Senior Payment Integrity Lead

Molina Healthcare; Jackson (MS); On-site; USD 59,811 - 129,589; Full time

Job summary

Molina Healthcare is seeking a lead level analyst to enhance health plan payment integrity activities. The role involves managing complex initiatives, driving financial performance, and improving claims accuracy in compliance with Medicaid/Medicare regulations.

Qualified candidates will have 4+ years in a managed care organization, strong data analysis skills, and experience in provider reimbursement. The position is essential for operational success and financial outcomes at Molina Healthcare.

Offering competitive benefits, further details include a pay range of $59,811 - $129,589.63 annually.

Qualifications

• At least 4 years of business analyst experience in a managed care organization.
• Proven experience owning operational projects from concept to execution.
• Strong data analysis experience and ability to analyze data.

Responsibilities

• Leads efforts to improve claim payment accuracy.
• Collaborates with operational teams to identify issues.
• Translates strategic needs into clear requirements.

Skills

Business analyst experience

Data analysis

Claims payment integrity

Cross-functional coordination

Excel proficiency

Education

4 years in managed care organization

Experience in Medicaid and/or Medicare programs

Tools

SQL

QNXT

Job description

Molina Healthcare is seeking a lead level analyst to enhance health plan payment integrity activities. The role involves managing complex initiatives, driving financial performance, and improving claims accuracy in compliance with Medicaid/Medicare regulations.

Qualified candidates will have 4+ years in a managed care organization, strong data analysis skills, and experience in provider reimbursement. The position is essential for operational success and financial outcomes at Molina Healthcare.

Offering competitive benefits, further details include a pay range of $59,811 - $129,589.63 annually.