Manager, Provider Network Administration (Remote)

Molina Healthcare
Houston, Texas; Caldwell, Idaho; Texas; Chandler, Arizona; Cincinnati, Ohio; Cedar Rapids, Iowa; Everett, Washington; Macon, Georgia; Lincoln, Nebraska; Dayton, Ohio; Vancouver, Washington; Idaho; Michigan; Rio Rancho, New Mexico; Provo, Utah; Wisconsin; Salt Lake City, Utah; Tacoma, Washington; New Mexico; Austin, Texas; Utah; San Antonio, Texas; Owensboro, Kentucky; Albany, New York; Dallas, Texas; Layton, Utah; Iowa; Mesa, Arizona; Sterling Heights, Michigan; Madison, Wisconsin; Grand Rapids, Michigan; St. Petersburg, Florida; Savannah, Georgia; Davenport, Iowa; Iowa City, Iowa; Atlanta, Georgia; Racine, Wisconsin; Omaha, Nebraska; West Valley City, Utah; Spokane, Washington; Tucson, Arizona; Rochester, New York; Cleveland, Ohio; Washington; Idaho Falls, Idaho; Louisville, Kentucky; Sioux City, Iowa; Orlando, Florida; Columbus, Georgia; Meridian, Idaho; Warren, Michigan; Milwaukee, Wisconsin; Yonkers, New York; Grand Island, Nebraska; Albuquerque, New Mexico; Fort Worth, Texas; Florida; Tampa, Florida; Bellevue, Nebraska; Miami, Florida; Ohio; Orem, Utah; Las Cruces, New Mexico; Ann Arbor, Michigan; Buffalo, New York; Jacksonville, Florida; Santa Fe, New Mexico; Lexington-Fayette, Kentucky; Columbus, Ohio; Green Bay, Wisconsin; Akron, Ohio; Des Moines, Iowa; Kearney, Nebraska; Augusta, Georgia; Detroit, Michigan; Syracuse, New York; Bowling Green, Kentucky; Scottsdale, Arizona; Covington, Kentucky; New York; Kentucky; Phoenix, Arizona; Georgia; Roswell, New Mexico; Kenosha, Wisconsin; Bellevue, Washington; Nebraska; Nampa, Idaho; Boise, Idaho
Job ID 2032974

JOB DESCRIPTION
JOB SUMMARY
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
KNOWLEDGE/SKILLS/ABILITIES
Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
Produces reports related to provider network information.
Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
Identifies issues, resolves problems and implements best practices..
JOB QUALIFICATIONS

REQUIRED EDUCATION
Bachelor's Degree or equivalent combination of education and experience
REQUIRED EXPERIENCE
5-7 years managed care experience, including min. 2 years of supervisory experience
Min. 2 years health plan Provider Network experience
REQUIRED LICENSE, CERTIFICATION, ASSOCIATION
N/A
PREFERRED EDUCATION
Bachelor's Degree
PREFERRED EXPERIENCE
7+ years managed care experience
QNXT; SQL experience
Crystal Reports for data extraction
Access and Excel – intermediate plus skill level
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION
N/A

To 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.
Pay Range: $72,498 - $123,699 / ANNUAL
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
ABOUT US

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

JOB TYPE
POSTING DATE 08/11/2025 Read more