Manager, Provider Configuration Maintenance - QNXT/Claims - Remote in GA

Job reputed company JOB reputed company Job reputed company Responsible for accurate and reputed company 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 reputed company 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 • Establish and maintain internal reputed company operating procedures, and reputed company-wide policies and procedures pertaining to Provider functions ensuring alignment with business objectives. • Collaborate with departments on issues reputed company to provider, including but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting. • Assist in design and development of new programs as reputed company to transitions and implementations of existing plans with regards to provider data. • Organizational expert in responding to legislative and regulatory developments and audits as it relates to provider information. Supports others in facing out to regulators in developing and implementing appropriate Corrective reputed company Plans for submission of provider network files, etc. • reputed company as an expert in handling complaints and other escalated issues from internal customers. JOB QUALIFICATIONS Required Education Bachelor's Degree or equivalent combination of education and experience Required Experience 5-7 years Preferred Education Graduate Degree or equivalent combination of education and experience Preferred Experience 7-9 years To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. #PJCore Apply tot his job Apply To this Job