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

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

Job summary

A leading career site is seeking a Lead Analyst for Configuration Information Management at Molina Healthcare. This remote position involves managing claims databases, ensuring data accuracy, and collaborating with stakeholders to meet business objectives. Ideal candidates will have a Bachelor's degree and significant experience in the field.

Qualifications

• Bachelor's Degree or equivalent combination of education and experience.
• 7-9 years of relevant experience required.
• Preferred: Graduate Degree and 10+ years of experience.

Responsibilities

• Implement and maintain critical information on claims databases.
• Synchronize data among operational and claims systems.
• Create management reporting tools for configuration updates.

Skills

Data Validation

Problem Solving

Stakeholder Collaboration

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 critical 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 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 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 interested, please apply through the intranet job listing.

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

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

• 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