Senior Analyst, Provider Configuration - Project Management / PMP (Remote)
ā¢ *JOB DESCRIPTION Job Summary**
Provides senior level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data within multiple claims systems and validates data stored within provider databases - ensuring adherence to business and system requirements as it pertains to contracting, network management and credentialing.
ā¢ A strong background in project management is preferred for this position. Please update your resume with any current/recent project management experience.
ā¢ *Essential Job Duties
ā¢ Analyses, reviews, and audits provider data for quality and accuracy in systems/databases.
ā¢ Develops standard operating procedures (SOPs) and/or business requirement documents (BRDs) related to provider configuration.
ā¢ Assists with development of configuration standards and best practices, and recommends processes to ensure systems are working efficiently and assessed for continuous improvement/quality.
ā¢ Assists in planning and coordination of claims payment system upgrades and releases, including development and execution of test plans.
ā¢ Participates in the implementation and conversion of new and existing health plans.
ā¢ *Required Qualifications
ā¢ At least 4 years of experience in health care, preferably in a customer/provider services setting, or equivalent combination of relevant education and experience.
ā¢ Strong critical-thinking skills, and attention to detail.
ā¢ Strong organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
ā¢ Customer service experience.
ā¢ Effective verbal and written communication skills.
ā¢ Microsoft Office suite proficiency (including Excel) and applicable software program(s) experience.
ā¢ *Preferred Qualifications**
ā¢ Comfort leading cross-functional projects from planning through delivery
ā¢ Experience presenting to senior and executive leadership
ā¢ Proven ability to document, manage, and coordinate business requirements across multiple initiatives
ā¢ Strong organizational skills and ability to partner with multiple health plans across Molina
ā¢ Experience with healthcare applications and related workflows
ā¢ Experience developing and documenting process improvements and change impacts
ā¢ Adaptable and able to shift priorities in a fast-paced environment
ā¢ Self-starter with the ability to work independently with minimal supervision
ā¢ Proficient in Microsoft Office (Word, PowerPoint, Excel) and Visio
ā¢ Working knowledge of SQL (preferred)
#PJCorp 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: $54,373.27 - $117,808.76 / ANNUAL
ā¢ Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Provides senior level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data within multiple claims systems and validates data stored within provider databases - ensuring adherence to business and system requirements as it pertains to contracting, network management and credentialing.
ā¢ A strong background in project management is preferred for this position. Please update your resume with any current/recent project management experience.
ā¢ *Essential Job Duties
ā¢ Analyses, reviews, and audits provider data for quality and accuracy in systems/databases.
ā¢ Develops standard operating procedures (SOPs) and/or business requirement documents (BRDs) related to provider configuration.
ā¢ Assists with development of configuration standards and best practices, and recommends processes to ensure systems are working efficiently and assessed for continuous improvement/quality.
ā¢ Assists in planning and coordination of claims payment system upgrades and releases, including development and execution of test plans.
ā¢ Participates in the implementation and conversion of new and existing health plans.
ā¢ *Required Qualifications
ā¢ At least 4 years of experience in health care, preferably in a customer/provider services setting, or equivalent combination of relevant education and experience.
ā¢ Strong critical-thinking skills, and attention to detail.
ā¢ Strong organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
ā¢ Customer service experience.
ā¢ Effective verbal and written communication skills.
ā¢ Microsoft Office suite proficiency (including Excel) and applicable software program(s) experience.
ā¢ *Preferred Qualifications**
ā¢ Comfort leading cross-functional projects from planning through delivery
ā¢ Experience presenting to senior and executive leadership
ā¢ Proven ability to document, manage, and coordinate business requirements across multiple initiatives
ā¢ Strong organizational skills and ability to partner with multiple health plans across Molina
ā¢ Experience with healthcare applications and related workflows
ā¢ Experience developing and documenting process improvements and change impacts
ā¢ Adaptable and able to shift priorities in a fast-paced environment
ā¢ Self-starter with the ability to work independently with minimal supervision
ā¢ Proficient in Microsoft Office (Word, PowerPoint, Excel) and Visio
ā¢ Working knowledge of SQL (preferred)
#PJCorp 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: $54,373.27 - $117,808.76 / ANNUAL
ā¢ Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Apply tot his job
Apply To this Job