Lead Analyst - QNXT Benefit Configuration
Molina Healthcare Arizona; Cincinnati, Ohio; Dayton, Ohio; Racine, Wisconsin; Phoenix, Arizona; Orlando, Florida; Nampa, Idaho; Idaho Falls, Idaho; New York; Bowling Green, Kentucky; Owensboro, Kentucky; Grand Rapids, Michigan; Bellevue, Nebraska; Rio Rancho, New Mexico; Cleveland, Ohio; Houston, Texas; Dallas, Texas; Orem, Utah; Layton, Utah; Bellevue, Washington; Scottsdale, Arizona; St. Petersburg, Florida; Nebraska; Washington; Detroit, Michigan; Sterling Heights, Michigan; Grand Island, Nebraska; Akron, Ohio; Austin, Texas; West Valley City, Utah; Chandler, Arizona; Augusta, Georgia; Columbus, Georgia; Georgia; Boise, Idaho; Cedar Rapids, Iowa; Iowa City, Iowa; Louisville, Kentucky; Lexington-Fayette, Kentucky; Santa Fe, New Mexico; San Antonio, Texas; Tacoma, Washington; Vancouver, Washington; Kenosha, Wisconsin; Jacksonville, Florida; Tampa, Florida; Atlanta, Georgia; Florida; Savannah, Georgia; Ohio; Texas; Buffalo, New York; Fort Worth, Texas; Provo, Utah; Milwaukee, Wisconsin; Tucson, Arizona; Miami, Florida; Davenport, Iowa; Ann Arbor, Michigan; Omaha, Nebraska; Kearney, Nebraska; Albuquerque, New Mexico; Salt Lake City, Utah; Mesa, Arizona; Caldwell, Idaho; Michigan; New Mexico; Warren, Michigan; Lincoln, Nebraska; New York, New York; Yonkers, New York; Spokane, Washington; Green Bay, Wisconsin; Macon, Georgia; Iowa; Kentucky; Wisconsin; Columbus, Ohio; Rochester, New York; Syracuse, New York; Madison, Wisconsin; Idaho; Meridian, Idaho; Des Moines, Iowa; Utah; Sioux City, Iowa; Covington, Kentucky; Las Cruces, New Mexico; Roswell, New Mexico Job ID 2029497JOB 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
- Trains staff on configuration functionality, enhancements, and updates.
- Works with internal and external stakeholders to understand business objectives and processes associated with the enterprise.
- Problem solves with Health Plans and Corporate to ensure all end-to-end business requirements have been documented.
- Creates management reporting tools to enhance communication on configurations updates and initiatives.
- Negotiates expected completion dates with Health Plans.
- Must have experience with Benefits configuration, claims
- The team is responsible for implementation and configuration of all new businesses.
- Experience working with QNXT benefit configuration is required.
- Networx / Pricer is preferred.
- SQL is preferred.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
7-9 years
Preferred Education
Graduate Degree or equivalent experience
Preferred Experience
10+ 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: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 12/27/2024ABOUT OUR LOCATION
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