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A leading healthcare services company in Long Beach, California, is seeking a skilled professional to enhance claims management and operational efficiency. The role involves maintaining claims databases, ensuring compliance, and training staff on updates. Ideal candidates will have significant experience in the healthcare sector and strong problem-solving skills.
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Competitive benefits and compensation package
- Opportunity for career advancement and growth within the organization
- Engage with a variety of stakeholders to enhance business processes
- Supportive and collaborative work environment
- Chance to make a significant impact on claims management and operational efficiency
What to Expect (Job Responsibilities):
- Implement and maintain critical information on claims databases accurately and timely
- Synchronize data among operational and claims systems while applying relevant business rules
- Validate data housed on databases to ensure compliance with business and system requirements
- Train staff on configuration functionality, enhancements, and updates
- Create management reporting tools to improve communication regarding configuration updates and initiatives
What is Required (Qualifications):
- Bachelor's Degree or equivalent combination of education and experience
- Minimum of 7-9 years of relevant experience in a related field
- Strong problem-solving skills to work with Health Plans and Corporate
- Ability to negotiate expected completion dates with stakeholders
- Experience in documenting end-to-end business requirements
How to Stand Out (Preferred Qualifications):
- Graduate Degree or equivalent experience
- 10+ years of relevant experience in healthcare or claims management
- Familiarity with management reporting tools and configuration updates
#HealthcareServices #ClaimsManagement #DataAnalysis #CareerOpportunity #CompetitivePay
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Molina Healthcare is a managed care company headquartered in Long Beach, California, United States.