15 Administration jobs in Canton
Manager, Medicare Administration
Posted 1 day ago
Job Viewed
Job Description
**Job Summary**
Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and services.
**Knowledge/Skills/Abilities**
- Establishes audit controls and measurements to ensure correct processes are established. Develops and performs internal audits/risk assessments, monitoring program for Molina Healthcare departments. Provides post audit findings and recommendations to ensure contractual State and Federal Compliance.
- Coordinates development of written policies and procedures regarding compliance with local, state and federal guidelines.
- Establishes member grievance appeals and policies and updates annually or as directed by the Centers for Medicare and Medicaid Services.
- Establishes non-contracted provider dispute and appeals policies and policies and updates annually or as directed by the Center for Medicare and Medicaid.
- Responsible for development, implementation and maintenance of department strategic initiatives.
**Job Qualifications**
**Required Education**
Bachelors Degree
**Required Experience**
5-7 Years
**Preferred Education**
Graduate Degree or equivalent combination of education and experience
**Preferred Experience**
7-9 years
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 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Manager, Provider Network Administration (Remote)
Posted 2 days ago
Job Viewed
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
-
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.
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Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
-
Produces reports related to provider network information.
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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.
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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: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Manager, Provider Network Administration (Remote)
Posted 3 days ago
Job Viewed
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: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Senior Specialist, Provider Network Administration
Posted 22 days ago
Job Viewed
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: $45,390 - $88,511.46 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Specialist, Provider Network Administration (EST business hours)
Posted 10 days ago
Job Viewed
Job Description
**This role will have standard EST business hours.**
**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)
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.
Data Entry Clerk
Posted today
Job Viewed
Job Description
The primary purpose of the Data Entry Clerk role at VRC is to ensure the accuracy, integrity, and timely entry of data into our records management systems. This position is crucial for maintaining the high quality and reliability of our records, which are essential for the effective operation of our business. The hours for the position are Monday through Friday 12:00 pm - 8:30 pm or part time from 4:00 pm - 8:30 pm.
ESSENTIAL DUTIES (Other duties may be assigned):
- Accurately input textual and numerical information from source documents within time limits into our database systems.
- Review, verify, and correct data for completeness and accuracy; compare data with source documents, or re-enter data in verification format to detect errors.
- Maintain detailed records of tasks, files, and progress.
- Scan documents and print files, when needed.
- Retrieve data from the database or electronic files as requested.
- Perform regular backups to ensure data preservation.
- Comply with data integrity and security policies.
- Work closely with the records management team to identify and resolve discrepancies within the company's records.
- Assist with file management and archiving activities, ensuring proper storage and confidentiality of files.
QUALIFICATIONS:
- High school diploma; further education or certification in office administration or a related field is a plus.
- Proven experience as a Data Entry Clerk or similar role.
- Fast typing skills with an eye for detail and familiarity with spreadsheets and online forms.
- Excellent knowledge of word processing tools and spreadsheets (MS Office Word, Excel, etc.).
- Working knowledge of office equipment and computer hardware and peripheral devices.
- Basic understanding of databases.
- Good command of English, both oral and written, and customer service skills.
- Great attention to detail, with an ability to stay focused on assigned tasks.
- High level of confidentiality and integrity.
- Organizational and time management skills.
- Ability to work independently and as part of a team.
- Strong work ethic and a commitment to excellence.
Data Entry Specialist
Posted 4 days ago
Job Viewed
Job Description
Job Description
We are seeking a detail-oriented and customer-focused professional to join our team as a Data Entry Specialist. The ideal candidate will be responsible for maintaining accurate customer records, providing exceptional support via phone and email, and leveraging their technical skills to manage and analyze data effectively.
Responsibilities
+ Maintain and update customer account information to ensure data accuracy and integrity.
+ Respond to customer inquiries via phone and email in a professional and timely manner.
+ Design, implement, and manage Excel spreadsheets for data tracking and analysis.
+ Provide insights and recommendations based on data analysis to support business decisions.
+ Utilize Microsoft Office Suite to perform daily tasks efficiently.
+ Collaborate with internal teams to resolve customer issues and improve service delivery.
Essential Skills
+ Proficiency in data entry, customer service, and clerical skills.
+ Basic computer skills with a basic understanding of AR/AP.
+ Ability to master efficient and accurate data entry.
+ Proficiency in Microsoft Office, including Word, Outlook, and PowerPoint.
+ Order entry and data management skills.
Additional Skills & Qualifications
+ Proficiency in Microsoft Excel, including formulas, pivot tables, and data visualization.
+ Experience with JD Edwards ERP system is preferred.
+ Familiarity with Salesforce CRM is a plus.
+ Excellent communication and organizational skills.
+ Ability to multitask and prioritize in a fast-paced environment.
Work Environment
The successful candidate will work in the office with the rest of the team in a cubicle-type setting. This role offers the potential for long-term employment, although it is currently approved as a temporary position.
Job Type & Location
This is a Contract position based out of Akron, Ohio.
Pay and Benefits
The pay range for this position is $24.00 - $24.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a hybrid position in Akron,OH.
Application Deadline
This position is anticipated to close on Aug 31, 2025.
About Aston Carter:
Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email (% ) for other accommodation options.
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Data Entry Specialist
Posted 4 days ago
Job Viewed
Job Description
We are seeking a detail-oriented and customer-focused professional to join our team as a Data Entry Specialist. The ideal candidate will be responsible for maintaining accurate customer records, providing exceptional support via phone and email, and leveraging their technical skills to manage and analyze data effectively.
Responsibilities
+ Maintain and update customer account information to ensure data accuracy and integrity.
+ Respond to customer inquiries via phone and email in a professional and timely manner.
+ Design, implement, and manage Excel spreadsheets for data tracking and analysis.
+ Provide insights and recommendations based on data analysis to support business decisions.
+ Utilize Microsoft Office Suite to perform daily tasks efficiently.
+ Collaborate with internal teams to resolve customer issues and improve service delivery.
Essential Skills
+ Proficiency in data entry, customer service, and clerical skills.
+ Basic computer skills with a basic understanding of AR/AP.
+ Ability to master efficient and accurate data entry.
+ Proficiency in Microsoft Office, including Word, Outlook, and PowerPoint.
+ Order entry and data management skills.
Additional Skills & Qualifications
+ Proficiency in Microsoft Excel, including formulas, pivot tables, and data visualization.
+ Experience with JD Edwards ERP system is preferred.
+ Familiarity with Salesforce CRM is a plus.
+ Excellent communication and organizational skills.
+ Ability to multitask and prioritize in a fast-paced environment.
Work Environment
The successful candidate will work in the office with the rest of the team in a cubicle-type setting. This role offers the potential for long-term employment, although it is currently approved as a temporary position.
Job Type & Location
This is a Contract position based out of Akron, Ohio.
Pay and Benefits
The pay range for this position is $24.00 - $24.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a hybrid position in Akron,OH.
Application Deadline
This position is anticipated to close on Sep 3, 2025.
About Aston Carter:
Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email (% ) for other accommodation options.
Virtual Data Entry Clerk
Posted today
Job Viewed
Job Description
Thank you for checking us out! Work From Home Data Entry Research Panelist Jobs - Part Time, Full Time
This is a remote work from home position perfect for those with any type of work background such as administrative assistant, data entry clerk, typing, customer service representative, drivers etc.
We are seeking individuals who are looking for part time or full time work or side gigs to be connected with companies who are hiring employees directly to work from their homes.
You will find both full-time and part-time remote opportunities in a variety of career fields.
Legitimate Work From Home Data Entry Jobs are going to require that you have skills relevant to the position you are applying for. Training is provided based on the position.
JOB PAY
- $35 - $50hr. (single session studies)
- up to 3,000 (multi-session studies)
JOB REQUIREMENTS
- Computer with internet access
- Quiet work space away from distractions
- Must be able and comfortable to working in an environment without immediate supervision
- Ability to read, understand, and follow oral and written instructions.
- Data entry or administrative assistant experience is not needed but can be a bonus
- We are recruiting those who have a background in health care, warehouse worker, delivery drivers, customer service, etc - we welcome all backgrounds so long as you're ready to learn
You must apply on our website as well so please look out for an email from us once you apply.
Here's what you need to get started
- LapTop. You may be asked to use your webcam. These types of studies typically pay more. You'll need a stable internet connection. You may be asked to conduct a study using your SmartPhone.
- Data entry skills. All studies require that you be able to read, write and take direction as well as type a minimum of 25 words per minute.
- Backgrounds in Customer Service, Administrative Assisting, Sales and Sales Support helpful but not mandatory
We look forward to working with you! Connect with us via email by applying to this posting!
Flexibility to participate in discussions on-line or in-person. No commute needed if you choose to work from residence. No minimum hours. You can do this part-time or full-time Enjoy cost-free samples from our sponsors and partners for your feedback on their products. Click the 'Apply' button to make an application for this position now. This position is open to anyone looking for short-term, work at home, part-time or full-time job. The hrs are adaptable and no previous experience is required. Our paid market survey participants originate from all backgrounds and markets including data entry clerk, administrative assistant, receptionist, sales assistant, customer service agent, warehouse or factory workers, chauffeur, medical assistant, nurse, call facility representative, and so on. If you are seeking a versatile part-time remote work from home job, this is a wonderful position for making a good side revenue.
Virtual Data Entry Associate
Posted today
Job Viewed
Job Description
Thank you for checking us out! Work From Home Data Entry Research Panelist Jobs - Part Time, Full Time
This is a remote work from home position perfect for those with any type of work background such as administrative assistant, data entry clerk, typing, customer service representative, drivers etc.
We are seeking individuals who are looking for part time or full time work or side gigs to be connected with companies who are hiring employees directly to work from their homes.
You will find both full-time and part-time remote opportunities in a variety of career fields.
Legitimate Work From Home Data Entry Jobs are going to require that you have skills relevant to the position you are applying for. Training is provided based on the position.
JOB PAY
- $35 - $50hr. (single session studies)
- up to 3,000 (multi-session studies)
JOB REQUIREMENTS
- Computer with internet access
- Quiet work space away from distractions
- Must be able and comfortable to working in an environment without immediate supervision
- Ability to read, understand, and follow oral and written instructions.
- Data entry or administrative assistant experience is not needed but can be a bonus
- We are recruiting those who have a background in health care, warehouse worker, delivery drivers, customer service, etc - we welcome all backgrounds so long as you're ready to learn
You must apply on our website as well so please look out for an email from us once you apply.
Here's what you need to get started
- LapTop. You may be asked to use your webcam. These types of studies typically pay more. You'll need a stable internet connection. You may be asked to conduct a study using your SmartPhone.
- Data entry skills. All studies require that you be able to read, write and take direction as well as type a minimum of 25 words per minute.
- Backgrounds in Customer Service, Administrative Assisting, Sales and Sales Support helpful but not mandatory
We look forward to working with you! Connect with us via email by applying to this posting!
Flexibility to participate in discussions on-line or in-person. No commute needed if you choose to work from residence. No minimum hours. You can do this part-time or full-time Enjoy cost-free samples from our sponsors and partners for your feedback on their products. Click the 'Apply' button to make an application for this position now. This position is open to anyone looking for short-term, work at home, part-time or full-time job. The hrs are adaptable and no previous experience is required. Our paid market survey participants originate from all backgrounds and markets including data entry clerk, administrative assistant, receptionist, sales assistant, customer service agent, warehouse or factory workers, chauffeur, medical assistant, nurse, call facility representative, and so on. If you are seeking a versatile part-time remote work from home job, this is a wonderful position for making a good side revenue.