibility.
• Assists with development of configuration standards and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality.
• Assists in planning and coordination of the claim payment system upgrades and releases, including development and execution of some test plans.
• Participates in the implementation and conversion of new and existing health plans.

JOB QUALIFICATIONS

Required Education

• Bachelor's Degree in business administration, healthcare management, or a related field; or equivalent combination of education and experience

Required Experience

• 5-7 years of business analysis experience
• Proficiency in data analysis tools and techniques, such as Excel or SQL
• Excellent communication, presentation, and interpersonal skills, with the ability to interact effectively with stakeholders at all levels

Preferred Experience

• 7-9 years of business analysis experience

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