Molina Healthcare

Molina Healthcare

Specialist, Provider Network Administration

Las Vegas, NV, United States

Sponsorship not specifiedDetected 1 day ago

About the role

  • JOB DESCRIPTION Job Summary Provides support for provider network administration activities. Responsible for accurate and timely validation and maintenance of critical provider information on all claims and provider databases, and ensures adherence to business and system requirements of internal customers as it pertains to other provider network management
  • areas, such as provider contracts. Essential Job Duties • Receives information from outside parties for update of provider-related information in applicable 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

Responsibilities

  • Maintains department quality standards for provider demographic data with affiliation and fee schedule attachment.

Benefits

  • Ensures accurate entries of information into health plan systems.

This listing is sourced directly from Molina Healthcare's careers page and normalized into a canonical job model.