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

Lensa; Racine (WI); Remote; USD 77,000 - 156,000; Full time

Job summary

A leading career site is seeking a Lead Analyst for Molina Healthcare, responsible for maintaining claims databases and ensuring data integrity. Ideal candidates will have a Bachelor's degree and significant experience in relevant roles. This full-time position offers a competitive salary and benefits package.

Qualifications

• Bachelor's Degree or equivalent experience required.
• 7-9 years in relevant roles required.
• 10+ years in related roles preferred.

Responsibilities

• Implement and maintain critical information on claims databases.
• Ensure data integrity and synchronize data across systems.
• Train staff on configuration functionalities.

Skills

Data Integrity

Collaboration

Problem Solving

Management Reporting

Negotiation

Education

Bachelor's Degree

Graduate Degree

Job description

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

Apply now to be among the first 25 applicants for this exciting opportunity.

Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking a qualified professional for the following role. Apply via Lensa today!

Job Description

Job Summary

The Lead Analyst is responsible for the accurate and timely implementation and maintenance of critical information on claims databases. This role involves maintaining data integrity, synchronizing data across operational and claims systems, and applying business rules relevant to each database. The analyst will validate data to ensure it meets business and system requirements related to contracting, benefits, prior authorizations, fee schedules, and other business needs.

Knowledge, Skills, and Abilities

• Train staff on configuration functionalities, enhancements, and updates.
• Collaborate with internal and external stakeholders to understand business objectives and processes.
• Problem-solve with Health Plans and Corporate teams to document end-to-end business requirements.
• Create management reporting tools to communicate updates and initiatives effectively.
• Negotiate project timelines with Health Plans.

Job Qualifications

Required Education

Bachelor's Degree or equivalent experience.

Required Experience

7-9 years in relevant roles.

Preferred Education

Graduate Degree or equivalent experience.

Preferred Experience

10+ years in related roles.

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 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 IT Consulting

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