Associate Specialist, Provider Network Admin - Military Veterans
at Molina Healthcare
***Remote and must live in California***
Job Description
Job 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
Receives information from outside parties for update of provider-related information in computer system(s).
Reviews/analyzes data by applying job knowledge to ensure appropriate information has been provided.
Maintains department quality standards for provider demographic data with affiliation and fee schedule attachment.
Ensures accurate entries of information into health plan systems.
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
2+ years managed care experience
1+ years in Provider Claims and/or Provider Network Administration
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: $19.65 - $30.39 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
CA
Molina believes every person, family and community deserves access to high-quality health care regardless of their situation. Our mission is to deliver effective, reliable and affordable health care to those who need it most. We strive to meet the physical, social and emotional needs of each member and to strengthen the communities we serve.
We do this by offering a holistic, community-based approach designed specifically to meet the individual needs of our members.
What started in 1980 as one clinic in Long Beach, aimed at addressing the disparities in access to quality health care, has grown into 19 health plans across the country. For over 40-years we’ve been improving the lives of our 5.1 million members across the country by pioneering health care services exclusively for those with government-sponsored health care.
As our membership has grown over the years, so has our commitment to the communities we serve. In 2020, we launched the MolinaCares Accord, which makes substantial investments to improve members’ access to health care.