Senior Provider Data Management Analyst - SQL / QNXT

Job Summary

The Senior Provider Data Management Analyst is pivotal in ensuring the accuracy and timeliness of provider information across all claims and provider databases. This role involves maintaining and synchronizing critical provider data among multiple claims systems, applying relevant business rules, and validating data in compliance with contracting, network management, and credentialing standards.

Key Responsibilities

• Generate and analyze data to enhance the quality of provider data, contributing to the development of Standard Operating Procedures (SOPs) and Business Requirement Documents (BRDs).
• Develop and maintain comprehensive documentation and guidelines for all areas of responsibility.
• Assist in establishing configuration standards and best practices while recommending process improvements for enhanced system efficiency and data quality.
• Support planning and coordination of claim payment system upgrades, including test plan development and execution.
• Participate in the implementation and conversion processes for new and existing health plans.

Qualifications

Education :

Experience :

Preferred Experience :

Additional Information :

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.

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