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

Molina Healthcare; Long Beach (CA); Remote; USD 80,000 - 110,000; Full time

Job summary

Molina Healthcare is seeking a Claims Management professional to enhance operational efficiency and claims accuracy. This role offers opportunities for career advancement, collaboration with various stakeholders, and the chance to make a significant impact in the healthcare sector. Ideal candidates will have extensive experience in claims management and a strong educational background.

Benefits

Competitive benefits and compensation package

Opportunity for career advancement

Collaborative work environment

Training and development provided

Qualifications

• 7-9 years of relevant experience in claims management or related fields.
• Familiarity with healthcare business objectives and processes.

Responsibilities

• Implement and maintain claims databases accurately and timely.
• Train staff on configuration functionality and updates.
• Collaborate with Health Plans to document business requirements.

Skills

Problem-solving

Negotiation

Education

Bachelor’s Degree

Tools

Management reporting tools

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive benefits and compensation package
- Collaborative work environment with internal and external stakeholders
- Chance to make a positive impact on claims management and operational efficiency
- Engage in training and development of staff on system functionalities and updates

What to Expect (Job Responsibilities):
- Implement and maintain critical information on claims databases accurately and timely
- Synchronize data among operational and claims systems while applying relevant business rules
- Validate data for compliance with business and system requirements related to contracting and benefits
- Train staff on configuration functionality, enhancements, and updates
- Collaborate with Health Plans and Corporate to document all end-to-end business requirements

What is Required (Qualifications):
- Bachelor’s Degree or equivalent combination of education and experience
- 7-9 years of relevant experience in claims management or related fields
- Strong problem-solving skills and ability to negotiate with stakeholders
- Experience in creating management reporting tools
- Familiarity with business objectives and processes associated with healthcare enterprises

How to Stand Out (Preferred Qualifications):
- Graduate Degree or equivalent experience
- 10+ years of experience in claims management or related fields

#HealthcareServices #ClaimsManagement #CareerOpportunity #TrainingProvided #CompetitiveBenefits

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