Job Details

Provider Information Maintenance Specialist

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.

Essential Job Duties

• Audits loaded provider records for quality and financial accuracy, and provides documented feedback.
• Assists in complex configuration issues and loading of provider information.
• Generates and distributes network-related compliance, regulatory and accreditation reports.
• Generates provider-related reports to facilitate and support provider services and provider issue research and resolution.

Required Qualifications

• At least 2 years of experience in health care, preferably in a customer/provider services setting, or equivalent combination of relevant education and experience.
• Critical-thinking skills, and attention to detail.
• Organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
• Customer service experience.
• Effective verbal and written communication skills.
• Microsoft Office suite (including Excel) and applicable software program(s) proficiency.

Preferred Qualifications

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

Pay Range: $49,430.25 - $107,098.87 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.