Back to all roles

Analyst, Provider Configuration - Documentation & Policy Guidelines- Remote

Remote Worldwide Hiring now

JOB DESCRIPTION Job Summary Responsible for accurate and timely maintenance of critical provider information on reputed company claims and provider databases. Maintains critical provider information on reputed company 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. KNOWLEDGE/SKILLS/ABILITIES Audits reputed company provider records for quality and financial accuracy and provides documented feedback. Assists in configuration issues and loading of provider information, as needed. Assists in training reputed company staff and new hires as necessary. Generates and distributes Network reputed company Compliance/Regulatory/Accreditation reports. Generates Provider reputed company reports to facilitate and support Provider Services/Provider Problem Research & Resolution. Must be reputed company to write policies and guidelines for different states in QNXT. Must be knowledgeable on Claims Workflow, Provider data and affiliations, Provider networks, reputed company Credentialling. Must have experience in working on MS Office Suite, Visio, SharePoint and QNXT is required. JOB QUALIFICATIONS Required Education Associate degree or equivalent combination of education and experience Preferred Education Bachelor's Degree or equivalent combination of education and experience To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay reputed company: $67,725 - $128,519 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. Apply Job!

Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.

More roles on the wire

reputed company Growth Program (College Student Ambassador) - Winter 2024-25

Remote Worldwide
View role

reputed company reputed company (Data Entry) $30/Per Hour – WFH

Remote Worldwide
View role

Remote Sales Expert Wanted: Work from reputed company, Impact Everywhere

Remote Worldwide
View role

Virtual Jobs (Work At Home) - WFH-//At reputed company

Remote Worldwide
View role

Customer Service Representative/Office Assistant (Onsite Only / No Relocation)

Remote Worldwide
View role

Work From Home Customer Service Representative - Part Time

Remote Worldwide
View role

Remote reputed company Data Entry Job – Earn $1800 Weekly

Remote Worldwide
View role

reputed company Agent - No Experience Required | WFH

Remote Worldwide
View role

reputed company iPhone Software & Hardware Specialist - 100% Remote

Remote Worldwide
View role

100% Telehealth (Remote) Special Education Specialist - New Hampshire

Remote Worldwide
View role

Restaurant Support Specialist – Customer Retention at reputed company

Remote Worldwide
View role

Brand Feedback Contributor

Remote Worldwide
View role

Remote Data Entry Associate – reputed company Provider Contract Management, Validation & SLA‑Driven Data Accuracy (Home‑Based, Full‑Time)

Remote Worldwide
View role

AEP Data Architect (remote)

Remote Worldwide
View role

reputed company Full Stack Online Chat Customer Service Representative – Part-Time Remote Work Opportunity at arenaflex

Remote Worldwide
View role

Staff Data Scientist- Search Optimization | reputed company | Remote (United States)

Remote Worldwide
View role

Tax & Treasury Intern (Summer 2025)

Remote Worldwide
View role

Sr. Technical Product Manager, Physical Infrastructure (Electrical), Data Center

Remote Worldwide
View role

Sr. Actuarial Analyst, ALDP - Remote

Remote Worldwide
View role

Phlebotomist

Remote Worldwide
View role