Assoc Specialist, Provider Network Admin - Remote

Summary

Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.

Knowledge/Skills/Abilities

• Reviews/analyzes data by applying job knowledge to ensure appropriate information has been provided.
• Ensures accurate entries of information into health plan systems.
• Maintains department quality standards for provider demographic data with affiliation and fee schedule attachment.
• Receives information from outside parties for update of provider-related information in computer system(s).
• Works on projects as assigned and within parameters given.
• Conducts or participates in special projects as requested..

Job Qualifications

Required Education

HS Diploma or GED

Required Experience

• Min. 1 year managed care experience
• Experience in one of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.

Required License, Certification, Association

N/A

Preferred Education

Associate's Degree or equivalent combination of education and experience

Preferred Experience

• 1+ years in Provider Claims and/or Provider Network Administration
• 2+ years managed care experience

• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.