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

Molina Healthcare; Atlanta (GA); Remote; USD 70,000 - 90,000; Full time

Job summary

A healthcare organization in Atlanta is seeking a Business Analyst to maintain critical provider information across databases, ensuring accuracy and compliance with business rules. The ideal candidate will have a Bachelor's Degree and 5-7 years of business analysis experience, along with proficiency in Excel and SQL. Strong communication and interpersonal skills are essential. The role offers a competitive benefits package.

Benefits

Competitive benefits package

Qualifications

• 5-7 years of business analysis experience.
• Proficiency in data analysis tools and techniques.
• Excellent communication and interpersonal skills.

Responsibilities

• Maintain accurate provider information in claims databases.
• Develop documentation for assigned areas of responsibility.
• Assist with system upgrades and test plans.

Skills

Data analysis

Communication

Interpersonal skills

Presentation skills

Education

Bachelor's Degree in business administration or related field

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.