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

Lensa

Phoenix (AZ)

Remote

USD 77,000 - 156,000

Full time

Yesterday
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Job summary

A leading career site is seeking professionals for a mid-senior level role focused on managing claims databases. The position involves data synchronization, training staff, and collaborating with stakeholders to meet business objectives. A Bachelor's degree and significant experience in IT are required.

Qualifications

  • 7-9 years of experience required.
  • 10+ years of experience preferred.

Responsibilities

  • Responsible for accurate and timely implementation and maintenance of critical information on claims databases.
  • Synchronizes data among operational and claims systems.
  • Trains staff on configuration functionality.

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 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 communicate configuration updates and initiatives.
  • Negotiates expected completion dates 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.

Note: Current Molina employees 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 / ANNUAL

  • 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
  • Industries: IT Services and IT Consulting
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