
Specialist, Provider Network Administrator
Molina Healthcare is seeking an experienced and motivated Specialist, Provider Network Administrator to join our dynamic and innovative team. The ideal candidate should possess a combination of technical expertise, strong interpersonal and communication skills, and have a passion for delivering exceptional customer service.The successful candidate will be responsible for managing the accuracy of provider data and ensuring the accuracy of provider records within the Molina Healthcare network. The successful candidate must be a self-starter with the ability to work independently and collaboratively in a team environment.The successful candidate must possess a Bachelor’s degree in a related field and at least two years of experience in a related field. Experienced in analyzing and validating provider data and information, and experienced in working with provider networks and data systems are also required. The successful candidate must have excellent communication skills, the ability to multitask and prioritize effectively, and the ability to work well with staff at all levels. In addition, the successful candidate must have strong problem-solving and troubleshooting skills, and have the ability to work with minimal supervision.
Responsibilities:
- Ensure accuracy of provider data and records within the Molina Healthcare network.
- Analyze and validate provider data and information.
- Work with provider networks and data systems.
- Provide exceptional customer service.
- Communicate effectively with staff at all levels.
- Develop and implement strategies to ensure quality assurance.
- Multi-task and prioritize effectively.
- Troubleshoot and solve problems.
- Work independently and collaboratively in a team environment.
- Develop and oversee policies and procedures related to provider networks and data systems.
Strong Communication
Bachelor's Degree Or Equivalent Experience
At Least Years Of Experience In Healthcare Or Insurance Operations
Knowledge Of Network Operations
Ability To Understand And Interpret Provider Contracts And Agreements
Experience With System Implementations
Knowledge Of Reimbursement And Claims Processes
Ability To Analyze Data And Develop Strategies To Improve Network Operations
Problem-Solving And Organizational Skills
Documentation
Security
Testing
Networking
Troubleshooting
Software
Scheduling
Database
Compliance
Analytics
Collaboration
Administration
Monitoring
Configuration
Protocols
Communication
Leadership
Problem Solving
Time management
Interpersonal Skills
creativity
Organization
self-motivation
Teamwork
Adaptability
According to JobzMall, the average salary range for a Specialist, Provider Network Administrator is $70,000 to $90,000 per year. This range varies depending on a number of factors, including the employer, the individual's experience, and the geographic location.
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Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.

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