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Senior Analyst, Configuration Information Management - Healthplan Ops (Remo at Molina Talent Acquisition

, , Gabon -

Full Time

Start Date

Immediate

Expiry Date

19 Dec, 25

Salary

0.0

Posted On

20 Sep, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Databases, Data Validation, Configuration Standards, Application Upgrades, Test Plans, Health Plans, Defect Resolution, Business Rules, Contracting, Benefits, Prior Authorizations, Fee Schedules, Process Improvement, Data Synchronization, System Requirements, Quality Improvement

Industry

Hospitals and Health Care

Description

JOB DESCRIPTION ****Candidates must reside in Georgia.**** Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements. KNOWLEDGE/SKILLS/ABILITIES Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable systems. Participates in defect resolution for assigned component Assists with development of configuration standards and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. Assists in planning and coordination of application upgrades and releases, including development and execution of some test plans. Participates in the implementation and conversion of new and existing health plans. JOB QUALIFICATIONS Required Education Bachelor's Degree or equivalent combination of education and experience Required Experience 5-7 years Preferred Education Graduate Degree or equivalent 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. #PJCore2

Responsibilities

Responsible for the accurate and timely implementation and maintenance of critical information on claims databases. This includes synchronizing data among operational and claims systems and validating data to ensure adherence to business and system requirements.