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

Lensa; Madison (WI); 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 role involves managing claims databases, ensuring data integrity, and collaborating with stakeholders. Ideal candidates will have significant experience and a Bachelor's degree, with competitive compensation offered.

Qualifications

• 7-9 years of relevant experience required.
• 10+ years preferred.
• Experience with Health Plans and Corporate collaboration.

Responsibilities

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

Skills

Data Integrity

Collaboration

Reporting Tools Development

Negotiation

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 data integrity across 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, and Abilities

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

Note: 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 varies 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