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

Lensa; Milwaukee (WI); Remote; USD 77,000 - 156,000; Full time

Job summary

A leading career site is seeking professionals for a mid-senior level position focused on claims databases management. The role involves ensuring data accuracy, collaborating with stakeholders, and training staff on system functionalities. Candidates should have a Bachelor's Degree and substantial experience in the field.

Qualifications

• Bachelor's Degree or equivalent combination of education and experience.
• 7-9 years of experience required.
• 10+ years of experience preferred.

Responsibilities

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

Skills

Problem solving

Collaboration

Training

Education

Bachelor's Degree

Graduate Degree

Job description

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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 the 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 applies business rules as they pertain to each database. Validates data to ensure adherence to business and system requirements related to contracting, benefits, prior authorizations, fee schedules, and other business needs.

Knowledge/Skills/Abilities

• Trains staff on configuration functionality, enhancements, and updates.
• Collaborates with internal and external stakeholders to understand business objectives and processes.
• Problem solves with Health Plans and Corporate to ensure all business requirements are documented.
• Creates management reporting tools to improve communication on configuration 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.

Current Molina employees interested in this position should apply through the intranet.

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

Pay Range: $77,969 - $155,508 annually. Actual compensation may vary based on location, experience, education, and skills.

Additional Information

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Information Technology
• Industries: IT Services and IT Consulting