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Senior Analyst, Provider Configuration - Project Management / PMP (Remote)

Molina Healthcare · US

JOB DESCRIPTION Job Summary Provides senior level analyst support for provider configuration activities including accurate and timely maintenance of critical...

Job description

JOB DESCRIPTION Job Summary Provides senior level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data within multiple claims systems and validates data stored within provider databases - ensuring adherence to business and system requirements as it pertains to contracting, network management and credentialing. - A strong background in project management is preferred for this position. Please update your resume with any current/recent project management experience. Essential Job Duties: - Analyses, reviews, and audits provider data for quality and accuracy in systems/databases. - Develops standard operating procedures (SOPs) and/or business requirement documents (BRDs) related to provider configuration. - Assists with development of configuration standards and best practices, and recommends processes to ensure systems are working efficiently and assessed for continuous improvement/quality. - Assists in planning and coordination of claims payment system upgrades and releases, including development and execution of test plans. - Participates in the implem...