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

Lensa; Bellevue (NE); Remote; USD 77,000 - 156,000; Full time

Job summary

A leading career site is seeking a Lead Analyst for Configuration Information Management. This role involves managing claims databases, ensuring data accuracy, and collaborating with stakeholders. Ideal candidates will have a Bachelor's degree, extensive experience, and strong skills in data management and reporting.

Qualifications

• Bachelor's Degree or equivalent experience required.
• 7-9 years of relevant experience required.
• Graduate Degree preferred with 10+ years of experience.

Responsibilities

• Implement and maintain critical information on claims databases.
• Train staff on configuration functionality and updates.
• Create management reporting tools for configuration updates.

Skills

Data Management

Stakeholder Collaboration

Training

Reporting

Negotiation

Education

Bachelor's Degree

Graduate Degree

Job description

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

1 day ago - Be among the first 25 applicants

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 and synchronizes data among operational and claims systems, applying business rules as they pertain to each database. Validates data to ensure adherence to business and system requirements related to contracting, benefits, prior authorizations, fee schedules, and other business needs.

Knowledge/Skills/Abilities

• Trains staff on configuration functionality, enhancements, and updates.
• Collaborates with internal and external stakeholders to understand business objectives and processes.
• Addresses issues with Health Plans and Corporate to ensure all end-to-end business requirements are documented.
• Creates 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 experience

Required Experience

7-9 years

Preferred Education

Graduate Degree or equivalent experience

Preferred Experience

10+ years

Current Molina employees interested in this position should apply through the intranet.

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

Additional Details

• Pay Range: $77,969 - $155,508 / ANNUAL
• Actual compensation may vary based on location, experience, education, and skills.
• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Information Technology
• Industries: IT Services and IT Consulting

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