Job Details

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. Validates data to be housed on provider databases and ensures adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.

Knowledge/Skills/Abilities

Audits loaded provider records for quality and financial accuracy and provides documented feedback. Assists in configuration issues and loading of provider information, as needed. Assists in training current staff and new hires as necessary. Generates and distributes Network Related Compliance/Regulatory/Accreditation reports. Generates Provider Related reports to facilitate and support Provider Services/Provider Problem Research & Resolution.

Job Qualifications

Required Education: Associate degree or equivalent combination of education and experience. Preferred Education: Bachelor's Degree or equivalent combination of education and experience.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJCore Pay Range: $77,969 - $128,519 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.