Molina Healthcare · 6 hours ago

Intern, Provider Network (Must reside in Michigan)

Michigan, United States

Internship

Remote

Intern

$10.33/hr - $18.05/hr

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Responsibilities

Learn Molina business and protocol for provider network administration, including service and contracting.

Learn our network management tools such as Quest and QNXT platforms for network adequacy and oversight of provider network data.

Work closely with team and management to ensure adherence to system maintenance and regulatory requirements.

Support contracting ‘lifecycle’ by participating in negotiations (as support staff), reviewing contracts, analyzing PADU (preferred, acceptable, discouraged, unacceptable) terms.

Support provider meetings and preparation, including JOC’s (Joint Operating Committee)

Qualification

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Provider network administrationQuest platformQNXT platformContract negotiationMS WordMS ExcelMS OutlookMS PowerPointInternet researchHIPAA complianceRelationship development

Required

Must reside in Michigan

Candidate must currently be enrolled in an undergraduate program as a current freshman or sophomore with a minimum GPA of 3.0 or higher and pursuing a Bachelor's degree with preference in the following areas – Healthcare Administration or Management, Business Administration, Health Informatics, Public Administration

Candidate must possess unrestricted authorization to work in the United States

Must possess clear and professional written, verbal, and interpersonal communication skills

Strong work ethic, self-motivated, and ability to develop relationships

Good time management, organizational and interpersonal skills required

Computer experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research

Excellent critical thinking/problem solving skills

Ability to handle confidential information

Ability to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)