- Molina Healthcare (Grand Rapids, MI)
- …accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure ... other business requirements critical to claim accuracy. This contract review provides oversight to ensure that the contracts are configured correctly in QNXT. The… more
- Molina Healthcare (Grand Rapids, MI)
- …Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data ... among operational and claims systems and application of business rules as they...as they apply to each database. Validate accuracy of configuration and ensure adherence to business and system requirements… more
- Corewell Health (Grand Rapids, MI)
- …the cooperation of the provider network community and internal departments. The operations analyst is responsible for the oversight of the provider enrollment ... Job Summary A Provider Operations Analyst is responsible for identifying and solving issues...requirements. + 1 year of relevant experience with provider configuration , credentialing, claims and/or comparable systems. +… more