Let’s do great things, together

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.

We are currently seeking a Provider Configuration Specialist. This position analyzes provider data from Moda’s systems and information received from providers via a wide array of work streams, and updates demographic information in compliance with CMS, State and internal guidelines. Also analyzes provider participation across a wide range of states and networks and adds/updates network participation along with established pricing rules based on complex and frequently changing internal rules and guidelines. Both functions drive Moda’s ability to accurately price and auto-adjudicate claims. Analyze and research moderately complex provider and network configuration issues.

This is a Hybrid PST position. We are only offering this position to candidates living in or willing to relocate to OR or WA.

Please follow the link below to apply to this position:

• https://j.brt.mv/ATS/jb.do?reqGK=27700556&refresh=true

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

• PST schedule Monday - Friday
• Full-time hours are 7.5 hours a day

• Monitors, organizes and maintains Moda employee records.
  • Will organize and maintain new hire files in the J:drive.
  • Will conduct and audit of new hire records bi-weekly, to verify records are accurate and complete. Request missing information from the recruiters as required.
• Assists HR team members with clerical tasks, such as reference checking, interview set up coordination, etc.
• Enters employee information in to HRIS database.
• Prepares support to all HR team members.
• Processes new hire paperwork.
• Responds to employment verification requests.
• Provides timely, accurate customer service to employees and visitors while maintaining professionalism and confidentiality.
• Perform other duties as assigned

• College Degree preferably in Human Resource Management or equivalent work experience.
• Effective planning and priority setting. Ability to manage several complex projects simultaneously while working under pressure to meet deadlines.
• Computer proficiency with Microsoft Office applications, HRIS databases.
• Strong verbal, written and interpersonal communication skills. Ability to listen and respond to information effectively.
• Proven ability to work effectively in a team environment.
• Ability to come into work on time and daily and work remotely when needed.
• Maintain confidentiality, and project a positive and professional business image.
• Possess problem solving and decision-making skills.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.

For more information regarding accommodations please direct your questions to Kristy Nehler and Daniel McGinnis via our humanresources@modahealth.com email.