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

Lensa; Lexington (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 remote role involves managing claims databases, ensuring data accuracy, and collaborating with stakeholders. Ideal candidates will have a Bachelor's degree and significant experience in IT services.

Qualifications

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

Responsibilities

• Implement and maintain claims databases.
• Train staff on configuration functionalities.
• Create management reporting tools.

Skills

Data Validation

Problem Solving

Stakeholder Collaboration

Management Reporting

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 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, and Abilities

• Trains staff on configuration functionalities, enhancements, and updates.
• Collaborates with internal and external stakeholders to understand business objectives and processes.
• Problem-solves with Health Plans and Corporate to ensure comprehensive documentation of business requirements.
• Creates management reporting tools to communicate configuration updates and initiatives effectively.
• Negotiates project timelines 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 should apply through the intranet.

Molina Healthcare offers competitive benefits and compensation. 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