Sr Analyst, Config Info Mgmt

at  Molina Healthcare

Long Beach, CA 90802, USA -

Start DateExpiry DateSalaryPosted OnExperienceSkillsTelecommuteSponsor Visa
Immediate01 Dec, 2024USD 54373 Annual04 Sep, 20245 year(s) or aboveSql,Medical Coding,Qnxt,Critical ThinkingNoNo
Add to Wishlist Apply All Jobs
Required Visa Status:
CitizenGC
US CitizenStudent Visa
H1BCPT
OPTH4 Spouse of H1B
GC Green Card
Employment Type:
Full TimePart Time
PermanentIndependent - 1099
Contract – W2C2H Independent
C2H W2Contract – Corp 2 Corp
Contract to Hire – Corp 2 Corp

Description:

JOB DESCRIPTION

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

  • Knowledge of configuration in QNXT and Benefits is required.
  • Understanding of configuration solutions and ability to use critical thinking to analyze claims issues.
  • Works with internal and external stakeholders to understand business objectives and processes associated with the enterprise.
  • Participates in the implementation and conversion of new and existing health plans including development and execution of test plans.
  • Mentors junior analysts and trains them on configuration functionality, enhancements, and updates.
  • Experience working with Marketplace or Commercial Lines of Business is preferred.
  • Experience working with SQL is required.
    Prior Exp working in medical coding and billing is preferred.

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.

Pay Range: $54,373.27 - $117,808.76 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Responsibilities:

Please refer the Job description for details


REQUIREMENT SUMMARY

Min:5.0Max:9.0 year(s)

Information Technology/IT

IT Software - Other

Other

Graduate

Proficient

1

Long Beach, CA 90802, USA