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Leads the team responsible for provider data management, focusing on optimizing business processes and ensuring accurate maintenance of provider databases. Collaborates cross-functionally to align provider functions with business objectives and manages regulatory audits and corrective action plans.
Requires at least 7 years of experience in provider data management and healthcare business analytics, with at least 1 year of leadership experience. Must possess advanced proficiency in data analysis tools and strong communication and organizational skills.
Leads and manages team responsible for provider data management (PDM) activities including analyzing business processes related to PDM, identifying areas for improvement, and developing and implementing solutions to optimize performance. Ensures accurate and timely maintenance of critical provider information for all claims/provider databases, and application of business rules as it pertains to contracting, network management and credentialing.
Required Qualifications
• At least 7 years of experience in provider data management (PDM), including business analytics experience in health care, or equivalent combination of relevant education and experience.
• At least 1 year management/leadership experience.
• Advanced proficiency in data analysis tools and techniques.
• Strong presentation and interpersonal skills, and ability to interact effectively with stakeholders at all levels.
• Strong critical-thinking skills, and attention to detail.
• Strong organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
• Strong verbal and written communication skills.
• Microsoft Office suite (including advanced Excel) and applicable software program(s) proficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Offices: 200 Oceangate, Long Beach, California 90802, US
