23 Administration jobs in Boise

Office Administration Assistant - Work from Home

83651 Emmett, Idaho Top Level Promotions

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Job Description

Permanent

Work from Home Office, Data Entry Remote Part-Time/Full-time Job

About the Job Position:

This remote entry-level role comes with training for qualified candidates. Depending on your expertise and desired area of interest, the remote duties may include work at home computer data entry, participating in market research activities such as survey design, focus group participation, product testing, social media and more. You may also be asked to assist with data analysis or providing feedback to support our clients in evaluating product potential. The position offers flexible work hours (part-time to full-time) with the opportunity to work from home and influence strategies across various industries, including automotive, healthcare, entertainment and more.

About Us:

Top Level Promotions specializes in market research, partnering with leading global brands to help businesses connect with customers and achieve sustainable growth. We are expanding our remote team and are looking for professionals to contribute valuable insights in a competitive environment.

Some of the Industries in Which We Work.

* Administration * Aerospace – Aviation & Atmosphere Science * Air Travelers & Airlines – International & Domestic Carriers * Amazon * Apparel/Accessories/Textiles – Online/Retail/Remote * Automotive – Design, Development, Manufacturing * Beverage Industry – Trends, Formulations & Technology * Candy/Confectionery – Chocolate, Sugar, Gum Products * Computers – Information and Online Communication Technology * Customer Service * Data Entry & Analytics * Education – Instruction and Training - Work from Home Programs * Film/Movie – Production, Film festivals, Distribution * Health Care – Public & Home Care * Manufacturing – Raw Materials & Machinery * Marketing & Study Design * Outdoor Gear – Outdoor Gear & Equipment * Pet Foods/Supplies/Pet Owners * Restaurants/Food Service * Travel/Tourism – Local/International * Toys – Industry Trends/Changes

Qualifications:

* Applicants are required to have access to home high-speed internet with a stable connection. * A functional home desktop or laptop computer with both camera and microphone capabilities. * It is imperative to have a designated quiet workspace available for work purposes.

Skills:

* Exceptional communication and interpersonal skills. * Strong organizational abilities while working independently. * Proficiency in fundamental computer applications and typing, encompassing email correspondence and data input. * Capacity to manage confidential information in a home office environment. * Attentive to detail and adept at delivering error-free work.

Job Perks:

* Enjoy the convenience of working from your home office, eliminating the need for a daily commute. * No prior experience necessary – all positions include comprehensive training. * Flexible options available for both in-person group meetings and online participation. * Customize your work schedule, whether you prefer part-time or full-time hours. * Contribute to market innovations and assist companies in enhancing their products and services. * Opportunities for career growth within companies based on active participation and seniority.

Salary:

This work from home position pays between 18.50 and 36.00 per hour depending your field of interest.

Experience:

This is an introductory position and training is provided to successful candidates.

Application:

We look forward to reviewing your completed application. If you have any questions or need assistance, please feel free to reach out. Important Note: We are currently only accepting applications from candidates located in Canada, USA, United Kingdom and Australia. Please only apply if you reside in one of these countries.

Sincerely,

Top Level Promotions HR Department
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Office Administration Support - Entry-Level (Part-Time or Full-Time)

83708 Hidden Springs, Idaho Top Level Promotions

Posted 4 days ago

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Office Administration Support - Entry-Level (Part-Time or Full-Time)

About the Job Position
This entry-level remote role is ideal for individuals based in Boise, Idaho. Depending on your skills and interests, tasks may include data organization, product evaluations, reviewing consumer insights, updating spreadsheets, basic email communication, or assisting with internal documentation. With a flexible schedule and a home-based setup, you'll contribute to projects supporting both national and U.S. market research.

About Us
Top Level Promotions is a remote-first research and consulting firm that collaborates with leading brands to gather meaningful consumer feedback. We run digital projects such as service assessments and product testing that help companies better understand customer experiences. Our Boise-based remote team is growing, and we're seeking reliable, detail-oriented individuals who are comfortable working independently.

Industries We Serve Include:
  • Administrative Services
  • Energy & Environmental Sciences
  • Airlines & Transportation
  • E-commerce & Online Retail
  • Apparel/Textiles
  • Automotive
  • Food & Beverage
  • Technology & Digital Communications
  • Customer Service & Support
  • Data Organization & Analysis
  • Education
  • Media & Entertainment
  • Health Care
  • Manufacturing
  • Marketing Research
  • Outdoor Gear & Recreation
  • Pet Products
  • Hospitality & Food Service
  • Travel & Tourism
  • Toy & Game Industry
Boise-Focused Projects
Some assignments may reflect Boise's industries, demographics, and regional consumer trends. As one of the fastest-growing cities in the U.S., Boise has a unique blend of outdoor lifestyle, tech development, and small business energy. It's known for its proximity to nature, strong community spirit, and a thriving local economy that blends innovation with tradition. Your insights will help brands engage more meaningfully with consumers in this vibrant and evolving city.

Qualifications
  • Reliable high-speed internet connection
  • Laptop or desktop computer with webcam and microphone
  • Quiet, organized workspace at home
Key Skills
  • Strong written and verbal communication
  • Dependability and self-managed work habits
  • Familiarity with common digital tools and platforms
  • Attention to detail and commitment to confidentiality
Benefits
  • Fully remote role - no commuting required
  • Flexible part-time or full-time hours available
  • Opportunity to provide feedback on real products and services
  • Potential for ongoing assignments based on consistency and performance

Compensation
Pay ranges from $18.50 to $36.00 USD per hour, depending on assignment type and complexity.

Experience
No prior experience required. Support and resources are provided to help you get started with confidence.

How to Apply
If you are located in Boise, Idaho, and interested in a flexible remote opportunity, please apply online to begin.
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Senior Installation Administration Professional

83756 Boise, Idaho Humana

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**Become a part of our caring community and help us put health first**
The Senior Installation Administration Professional establishes and manages relationships with internal and external clients. Coordinates end to end process from the point of sale to members loaded in system, ID cards issued, claims opened for processing and certifications issued. The Senior Installation Administration Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
**Job Description**
The Senior Installation Administration Professional creates accurate and timely reporting of implementation data, status, and metrics. Serves as the control point for all requirements gathering and dissemination of information to functional areas. Leads post-implementation stabilization process, if applicable. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
**Responsibilities**
· Overall accountability for the end-to-end implementation process from point of sale to go-live
· Capable of prioritizing and balancing multiple responsibilities and projects, pivoting where necessary
· Implement strategies to streamline processes with a focus on achieving measurable improvements in key performance indicators
· Facilitates innovative client solutions for unique group setup
**Use your skills to make an impact**
**Required Qualifications**
· Bachelor's degree or 3 years equivalent healthcare experience
· Previous relationship management experience
· Experience implementing, managing, or consulting on accounts from 10-100,000 lives/retirees
· Ability to effectively communicate with leadership and peers, inside and outside the organization, both verbal and written
· Project or process management experience
· Proficient with Microsoft suite to include proficiency with Excel (sort pivot tables, compare excel files systematically, etc.)
· Ability to utilize analytical thinking and determine root cause(s) and recommended solution(s) as well as identify trends for preventative action
· Analytical thinker with success in introducing new processes and/or process improvements in operational environments
**Preferred Qualifications:**
· Group Medicare knowledge
· Self-starter who takes initiative, ownership and anticipates future trends accurately
**Additional Information**
Travel 20-25%
To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$71,100 - $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 07-18-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
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Sr. Manager, Medicaid Contract Administration

83756 Boise, Idaho Sumitomo Pharma

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Job Description

Sumitomo Pharma Co., Ltd. is a global pharmaceutical company based in Japan with key operations in the U.S. (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma Canada, Inc.) and Europe (Sumitomo Pharma Switzerland GmbH) focused on addressing patient needs in oncology, urology, women's health, rare diseases, psychiatry & neurology, and cell & gene therapies. With several marketed products in the U.S., Canada, and Europe, and a diverse pipeline of early- to late-stage assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website ( or follow us on LinkedIn ( .
**Job Overview**
We are currently seeking a dynamic, highly motivated, and experienced individual for the position of Sr. Manager, Medicaid Contract Administration. This position is responsible for managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting Medicaid claims and dispute resolution with state agencies. This position requires a detailed understanding of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect company sales, pricing discounts, and best price implications. This role also facilitates working relationships with both internal and external customers.
**Job Duties & Responsibilities**
+ Lead operations person for all Medicaid decisions as it relates to Model N implementation and payment process.
+ Experience in processing Medicaid rebates preferably using Model N software application or other similar industry standard software.
+ Investigate, analyze information, and resolve business questions by applying information from various data sources, business rules and system processes.
+ Ability to understand and perform complex rebate and best price calculations.
+ Able to foster and maintain constructive working relationships with customers while resolving business issues dealing with data correctness.
+ Interact with internal departments (Internal Audit, Commercial Insights, Contracting, SOX Compliance, and Legal) to clarify policy compliance requirements and contract language clauses.
+ Keep current on regulatory and industry changes that may impact Medicaid operations.
+ Oversee the Medicaid Dispute Resolution process.
+ Keen attention to detail and ability to conduct repetitive transactions and processes using computer systems.
+ Identifies and resolves discrepancies in submitted data invoices to ensure legitimacy of contract discounts.
+ Ensures detailed accuracy of correct data input into company systems.
+ Maintains service standards in processing data submitted by customers and proactively advises management of issues.
+ Able to identify and recommend improvements in business procedures and outcomes.
+ Create and maintain ongoing SOP documentation for department processes and confirm adherence to final policies and system requirements.
+ Train staff on Medicaid landscape and Model N system navigation.
+ Manage a staff with a concentration on career development.
+ Performs other responsibilities as assigned.
**Key Core Competencies**
+ Six plus years' experience in the healthcare/pharmaceutical industry.
+ Knowledge and experience in common industry software programs (i.e., Model N).
+ Has experience in processing Medicaid rebates preferably using Model N software application or other similar industry standard software.
+ Able to investigate, analyze information, and resolve business questions by applying information from various data sources, business rules and system processes.
+ Proficient in MS Office (Word, Excel, Access, PowerPoint, MS Project, Visio, SharePoint).
+ Customer-focused ability to communicate across all levels of the organization.
+ Excellent written skills required.
+ Strong problem solving, critical thinking, communication, and sound judgment skills.
+ Solid experience in supporting System/application jobs and troubleshooting production issues in complex software solutions.
+ Fast paced environment handling multiple demands.
+ Must be able to exercise appropriate judgment as necessary.
+ Requires a high level of initiative and independence.
+ Strong attention to detail required.
+ High degree of organizational awareness, ability to connect the dots to understand all the interdependency and big picture.
**Education & Experience**
+ Minimum 8 - 12 (w/o Master's) or 6 - 8 years (with Master's) years of relevant experience in biotech or pharmaceutical industry.
The base salary range for this role is $153,920 to $192,400. Base salary is part of our total rewards package which also includes the opportunity for merit-based salary increases, short incentive plan participation, eligibility for our 401(k) plan, medical, dental, vision, life and disability insurances and leaves provided in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays plus additional time off for a shut-down period during the last week of December, 80 hours of paid sick time upon hire and each year thereafter. Total compensation, including base salary to be offered, will depend on elements unique to each candidate, including candidate experience, skills, education and other factors permitted by law.
Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
**Confidential Data** : All information (written, verbal, electronic, etc.) that an employee encounters is considered confidential.
**Compliance** : Achieve and maintain Compliance with all applicable regulatory, legal and operational rules and procedures, by ensuring that all plans and activities for and on behalf of Sumitomo Pharma America (SMPA) and affiliates are carried out with the "best" industry practices and the highest ethical standards.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
**Mental/Physical Requirements** : Fast paced environment handling multiple demands. Must be able to exercise appropriate judgment as necessary. Requires a high level of initiative and independence. Excellent written and oral communication skills required. Requires ability to use a personal computer for extended periods of time.
**Sumitomo Pharma America (SMPA)** **is an Equal Employment Opportunity (EEO) employer**
Qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
Sumitomo Pharma Co., Ltd. is a global pharmaceutical company based in Japan with key operations in the U.S. (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma Canada, Inc.) and Europe (Sumitomo Pharma Switzerland GmbH) focused on addressing patient needs in oncology, urology, women's health, rare diseases, psychiatry & neurology, and cell & gene therapies. With several marketed products in the U.S., Canada, and Europe, a diverse pipeline of early- to late-stage assets, and in-house advanced technology capabilities, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website ( or follow us on LinkedIn ( .
At Sumitomo Pharma America, our work is guided by the Sumitomo Pharma mission, vision and values, which tie closely to our company's cultural pillars.
**Our** **Mission**
_To broadly contribute to society through value creation based on innovative research and development activities for the betterment of healthcare and fuller lives of people_ _worldwide_
**Our** **Vision**
_For Longer and Healthier Lives, we unlock the future with cutting edge technology and_ _ideas_
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Senior Specialist, Provider Network Administration

83756 Boise, Idaho Molina Healthcare

Posted today

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Job Description

**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**
+ Generates and prepares provider-related data and reports in support of Network Management and Operations areas of responsibility (e.g., Provider Services/Provider Inquiry Research & Resolution, Provider Contracting/Provider Relationship Management).
+ Provides timely, accurate generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with regulatory/accreditation requirements, and Network Management business operations. Report examples may include: GeoAccess Availability Reports, Provider Online Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports.
+ Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, Network Access Fee, etc.).; and mailing label extract generation.
+ Develops and maintains documentation and guidelines for all assigned areas of responsibility.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
+ 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration.
+ 3+ years' experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 5+ years managed care experience
+ QNXT; SQL experience
+ Crystal Reports for data extraction
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: $77,969 - $106,214 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Senior Specialist, Provider Network Administration

83605 Caldwell, Idaho Molina Healthcare

Posted today

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Job Description

**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**
+ Generates and prepares provider-related data and reports in support of Network Management and Operations areas of responsibility (e.g., Provider Services/Provider Inquiry Research & Resolution, Provider Contracting/Provider Relationship Management).
+ Provides timely, accurate generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with regulatory/accreditation requirements, and Network Management business operations. Report examples may include: GeoAccess Availability Reports, Provider Online Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports.
+ Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, Network Access Fee, etc.).; and mailing label extract generation.
+ Develops and maintains documentation and guidelines for all assigned areas of responsibility.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
+ 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration.
+ 3+ years' experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 5+ years managed care experience
+ QNXT; SQL experience
+ Crystal Reports for data extraction
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: $77,969 - $106,214 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Senior Specialist, Provider Network Administration

83642 Meridian, Idaho Molina Healthcare

Posted today

Job Viewed

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Job Description

**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**
+ Generates and prepares provider-related data and reports in support of Network Management and Operations areas of responsibility (e.g., Provider Services/Provider Inquiry Research & Resolution, Provider Contracting/Provider Relationship Management).
+ Provides timely, accurate generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with regulatory/accreditation requirements, and Network Management business operations. Report examples may include: GeoAccess Availability Reports, Provider Online Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports.
+ Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, Network Access Fee, etc.).; and mailing label extract generation.
+ Develops and maintains documentation and guidelines for all assigned areas of responsibility.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
+ 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration.
+ 3+ years' experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 5+ years managed care experience
+ QNXT; SQL experience
+ Crystal Reports for data extraction
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: $77,969 - $106,214 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now
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Specialist, Provider Network Administration - Remote

83605 Caldwell, Idaho Molina Healthcare

Posted today

Job Viewed

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Job Description

**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**
+ Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system.
+ Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided.
+ Audits loaded provider records for quality and financial accuracy and provides documented feedback.
+ Assists in configuration issues with Corporate team members.
+ Assists in training current staff and new hires as necessary.
+ Conducts or participates in special projects as requested.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree in Business or equivalent combination of education and experience
**Required Experience**
+ Min. 3 years managed care experience
+ Experience in one or more of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.
+ Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria.
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 3+ years Provider Claims and/or Provider Network Administration experience
+ Experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
+ Credentialing Knowledge
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: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Specialist, Provider Network Administration - Remote

83756 Boise, Idaho Molina Healthcare

Posted today

Job Viewed

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Job Description

**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**
+ Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system.
+ Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided.
+ Audits loaded provider records for quality and financial accuracy and provides documented feedback.
+ Assists in configuration issues with Corporate team members.
+ Assists in training current staff and new hires as necessary.
+ Conducts or participates in special projects as requested.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree in Business or equivalent combination of education and experience
**Required Experience**
+ Min. 3 years managed care experience
+ Experience in one or more of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.
+ Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria.
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 3+ years Provider Claims and/or Provider Network Administration experience
+ Experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
+ Credentialing Knowledge
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: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Specialist, Provider Network Administration - Remote

83642 Meridian, Idaho Molina Healthcare

Posted today

Job Viewed

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Job Description

**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**
+ Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system.
+ Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided.
+ Audits loaded provider records for quality and financial accuracy and provides documented feedback.
+ Assists in configuration issues with Corporate team members.
+ Assists in training current staff and new hires as necessary.
+ Conducts or participates in special projects as requested.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree in Business or equivalent combination of education and experience
**Required Experience**
+ Min. 3 years managed care experience
+ Experience in one or more of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.
+ Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria.
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 3+ years Provider Claims and/or Provider Network Administration experience
+ Experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
+ Credentialing Knowledge
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: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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  25. medical_services E Commerce & Social Media
  26. school Education & Teaching
  27. electrical_services Electrical Engineering
  28. bolt Energy
  29. local_mall Fmcg
  30. gavel Government & Non Profit
  31. emoji_events Graduate
  32. health_and_safety Healthcare
  33. beach_access Hospitality & Tourism
  34. groups Human Resources
  35. precision_manufacturing Industrial Engineering
  36. security Information Security
  37. handyman Installation & Maintenance
  38. policy Insurance
  39. code IT & Software
  40. gavel Legal
  41. sports_soccer Leisure & Sports
  42. inventory_2 Logistics & Warehousing
  43. supervisor_account Management
  44. supervisor_account Management Consultancy
  45. supervisor_account Manufacturing & Production
  46. campaign Marketing
  47. build Mechanical Engineering
  48. perm_media Media & PR
  49. local_hospital Medical
  50. local_hospital Military & Public Safety
  51. local_hospital Mining
  52. medical_services Nursing
  53. local_gas_station Oil & Gas
  54. biotech Pharmaceutical
  55. checklist_rtl Project Management
  56. shopping_bag Purchasing
  57. home_work Real Estate
  58. person_search Recruitment Consultancy
  59. store Retail
  60. point_of_sale Sales
  61. science Scientific Research & Development
  62. wifi Telecoms
  63. psychology Therapy
  64. pets Veterinary
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