Senior Provider Data & Network Specialist

Molina Healthcare, Inc.; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a senior-level support professional for provider network administration. The role ensures accurate validation and maintenance of critical provider information across claims and provider databases, aligning with contracts and business needs.

The position emphasizes data accuracy, reporting, and documentation, with responsibility for training team members and supporting network administration projects in a dynamic health-care environment.

Qualifications

• 4+ years of health care experience including claims, provider services, or hospital/physician billing.
• Strong attention to detail and accurate data entry.
• Excellent verbal and written communication skills.
• MS Office proficiency with intermediate Excel.
• Ability to manage multiple priorities and meet deadlines.

Responsibilities

• Generates and prepares provider-related data and reports.
• Ensures provider information in systems is accurate and up-to-date.
• Distributes reports supporting quality improvement and regulatory requirements.
• Audits provider records for quality and financial accuracy.
• Maintains documentation and guidelines for responsibilities.
• Provides training and support to team members.

Skills

Health care experience

Customer service

Attention to detail

Data entry

Tools

Excel

Job description

Molina Healthcare, Inc. is seeking a senior-level support professional for provider network administration. The role ensures accurate validation and maintenance of critical provider information across claims and provider databases, aligning with contracts and business needs.

The position emphasizes data accuracy, reporting, and documentation, with responsibility for training team members and supporting network administration projects in a dynamic health-care environment.