Lead Analyst, Configuration Information Management - Claims/Regulatory Requirements - Remote

Lensa; Akron (OH); Remote; USD 77,000 - 156,000; Full time

Job summary

A leading career site is seeking a Lead Analyst for Configuration Information Management, focusing on claims and regulatory requirements. This role involves maintaining data integrity, training staff, and collaborating with stakeholders to ensure compliance with business needs. Candidates should have a Bachelor's degree and extensive experience in the field.

Qualifications

• 7-9 years of relevant experience required.
• 10+ years preferred.
• Equivalent combination of education and experience accepted.

Responsibilities

• Implement and maintain claims databases accurately and timely.
• Train staff on configuration functionalities.
• Collaborate with stakeholders to understand business objectives.

Skills

Data integrity

Collaboration

Negotiation

Education

Bachelor's Degree

Graduate Degree

Job description

Lead Analyst, Configuration Information Management - Claims/Regulatory Requirements - Remote

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Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

Job Description

Job Summary

Responsible for the accurate and timely implementation and maintenance of critical information on claims databases. Maintains data integrity and synchronizes data among operational and claims systems, applying relevant business rules. Validates data to ensure compliance with business and system requirements related to contracting, benefits, prior authorizations, fee schedules, and other business needs.

Knowledge/Skills/Abilities

• Trains staff on configuration functionalities, enhancements, and updates.
• Collaborates with internal and external stakeholders to understand business objectives and processes.
• Resolves issues with Health Plans and Corporate to ensure comprehensive documentation of business requirements.
• Develops management reporting tools to communicate configuration updates and initiatives effectively.
• 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: Please apply through the intranet job listing if interested.

Molina Healthcare offers a competitive benefits and compensation package. We are an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $155,508 / annually

• Actual compensation may vary based on location, experience, education, and skills.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Information Technology
• Industries: IT Services and Consulting