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

Lensa; Bowling Green (KY); 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 maintaining critical information on claims databases, training staff, and collaborating with stakeholders. Candidates should have a Bachelor's degree and significant experience in the field.

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 claims databases accurately and timely.
• Train staff on configuration functionality and updates.
• Collaborate with stakeholders to document business requirements.

Skills

Data Validation

Problem Solving

Collaboration

Training

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 information on claims databases, synchronizes data among operational and claims systems, and applies 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.
• Problem solves with Health Plans and Corporate to ensure all business requirements are documented.
• Creates management reporting tools to communicate configuration updates and initiatives.
• 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.

Pay Range: $77,969 - $155,508 per year.

• 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 IT Consulting

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