Lead Analyst, Configuration Information Management – Medicare Benefits/QNXT/SQL – Remote

jobs-near-me.org

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

  • 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.

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: Posting Date: 05/14/2025

Read Full Description

Apply
To help us track our recruitment effort, please indicate in your cover/motivation letter where (jobs-near-me.org) you saw this job posting.

Share

Credentialing Specialists

jobs-near-me.org <div class="isg-job-description">Type: Full Time Location: Kearneysville, WV Overtime Exempt: Yes Reports To: ARMADA HQ…

1 hour ago

Senior Security Specialist

jobs-near-me.org <div class="isg-job-description">Type: Full Time Location: Point Mugu, CA Overtime Exempt: Yes Reports To: ARMADA…

1 hour ago

Operating Technician Manufacturing

jobs-near-me.org <div class="isg-job-description">This position is an essential part of Sherwin's manufacturing team. This position is…

1 hour ago

Bilingual Multi-Location Customer Service Specialist (Spanish)

jobs-near-me.org <div class="isg-job-description">Customer Service Specialists work closely with wholesale and retail customers to determine their…

1 hour ago

Operating Technician – Nights

jobs-near-me.org <div class="isg-job-description">This position is an essential part of Sherwin's manufacturing team. This position is…

1 hour ago

Finance Manager

jobs-near-me.org <div class="isg-job-description">CORE RESPONSIBILITIES AND TASKS The Finance Manager is responsible for ensuring the financial…

1 hour ago
For Apply Button. Please use Non-Amp Version

This website uses cookies.