Sr Analyst, Config Info Mgmt (Remote)

Lensa; Milwaukee (WI); Remote; USD 77,000 - 142,000; Full time

Job summary

A leading career site connects professionals with Molina Healthcare, seeking a Senior Analyst in Milwaukee. The role involves managing claims database data, ensuring compliance with regulatory requirements, and participating in upgrades and process improvements. Candidates should possess a bachelor's degree and significant experience in claims processing.

Qualifications

• 5-7 years of experience in a relevant field.
• Strong understanding of claims databases and application of business rules.
• Preferred experience: 7-9 years.

Responsibilities

• Responsible for accurate implementation and maintenance of claims databases.
• Validate data and ensure adherence to business requirements.
• Assist in planning application upgrades and conversions.

Skills

Data validation

Contract management

Process improvement

Education

Bachelor's Degree

Graduate Degree

Job description

1 day ago Be among the first 25 applicants

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 application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.

Knowledge/Skills/Abilities

• Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable systems.
• Participates in defect resolution for assigned component
• Assists with development of configuration standards and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality.
• Assists in planning and coordination of application upgrades and releases, including development and execution of some test plans.
• Participates in the implementation and conversion of new and existing health plans.
  
  

Job Qualifications

Required Education

Bachelor's Degree or equivalent combination of education and experience

Required Experience

5-7 years

Preferred Education

Graduate Degree or equivalent experience

Preferred Experience

7-9 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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

Pay Range: $77,969 - $141,371 / ANNUAL

• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Business Development and Sales

• Industries

  Hospitals and Health Care, Non-profit Organizations, and Government Administration

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