Analyst, Qnxt Contract Config Info Mgmt

Job DescriptionJOB DESCRIPTIONJob 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...

Job Summary KNOWLEDGE/SKILLS/ABILITIES Trains staff on configuration functionality, enhancements, and updates. Works with internal and external stakeholders to understand business objectives and processes associated with the enterprise. Problem solves with Health Plans and Corporate to ensure all end-to-end business requirements have been...

Job DescriptionJOB DESCRIPTIONJob 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...

Job DescriptionJOB DESCRIPTIONJob 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...

Job Description The focus of this position will be research and root cause analysis of claims / config issues with direct provider interaction and collaboration with our provider relations team. Additionally, the role will help with overpayment recovery, claims payment and adjustment projects, and reviewing proposed SAI concepts from PI and provide guidance...

Job DescriptionJob Description The focus of this position will be research and root cause analysis of claims / config issues with direct provider interaction and collaboration with our provider relations team. Additionally, the role will help with overpayment recovery, claims payment and adjustment projects, and reviewing proposed SAI concepts from PI and...

Job description Our company is seeking an experienced QNXT Configuration Analyst to join our Health Claims Team. As a Configuration Analyst, These positions will be responsible for the implementation and support of quality initiatives within assigned areas, specifically to support the implementation of Commercial LOBs into QNXT. These Business Analysts will...

Job description Our company is seeking an experienced QNXT Configuration Analyst to join our Health Claims Team. As a Configuration Analyst, These positions will be responsible for the implementation and support of quality initiatives within assigned areas, specifically to support the implementation of Commercial LOBs into QNXT. These Business Analysts will...

Job Summary KNOWLEDGE/SKILLS/ABILITIES Analyze and interpret data to determine appropriate configuration changes. Accurately interprets specific state and/or federal benefits, contracts as well as additional business requirements and converting these terms to configuration parameters. Handles coding, updating and maintaining benefit plans, provider...

Job Summary KNOWLEDGE/SKILLS/ABILITIES Maintains department standard for loading of provider demographic data with affiliation and contract assignment. Load and maintain provider information into computer system(s) with attention to detail and accuracy in a timely manner to meet department standards of turnaround time and quality. Audit loaded provider...

Job Summary KNOWLEDGE/SKILLS/ABILITIES Trains staff on configuration functionality, enhancements, and updates. Works with internal and external stakeholders to understand business objectives and processes associated with the enterprise. Problem solves with Health Plans and Corporate to ensure all end-to-end business requirements have been...

Job Description Job Summary Molina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina Healthcare successfully establish and maintain distinct high performing networks of compassionate and culturally sensitive providers who: - Are aligned with our mission to provide quality health services to...

Job Summary Molina Health Plan Operational Leadership roles provide overall direction and administration of the Plan's operational departments, programs, and services. Responsibilities include implementing programs that are in alignment with Molina Healthcare's strategic and operating plan; providing day-to-day leadership and management of the health plan...

KNOWLEDGE/SKILLS/ABILITIES Analyze, review, and load documents to support department operations. Maintains reconciliation and production reports for department. Prepares reports and analysis as needed. Supports ad hoc reporting requests for department staff as needed. Identifies any inadequacies within the existing process, strategizes and designs...

Job Description : The client is seeking an Information Technology (IT) Contract Analyst. Under limited supervision, provide administrative assistance, analysis and IT contract administration for the Information Management Division. There may be complex daily assignments issued by supervising staff. This position requires in-depth knowledge of the Microsoft...

Job Description : The client is seeking an Information Technology (IT) Contract Analyst. Under limited supervision, provide administrative assistance, analysis and IT contract administration for the Information Management Division. There may be complex daily assignments issued by supervising staff. This position requires in-depth knowledge of the Microsoft...

Job Description : The client is seeking an Information Technology (IT) Contract Analyst. Under limited supervision, provide administrative assistance, analysis and IT contract administration for the Information Management Division. There may be complex daily assignments issued by supervising staff. This position requires in-depth knowledge of the Microsoft...

Job Description : The client is seeking an Information Technology (IT) Contract Analyst. Under limited supervision, provide administrative assistance, analysis and IT contract administration for the Information Management Division. There may be complex daily assignments issued by supervising staff. This position requires in-depth knowledge of the Microsoft...

Trading Analyst (Pacific Investment Management Company LLC (PIMCO) Newport Beach, CA); Mult. pos. avail. Liaise directly with Portfolio Mgrs to ensure the proper exec of trades and the optimization of quant research methodologies. Create and implement quant and tech tools to streamline portfolio mgmt and trading processes in addition to aiding Sr Portfolio...

Trading Analyst (Pacific Investment Management Company LLC (PIMCO) Newport Beach, CA); Mult. pos. avail. Liaise directly with Portfolio Mgrs to ensure the proper exec of trades and the optimization of quant research methodologies. Create and implement quant and tech tools to streamline portfolio mgmt and trading processes in addition to aiding Sr Portfolio...