Lead Analyst, Configuration Information Management - Medicare Benefits/QNXT/SQL - Remote

Lensa; Covington (KY); Remote; USD 77,000 - 156,000; Full time

Job summary

Lensa is seeking a professional for Molina Healthcare to manage critical claims databases. The role involves ensuring data integrity and compliance, training staff, and collaborating with stakeholders. Candidates should possess a Bachelor's degree and significant experience in the field.

Qualifications

• 7-9 years of relevant experience.
• Bachelor's degree or equivalent experience required.
• Preferred: 10+ years of experience, Graduate degree.

Responsibilities

• Implement and maintain claims databases accurately and timely.
• Train staff on configuration functionalities and updates.
• Develop management reporting tools for configuration updates.

Skills

Data integrity

Stakeholder collaboration

Management reporting

Negotiation

Education

Bachelor's Degree

Graduate Degree

Job description

Job Description

Lensa, a leading career site for job seekers at every stage of their career, is seeking professionals on behalf of our client, Molina Healthcare. Apply via Lensa today!

Job Summary

Responsible for the accurate and timely implementation and maintenance of critical information on claims databases. Maintains data integrity, synchronizes data among operational and claims systems, and applies business rules relevant to each database. Validates data to ensure compliance with business and system requirements related to contracting, benefits, prior authorizations, fee schedules, and other business needs.

Knowledge, Skills, and Abilities

• Trains staff on configuration functionalities, enhancements, and updates.
• Collaborates with internal and external stakeholders to understand business objectives and processes.
• Addresses issues with Health Plans and Corporate to ensure all business requirements are documented.
• Develops management reporting tools to communicate configuration updates and initiatives.
• Negotiates project timelines 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.

Interested current Molina employees should apply through the intranet job listing.

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

Compensation

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
• Industry: IT Services and IT Consulting