• Senior Analyst, Provider Data Management -SQL/QNXT…

    Molina Healthcare (Iowa City, IA)


    JOB DESCRIPTION

    Job Summary

    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. 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

    + 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 in business administration, healthcare management, or a related field; or equivalent combination of education and experience

    Required Experience

    + 5-7 years of business analysis experience

    + Proficiency in data analysis tools and techniques, such as Excel or SQL

    + Excellent communication, presentation, and interpersonal skills, with the ability to interact effectively with stakeholders at all levels

    Preferred Experience

    + 7-9 years of business analysis experience

     

    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.

     

    \#PJCore

    Pay Range: $77,969 - $141,371 / ANNUAL

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