59 Administration jobs in Pembroke Park
Manager, Medicare Administration
Posted today
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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.
Office Administration Assistant - Work from Home
Posted 18 days ago
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Job Description
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/ChangesQualifications:
* 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 DepartmentExecutive Director, Research Administration
Posted today
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Job Description
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.
The Executive Director of the Office of Research Administration (ORA) reports to the Associate Vice President for Research Administration and is responsible for providing leadership, oversight and management of ORA's mission for the Coral Gables, Rosenstiel, and Medical Campuses for Pre-award, Post-award, and the Strategic Initiatives divisions. The Executive Director is responsible for supervision of all personnel under the pre-award unit.
Job Functions:
• Partners with academic and departmental leadership, and grant/contract staff to facilitate transparent and accountable research administration organization in support of principal investigators and the University's research mission.
• Provides grants management expertise for the University regarding 2 CFR 200 (Uniform Guidance) and the FAR (Federal Acquisition Regulations) in relation to pre, post, and training operations.
• Coordinates award documentation and approval processes for record keeping, reporting, and liaison activities within the University of Miami (UM) and outside awarding agencies.
• Directs, reviews, and submits proposals; directs and coordinates the accounting of funds from Federal agencies, industry and private foundations for support of University sponsored programs.
• Monitors for compliance with agency and UM requirements for all pre/post activities.
• Monitors funds to ensure receipt and disbursement according to terms of sponsored awards.
• Oversees the preparation and submission of fiscal reports to agencies, Institutional trends and financial reports to Leadership, Deans, and Departments as required.
• Assures reimbursement of project expenditures.
• Provides training and support to faculty and administration regarding sponsored requirements.
• Develops strategic initiatives to increase Federal costing policy awareness within the institution and ensure compliance through development of policies and procedures and coordination of training of University personnel.
• Maintains effective relationships with Federal representatives; facilitate communication and audit of University records and resolve noted discrepancies.
• Provides information to sponsors and UM personnel in a prompt, accurate and cordial fashion.
• Assesses the regulatory impact on internal business processes.
• Accomplishes special projects in support of Finance and Treasury.
• Seeks ways to improve and enhance service delivery.
• Maintains the commitment to continuous evaluation and assessment of organizational effectiveness.
• Supervises Associate Directors and ORA staff to accomplish responsibilities listed above.
Education:
Bachelor's degree in relevant field is required, Master's degree in Law, Business, or Public Administration is highly preferred.
Certification and Licensing:
Experience:
Minimum 10 years of relevant experience. Prior experience managing staff in a research administration setting. High preference of proven customer service orientation. Any appropriate combination of relevant education, experience and/or certifications may be considered.
Knowledge, Skills and Attitudes:
• Thorough knowledge of sponsored program regulations; specific areas of expertise in proposal preparation, contracting accounting, and finance principles.
• Demonstrated leadership, as a leader and manager, in a research administration setting.
• Proficient with research and grant administration software as well as Microsoft Office applications.
• Demonstrated expertise in federal web-based grants management systems and enterprise financial systems.
• Excellent written and oral communication.
• Excellent interpersonal and collaboration skills.
• Highly numerate with demonstrated excellence in analytic skills.
• Excellent organizational skills and attention to detail.
• Works independently with minimal supervision and respects deadlines.
• Enjoys working in a fast-paced and challenging environment and with all levels of institute staff.
• Knowledge of business and management principles.
• Ability to direct, manage, implement, and evaluate department operations.
• Ability to establish department goals, and objectives that support the strategic plan.
• Ability to effectively plan, delegate and/or supervise the work of others.
• Ability to lead, motivate, develop, and train others.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:
Full time
Employee Type:
Staff
Pay Grade:
A19
CREDIT ADMINISTRATION OFFICER - WATERFORD
Posted 11 days ago
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Job Summary:
Responsible for portfolio monitoring while adhering to policy and reporting requirements. Oversee maintenance of Loan Portfolio documentation and for providing support as detailed below. Responsible for special assets overseeing not limited to REO monitoring and handling as well as mitigation strategies and execution. The CREDIT ADMINISTRATION OFFICER reports to the Credit administration workout manager/ Senior Credit Officer providing support for Commercial Credit Administration, quality via preparation and delivery of reports, independent appraisals, monitoring of ticklers and crosschecking originated loans. Responsible for drafting procedures as they relate to the credit administration and special assets units. May attend credit committees or other approval processes, as requested.
Essential Responsibilities:
- Responsible for the Underwriting Credit Log portfolio loans under review for Commercial and Corporate loans.
- Preparation of Credit Committee Agenda for open discussions to proper authority and gathers Credit Approval Memorandums
- (CAM) for presentation to applicable approval authority committee.
- Ensures distribution of approved credits and respective tickler update
- Responsible for New Money Approved/Closed and funded, Commercial & Consumer-Residential, Commitment reports by tracking all the loans that are pending to close and that closed during the month as well as timely Datamart and TDR reconciliation and certification submissions.
- Provides management with information to help monitor and control the Commercial Loan Portfolio.
- Review internal loan review reports, expired and expiring loans, closing pipeline, and call report codes etc.
- Liaison with Internal Auditors, Loan Review, Work-out Officers and the head office Risk Management function; by supporting documentation requests and response, and follow-up in respect to audits; assist with management of incoming and outgoing request for information from corporate and regulatory bodies.
- Monitor the follow-up with various action plans that transpire from the regulatory, audit and/or loan review examinations.
- Support managing, identifying, and monitoring past dues and non-performing assets, lending activity, and other portfolio trends; discuss, track, present and implement portfolio trends and approved changes.
- Supports completion of the GL reconciliations reports and proper safeguarding.
- Supports appraisal process/ quoting, ordering and safeguarding.
- Provide weekly overview of Portfolio and preparation of reports not limited to monitoring portfolio for past dues, potential non-performing loans, contact delinquent borrowers; follow-up on past due ticklers related to technical exceptions and annual reviews.
Supports SAG
- Interact with investors, brokers, loan offices, and attorneys with the sale distressed assets and portfolio not limited to providing loan document information, monitoring sales and the closings, process and keep track of deficiency judgements, generation of defaults letters, manage assigned portfolio of non-perming assets in conjunction with the assigned attorney; attend meditations and/or depositions.
- Coordinate with First Bank Florida attorney in negotiating; Preparing and reviewing Stipulation/Forbearance Agreements; management of all incoming bank REOs, preparation of Classified asset reports Oversee / manage the review of modification of cases as well as the loss mitigation process. Oversee the completion and accuracy of the Datamart data validation and certification.
Post-closing
- Review loan documentation to confirm proper signature, dates, and other relevant information, assemble and verify accuracy of loan documentation, including review of title commitment, Communicate with title company if any information is missing or was omitted from the closing package, Verifies in Encompass system HMDA screen, rate spread calculator, Lereta, UCD, OFAC, CCI , subsequent review and closing work sheet are in Encompass, prepare post-closing check list, run mavent report and make sure it passes, Once the post-closing is completed advice quality control the file is ready for quality control.
Ncino and commercial folder update
- oversees creation of new loans and ticklers in the On-base system monthly as well as new folders for modifications, extensions, future advance, renewals, amendments, and emails PR to upload information. Ensures update of ticklers for existing loans daily. Confirms information is accurate and correct. Saves updated information in Banks Commercial Lending share drive folder in a timely basis. Requests financial information via letters, emails or calls monthly. Supports opening of folders in the share drive for Commercial and Corporate new loans as soon as the Green Light or CAM is received.
- Supports CRA reporting.
Other Responsibilities:
- Ncino system file upload accuracy. (crosscheck) and technical exception monitoring, distribution and follow up.
- Review the monthly tickler report for accuracies, changes and updates.
Independence of Judgment:
Exercises an intermediate degree of discretion and judgment, referring to established policies or standards for guidance. Items or issues beyond this level are referred to senior members of the commercial and credit departments for resolution.
Supervisory Responsibilities:
This position may have two or three direct reports administrative staff mostly but could vary to include other operational or support personnel.
Impact of Errors:
The impact of errors of this position could affect essential activities of administrative, operational or business nature that have a considerable economic impact.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Specific vision abilities required by this job include close vision and distance vision. While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand and walk. May be required to lift and move boxes or packages not exceeding 10 pounds in weight.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Employees in this job work in an office environment with a comfortable room temperature, good lighting, and quiet conditions. May be exposed to external elements when visiting other bank premises, government agencies, etc., as needed.
Competencies
- The competencies detailed below are the behaviors to be exhibited by the incumbent while performing his/her duties as relates to our corporate values, culture and philosophy.
- Strong analytical and problem-solving skills
- Well-developed written communication and verbal presentation skills.
- Able to handles stress, flexible working hours.
- Attention to details.
- Good communication skills
- Customer service oriented
Minimum Requirements
- Bachelors degree in business or accounting field
- Completion of formal credit training preferred
- Thorough understanding of financial accounting, loan structuring, legal, compliance and market risk-related issues involved in the approval of credit
- Proficiency in the use of spreadsheet and financial software applications and Microsoft Office Word, Excel, Power Point
- Ability to prioritize and work on more than one task at a time and work independently
- Excellent written and verbal communication
- Strong analytical skills
- Ability to balances team and individual responsibilities and contributes to building a positive team spirit
- Ability to treat people with respect; keep commitments; inspire the trust of others; work with integrity and ethically; and upholds organizational values.
- Able to generate suggestions for improving work; meet challenges with resourcefulness; and develops innovative approaches and ideas.
- Demonstrates accuracy and thoroughness and looks for ways to improve and promote quality
Bachelors in accounting, Finance, Business or related field. - Minimum of 3-5 years of experience working in a financial institution setting with knowledge of the loan documentation, financial information and or equivalent combination of education and experience sufficient to successfully perform the essential functions of the job is required. Microsoft Office proficient (Word, Excel, PowerPoint). Customer Service oriented.
- Available to work overtime, when required. Ability to manage multiple priorities, organize daily tasks and meet deadlines in a high-volume environment.
Disclaimer
- The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills required of personnel so classified. The reporting relationship may not reflect the most recent changes to the corporate reporting structure.
EQUAL EMPLOYMENT OPPORTUNITY
#J-18808-LjbffrMedical Staff Associate-Administration
Posted 22 days ago
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Job Description
Performs diverse duties to support the medical staff, department leadership, and hospital administration. Establishes procedures and systems to ensure compliance with the medical staff bylaws, rules and regulations, the Joint Commission standards, an Medical, Staff, Associate, Healthcare, Education
Manager, Clinic/Center Administration
Posted today
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Job Description
The Manager, Clinic/Center Administration plans and directs the work of professional and support personnel who provide outpatient care to patients in a clinical setting. The Manager, Clinic/Center Administration works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.
The Manager, Clinic/Center Administration helps develop and leads implementation for staffing plans, policies and procedures for the facility and works closely with clinicians to ensure optimal patient outcomes. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department.
**Use your skills to make an impact**
**Required Qualifications:**
- Must be able to work on-site at assigned Center
**- MUST be Bilingual in English and Spanish**
**- 3+ years of operational leadership experience within a multi-physician office or clinical group, including front of house management and clinical operations, along with direct leadership experience and a demonstrated ability to lead, coach, and mentor teams.**
- Primary Care experience, full-risk VBC experience, understanding of state and federal healthcare regulations.
- Experience with Electronic Medical Record (EMRs) or Health Information Management (HIMs) systems and knowledge of various software tools.
- Proven interpersonal skills with the ability to interface effectively both internally and externally with a wide range of people including physicians, office staff, hospital executives, medical groups, IPA's, community organizations and other health plan staff.
- Job is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. Candidates selected for this job will be required to be screened for TB.
- Candidates selected for this job will be required to adhere to Humana's flu vaccine policy.
- Current CPR certification Associates working in the State of Florida will need ACHA Level II Background clearance.
**Preferred Qualifications:**
- Bachelor's degree, preferably in Business Administration, Healthcare Administration, or a related field; or, in lieu of a bachelor's degree, 5+ years of Healthcare Administration/Leadership experience
- Basic knowledge of Population Health Strategy
- Familiarity with Medicare
- Experience managing a budget of $500,000 **Additional Information:**
**Working Hours: Monday - Friday 8:00 to 5:00**
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
**Alert:**
Humana values personal identify protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from with instructions on how to add the information into your official application on Humana's secure website.
**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.
$1,100 - 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.
**About Us**
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
**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.
Centerwell, a wholly owned subsidiary of 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 full accessibility rights information and language options
Paralegal - Trust & Estate Administration
Posted 7 days ago
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Job Description
We are seeking a Trust & Estates Administration Paralegal with 5+ years experience to join our growing team. The ideal candidate will bring expertise in organizational and practice specific support. If you are highly professional, detail-oriented with strong organizational skills we would like to speak with you.
Salary: $76k-$162k depending on experience.
Responsibilities:
- Extensive communication with clients, financial, planners, and accountants.
- Preparation of federal and state estate tax returns and fiduciary accounting's.
- Distribution of estate assets and trust funding, deed work and etc.
Requirements:
- Superior communication and mathematical skills.
- Strong working knowledge of estate tax software (ONE SOURCE/Fast Tax), Hot Docs and Microsoft Word a plus.
- Candidates must be highly organized and possess the ability to prioritize, be a team player, and have excellent written and verbal skills.
- College degree and/or paralegal certificate and 5+ years of experience required.
Benefits:
- Competitive Salary.
- Comprehensive benefits package.
- PTO.
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Manager, Provider Network Administration (Remote)
Posted 2 days ago
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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
-
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.
IT Systems Administration Training Program
Posted 3 days ago
Job Viewed
Job Description
Year Up United offers a dynamic one-year or shorter job training program designed for young adults. This comprehensive program combines in-class instruction with hands-on skill development, valuable internship opportunities, and personalized coaching and mentorship. Participants receive an educational stipend to support their training journey.
You'll gain access to industrial-strength training, mentorship, and job placement support through our renowned talent placement firm, YUPRO Placement. Internships may be provided at prestigious organizations like Bank of America, American Express, or JPMorgan Chase, among others.
Are you eligible?
You can apply to Year Up United if you meet the following criteria:
- A high school graduate or GED recipient
- Eligible to work in the U.S.
- Available Monday-Friday throughout the program
- Highly motivated to learn technical and professional skills
- Have not obtained a Bachelor’s degree
- Willing to answer additional screening questions when applying
What will you gain?
Participants will develop essential professional and communication skills, learn effective interviewing and networking techniques, enhance their resume, and receive ongoing support to successfully launch their careers. During the internship phase, Year Up United students will earn an educational stipend of $525 per week.
In-depth classes include:
- Banking
- IT Support
Kickstart your professional journey with Year Up United. Our graduates enjoy remarkable success, with 75% achieving employment or enrolling in higher education within just 4 months of graduation. Employed graduates can expect an average starting salary of $53,000 per year.
Manager, Provider Network Administration (Remote)
Posted today
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.