Lensa

Director, Provider Data Management - Inventory Management - Remote

Posted: 4 hours ago

Job Description

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice.Job DescriptionJob SummaryResponsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all 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 Strategically plans, leads, and manages the overall Provider Information process functions. Directs the development, implementation and maintenance of provider data in the claims payment system. Supports critical business strategies by providing systematic solutions and or recommendations on business processes. 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 Action Plans for submission of provider network files, etc. Engages with IT and other departments to implement changes to business processes and systems for Corporate Operations PMO.Job QualificationsRequired EducationGraduate Degree or equivalent combination of education and experienceRequired Experience7-9 yearsPreferred EducationGraduate Degree or equivalent combination of education and experiencePreferred Experience10+ yearsTo all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.#PJCorpPay Range: $97,299 - $227,679 / ANNUALActual compensation may vary from posting based on geographic location, work experience, education and/or skill level.If you have questions about this posting, please contact support@lensa.com

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