17 Administration jobs in Richmond Hill
Senior Specialist, Provider Network Administration (SQL)
Posted 2 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 (using SQL, Excel, and QNXT). 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 (using SQL, Excel and QNXT) 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 2 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.
Work From Home (Remote) Data Entry Position
Posted 2 days ago
Job Viewed
Job Description
Join Our Part-Time Research Studies Today!
Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies including focus groups, clinical trials, online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and making an impact, this opportunity is for you.
Why Choose Us?
You have the flexibility to work either from home or in-person, with the option to choose what suits you best. This is an excellent chance to balance your personal life while contributing to important research, all while getting paid.
What You Can Earn:
- **Up to $250/hr** for single-session studies.
- **Up to $3,000** for multi-session studies.
- Multiple payment options including PayPal, direct checks, and virtual gift cards.
- Additional opportunities to earn bonuses and rewards.
What You'll Be Doing:
- Participate in focus groups, clinical trials, or online studies by following simple, clear instructions.
- Engage in research focus groups, providing valuable insights.
- Review and complete written studies, offering honest feedback.
- Test products and services, sharing your thoughts and experiences.
What We Need From You:
- A working camera on your smartphone or a webcam on your computer is recommended.
- Reliable internet connection for seamless participation.
- Enthusiasm to fully engage in one or more topics of interest.
- Ability to follow written and oral instructions accurately.
- Must be at least 16 years old.
- Basic English proficiency in both writing and speaking.
- Access to a computer, phone, or tablet with internet for certain tasks.
- A quiet, distraction-free workspace.
- Self-motivation to work independently and efficiently.
- Willingness to learn and develop skills for remote work success.
What You'll Enjoy:
- Participate in online and in-person discussions without any commute if working remotely.
- No minimum hours—work part-time on your schedule.
- Receive free product samples from our partners and sponsors in exchange for your feedback.
- Be the first to test and experience products before they hit the market.
- Flexibility to work from home and create your ideal work-life balance.
Who Should Apply?
Whether you're looking for part-time, short-term work or simply want to earn extra cash, this role is open to everyone. No previous experience is necessary, and we welcome applicants from all backgrounds.
Apply now and secure your spot in our next research study while positions are still available!
Work From Home (Remote) Data Entry Position
Posted 2 days ago
Job Viewed
Job Description
Join Our Part-Time Research Studies Today!
Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies including focus groups, clinical trials, online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and making an impact, this opportunity is for you.
Why Choose Us?
You have the flexibility to work either from home or in-person, with the option to choose what suits you best. This is an excellent chance to balance your personal life while contributing to important research, all while getting paid.
What You Can Earn:
- **Up to $250/hr** for single-session studies.
- **Up to $3,000** for multi-session studies.
- Multiple payment options including PayPal, direct checks, and virtual gift cards.
- Additional opportunities to earn bonuses and rewards.
What You'll Be Doing:
- Participate in focus groups, clinical trials, or online studies by following simple, clear instructions.
- Engage in research focus groups, providing valuable insights.
- Review and complete written studies, offering honest feedback.
- Test products and services, sharing your thoughts and experiences.
What We Need From You:
- A working camera on your smartphone or a webcam on your computer is recommended.
- Reliable internet connection for seamless participation.
- Enthusiasm to fully engage in one or more topics of interest.
- Ability to follow written and oral instructions accurately.
- Must be at least 16 years old.
- Basic English proficiency in both writing and speaking.
- Access to a computer, phone, or tablet with internet for certain tasks.
- A quiet, distraction-free workspace.
- Self-motivation to work independently and efficiently.
- Willingness to learn and develop skills for remote work success.
What You'll Enjoy:
- Participate in online and in-person discussions without any commute if working remotely.
- No minimum hours—work part-time on your schedule.
- Receive free product samples from our partners and sponsors in exchange for your feedback.
- Be the first to test and experience products before they hit the market.
- Flexibility to work from home and create your ideal work-life balance.
Who Should Apply?
Whether you're looking for part-time, short-term work or simply want to earn extra cash, this role is open to everyone. No previous experience is necessary, and we welcome applicants from all backgrounds.
Apply now and secure your spot in our next research study while positions are still available!
Remote Out of Office Position / Data Entry
Posted 2 days ago
Job Viewed
Job Description
Hiring: Part-time Research Study Personnel (Pay up to $790/wk.)
Due to demand, we are now accepting applications for personnel to participate in our local in-person and nationwide remote research studies.
Description
This gig is perfect for those looking for temporary, remote, part-time work. The hours are flexible and no previous experience is needed. Participants will
have the option to choose particular studies based on their ability to participate either online, in person or over the telephone.
Participants are needed on a wide range of topics such as:
- Health Issues (Research for cures and new medications to treat ailments)
- Consumer Products (Your experience with consumer products)
- Shopping (Shopping experiences)
- Internet Usage (How you use the internet)
- Vehicles (recreational vehicles and automobiles)
- Employment (Various types of jobs or career fields)
- Food & Beverages (the consumption of various foods and beverages)
- Entertainment (About TV, movies or video games)
- Social Media (the use of different social media platforms)
- Financial (Banking and investing)
- Retirement (Planning what, when and how)
- Gender (studies based on your gender)
- Housing (Renters or Homeowners)
Compensation:
- Up to $50+ (Per 1hr. Focus Group Study Session)
- Up to 3000+ (Multi-Session Studies)
Benefits:
- Flexibility to take part in discussions online or in-person.
- No commute needed if you choose to work from home.
- No minimum hours. You can do this part-time or full-time
- Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
You get to review and use new products or services before they are launched to the public.
Qualifications:
- Speak and/or read English
- Must be 18yrs old or older
- Must have either a phone, computer or tablet with internet connection
Experience:
No prior study experience is required
Education:
Varies by study (GED or High School Diploma recommended but not necessary)
Application Steps
Follow the steps below to get started.
STEP 1: Apply
We accept all applications that meet the minimum requirements
STEP 2: Complete
Complete the optional steps for your best chance of acceptance to a paid study.
STEP 3: Verify
Some steps require an email verification in order to complete the study approval process.
STEP 4: Be Patient
Some studies require manual review to be sure you meet specific criteria before acceptance.
STEP 5: Earn
Upon successful completion of the research study your compensation will be issued via a Check, Paypal, Visa gift card or other form of compensation.
Remote Out of Office Position / Data Entry
Posted 2 days ago
Job Viewed
Job Description
Hiring: Part-time Research Study Personnel (Pay up to $790/wk.)
Due to demand, we are now accepting applications for personnel to participate in our local in-person and nationwide remote research studies.
Description
This gig is perfect for those looking for temporary, remote, part-time work. The hours are flexible and no previous experience is needed. Participants will
have the option to choose particular studies based on their ability to participate either online, in person or over the telephone.
Participants are needed on a wide range of topics such as:
- Health Issues (Research for cures and new medications to treat ailments)
- Consumer Products (Your experience with consumer products)
- Shopping (Shopping experiences)
- Internet Usage (How you use the internet)
- Vehicles (recreational vehicles and automobiles)
- Employment (Various types of jobs or career fields)
- Food & Beverages (the consumption of various foods and beverages)
- Entertainment (About TV, movies or video games)
- Social Media (the use of different social media platforms)
- Financial (Banking and investing)
- Retirement (Planning what, when and how)
- Gender (studies based on your gender)
- Housing (Renters or Homeowners)
Compensation:
- Up to $50+ (Per 1hr. Focus Group Study Session)
- Up to 3000+ (Multi-Session Studies)
Benefits:
- Flexibility to take part in discussions online or in-person.
- No commute needed if you choose to work from home.
- No minimum hours. You can do this part-time or full-time
- Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
You get to review and use new products or services before they are launched to the public.
Qualifications:
- Speak and/or read English
- Must be 18yrs old or older
- Must have either a phone, computer or tablet with internet connection
Experience:
No prior study experience is required
Education:
Varies by study (GED or High School Diploma recommended but not necessary)
Application Steps
Follow the steps below to get started.
STEP 1: Apply
We accept all applications that meet the minimum requirements
STEP 2: Complete
Complete the optional steps for your best chance of acceptance to a paid study.
STEP 3: Verify
Some steps require an email verification in order to complete the study approval process.
STEP 4: Be Patient
Some studies require manual review to be sure you meet specific criteria before acceptance.
STEP 5: Earn
Upon successful completion of the research study your compensation will be issued via a Check, Paypal, Visa gift card or other form of compensation.
Remote Out of Office Position / Data Entry
Posted 2 days ago
Job Viewed
Job Description
Hiring: Part-time Research Study Personnel (Pay up to $790/wk.)
Due to demand, we are now accepting applications for personnel to participate in our local in-person and nationwide remote research studies.
Description
This gig is perfect for those looking for temporary, remote, part-time work. The hours are flexible and no previous experience is needed. Participants will
have the option to choose particular studies based on their ability to participate either online, in person or over the telephone.
Participants are needed on a wide range of topics such as:
- Health Issues (Research for cures and new medications to treat ailments)
- Consumer Products (Your experience with consumer products)
- Shopping (Shopping experiences)
- Internet Usage (How you use the internet)
- Vehicles (recreational vehicles and automobiles)
- Employment (Various types of jobs or career fields)
- Food & Beverages (the consumption of various foods and beverages)
- Entertainment (About TV, movies or video games)
- Social Media (the use of different social media platforms)
- Financial (Banking and investing)
- Retirement (Planning what, when and how)
- Gender (studies based on your gender)
- Housing (Renters or Homeowners)
Compensation:
- Up to $50+ (Per 1hr. Focus Group Study Session)
- Up to 3000+ (Multi-Session Studies)
Benefits:
- Flexibility to take part in discussions online or in-person.
- No commute needed if you choose to work from home.
- No minimum hours. You can do this part-time or full-time
- Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
You get to review and use new products or services before they are launched to the public.
Qualifications:
- Speak and/or read English
- Must be 18yrs old or older
- Must have either a phone, computer or tablet with internet connection
Experience:
No prior study experience is required
Education:
Varies by study (GED or High School Diploma recommended but not necessary)
Application Steps
Follow the steps below to get started.
STEP 1: Apply
We accept all applications that meet the minimum requirements
STEP 2: Complete
Complete the optional steps for your best chance of acceptance to a paid study.
STEP 3: Verify
Some steps require an email verification in order to complete the study approval process.
STEP 4: Be Patient
Some studies require manual review to be sure you meet specific criteria before acceptance.
STEP 5: Earn
Upon successful completion of the research study your compensation will be issued via a Check, Paypal, Visa gift card or other form of compensation.
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Remote Out of Office Position / Data Entry
Posted 2 days ago
Job Viewed
Job Description
Hiring: Part-time Research Study Personnel (Pay up to $790/wk.)
Due to demand, we are now accepting applications for personnel to participate in our local in-person and nationwide remote research studies.
Description
This gig is perfect for those looking for temporary, remote, part-time work. The hours are flexible and no previous experience is needed. Participants will
have the option to choose particular studies based on their ability to participate either online, in person or over the telephone.
Participants are needed on a wide range of topics such as:
- Health Issues (Research for cures and new medications to treat ailments)
- Consumer Products (Your experience with consumer products)
- Shopping (Shopping experiences)
- Internet Usage (How you use the internet)
- Vehicles (recreational vehicles and automobiles)
- Employment (Various types of jobs or career fields)
- Food & Beverages (the consumption of various foods and beverages)
- Entertainment (About TV, movies or video games)
- Social Media (the use of different social media platforms)
- Financial (Banking and investing)
- Retirement (Planning what, when and how)
- Gender (studies based on your gender)
- Housing (Renters or Homeowners)
Compensation:
- Up to $50+ (Per 1hr. Focus Group Study Session)
- Up to 3000+ (Multi-Session Studies)
Benefits:
- Flexibility to take part in discussions online or in-person.
- No commute needed if you choose to work from home.
- No minimum hours. You can do this part-time or full-time
- Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
You get to review and use new products or services before they are launched to the public.
Qualifications:
- Speak and/or read English
- Must be 18yrs old or older
- Must have either a phone, computer or tablet with internet connection
Experience:
No prior study experience is required
Education:
Varies by study (GED or High School Diploma recommended but not necessary)
Application Steps
Follow the steps below to get started.
STEP 1: Apply
We accept all applications that meet the minimum requirements
STEP 2: Complete
Complete the optional steps for your best chance of acceptance to a paid study.
STEP 3: Verify
Some steps require an email verification in order to complete the study approval process.
STEP 4: Be Patient
Some studies require manual review to be sure you meet specific criteria before acceptance.
STEP 5: Earn
Upon successful completion of the research study your compensation will be issued via a Check, Paypal, Visa gift card or other form of compensation.
Remote Out of Office Position / Data Entry
Posted 2 days ago
Job Viewed
Job Description
Hiring: Part-time Research Study Personnel (Pay up to $790/wk.)
Due to demand, we are now accepting applications for personnel to participate in our local in-person and nationwide remote research studies.
Description
This gig is perfect for those looking for temporary, remote, part-time work. The hours are flexible and no previous experience is needed. Participants will
have the option to choose particular studies based on their ability to participate either online, in person or over the telephone.
Participants are needed on a wide range of topics such as:
- Health Issues (Research for cures and new medications to treat ailments)
- Consumer Products (Your experience with consumer products)
- Shopping (Shopping experiences)
- Internet Usage (How you use the internet)
- Vehicles (recreational vehicles and automobiles)
- Employment (Various types of jobs or career fields)
- Food & Beverages (the consumption of various foods and beverages)
- Entertainment (About TV, movies or video games)
- Social Media (the use of different social media platforms)
- Financial (Banking and investing)
- Retirement (Planning what, when and how)
- Gender (studies based on your gender)
- Housing (Renters or Homeowners)
Compensation:
- Up to $50+ (Per 1hr. Focus Group Study Session)
- Up to 3000+ (Multi-Session Studies)
Benefits:
- Flexibility to take part in discussions online or in-person.
- No commute needed if you choose to work from home.
- No minimum hours. You can do this part-time or full-time
- Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
You get to review and use new products or services before they are launched to the public.
Qualifications:
- Speak and/or read English
- Must be 18yrs old or older
- Must have either a phone, computer or tablet with internet connection
Experience:
No prior study experience is required
Education:
Varies by study (GED or High School Diploma recommended but not necessary)
Application Steps
Follow the steps below to get started.
STEP 1: Apply
We accept all applications that meet the minimum requirements
STEP 2: Complete
Complete the optional steps for your best chance of acceptance to a paid study.
STEP 3: Verify
Some steps require an email verification in order to complete the study approval process.
STEP 4: Be Patient
Some studies require manual review to be sure you meet specific criteria before acceptance.
STEP 5: Earn
Upon successful completion of the research study your compensation will be issued via a Check, Paypal, Visa gift card or other form of compensation.