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

Lensa; Spokane (WA); Remote; USD 77,000 - 156,000; Full time

Job summary

A leading career site seeks a Lead Analyst for Configuration Information Management focusing on claims and regulatory requirements. The role involves managing critical information on claims databases, training staff, and collaborating with stakeholders. Candidates should possess a Bachelor's Degree and substantial experience in the field.

Qualifications

• 7-9 years of experience required.
• Graduate Degree preferred with 10+ years of experience.
• Equivalent combination of education and experience acceptable.

Responsibilities

• Responsible for implementation and maintenance of claims databases.
• Trains staff on configuration functionality and updates.
• Works with stakeholders to document business requirements.

Skills

Problem Solving

Stakeholder Engagement

Data Validation

Reporting Tools Creation

Training

Education

Bachelor's Degree

Graduate Degree

Job description

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

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 accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.

Knowledge/Skills/Abilities

• Trains staff on configuration functionality, enhancements, and updates.
• Works with internal and external stakeholders to understand business objectives and processes associated with the enterprise.
• Problem solves with Health Plans and Corporate to ensure all end-to-end business requirements have been documented.
• Creates management reporting tools to enhance communication on configurations updates and initiatives.
• Negotiates expected completion dates with Health Plans.
  
  

Job Qualifications

Required Education

Bachelor's Degree or equivalent combination of education and experience

Required Experience

7-9 years

Preferred Education

Graduate Degree or equivalent experience

Preferred Experience

10+ years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $155,508 / ANNUAL

• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Information Technology

• Industries

  IT Services and IT Consulting

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