Employer Industry: Healthcare Services Why consider this job opportunity: Opportunity for career advancement and growth within the organization Competitive benefits and compensation package Chance to contribute to continuous quality improvement in provider network management Supportive and collaborative work environment Engage in meaningful work that impacts provider database accuracy and compliance What to Expect (Job Responsibilities): Generate and prepare provider-related data and reports to support Network Management and Operations Ensure timely and accurate distribution of reports for quality improvement and compliance Develop and maintain documentation and guidelines for assigned areas of responsibility Execute regular report generation related to Network Management activities Maintain provider information on claims and provider databases What is Required (Qualifications): Bachelor's Degree or equivalent combination of education and experience 3-5 years of managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration 3+ years of experience in Medical Terminology, CPT, ICD-9 codes, etc. Intermediate skill level (or higher) in Access and Excel Must reside in California How to Stand Out (Preferred Qualifications): 5+ years of managed care experience Experience with QNXT and SQL Familiarity with Crystal Reports for data extraction #J-18808-Ljbffr Molina Healthcare
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