Associate Specialist, Provider Network Admin
Company: Molina Healthcare
Location: Mountain View
Posted on: March 13, 2025
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Job Description:
***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.#PJHPO Pay Range: $19.65 - $30.39 / HOURLY
*Actual compensation may vary from posting based on geographic
location, work experience, education and/or skill
level.Required
Keywords: Molina Healthcare, Mountain View , Associate Specialist, Provider Network Admin, Other , Mountain View, California
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