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

Lensa; Santa Fe (NM); Remote; USD 77,000 - 156,000; Full time

Job summary

A leading health services organization seeks a Lead Analyst in Configuration Information Management focusing on Claims and Regulatory Requirements. This remote, full-time position requires significant experience in claims databases and information management, ensuring accurate implementation and maintenance of critical data.

Benefits

Competitive benefits

Qualifications

• 7-9 years of experience in relevant roles.
• 10+ years of experience preferred in related fields.

Responsibilities

• Implement and maintain critical information on claims databases.
• Collaborate with stakeholders to support business objectives.
• Develop management reporting tools for configuration updates.

Skills

Data Synchronization

Problem Solving

Stakeholder Collaboration

Training

Negotiation

Education

Bachelor's Degree

Graduate Degree

Job description

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

Apply now via Lensa to join Molina Healthcare, a leading health services organization, as a Lead Analyst in Configuration Information Management focusing on Claims and Regulatory Requirements. This is a remote, full-time position suitable for professionals with significant experience in claims databases and information management.

Job Summary

Responsible for the accurate and timely implementation and maintenance of critical information on claims databases. This includes synchronizing data across operational and claims systems, applying business rules, and validating data to meet business and system requirements related to contracting, benefits, prior authorizations, fee schedules, and other key areas.

Knowledge, Skills, and Abilities

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

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 fields.

Additional Information

Current Molina employees interested in this role should apply through the intranet. Molina offers competitive benefits. The pay range is $77,969 - $155,508 annually, with actual compensation based on location, experience, and skills. Molina is an Equal Opportunity Employer.