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Sr Analyst, Provider Data (Project Management) - Remote
Molina Healthcare
Administration, IT
Posted on Thursday, August 29, 2024
JOB DESCRIPTION
Job Summary
This position is a project management role focused on supporting provider data solution and processes. Contributing to accurate and timely maintenance of critical provider information on all claims and provider databases. Contributing to 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
- Experience managing projects/programs supporting provider data management and delivery
- Define project scope, goals, and deliverables, and ensure all stakeholders understand and agree to the plan.
- Develop detailed project plans, including defining tasks, timelines, and resource allocation
- 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 or equivalent combination of education and experience
Required Experience
5-7 years
Preferred Education
Graduate Degree or equivalent combination of education and experience
Preferred Experience
7-9 years
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.
Pay Range: $54,373.27 - $117,808.76 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
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.
Job Type: Full Time Posting Date: 08/28/2024