What are the responsibilities and job description for the Analyst, Provider Configuration position at Molina Healthcare Group?
Job Description
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.
Essential Job Duties
Required Qualifications
- At least 2 years of experience in health care, preferably in a customer/provider services setting, or equivalent combination of relevant education and experience.
- Critical-thinking skills, and attention to detail.
- Organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
- Customer service experience.
- Effective verbal and written communication skills
- Microsoft Office suite (including Excel) and applicable software program(s) proficiency.
- Healthcare experience is required.
- Must have an analytical mindset and a prior experience in Provider data configuration.
- Attention to detail, excellent communication and presentation skills are required.
Preferred Qualifications
- Prior experience in Claims Processing, QNXT, Appeals & Grievances.
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
Job Info
Job Identification: 2037044
Job Category: Operations
Posting Date: 2026-05-08T17:53:30 00:00
Job Schedule: Full time