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

Molina Healthcare

Long Beach (CA)

Remote

USD 90,000 - 120,000

Full time

4 days ago
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Job summary

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.

Benefits

Competitive benefits and compensation package
Opportunity for career advancement
Supportive and collaborative work environment

Qualifications

  • Minimum of 7-9 years of relevant experience in a related field.
  • Experience in documenting end-to-end business requirements.

Responsibilities

  • Implement and maintain critical information on claims databases accurately and timely.
  • Validate data housed on databases to ensure compliance with business and system requirements.

Skills

Problem Solving
Data Analysis

Education

Bachelor's Degree

Job description

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

"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."

About the company

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States.

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