Senior Configuration Analyst

2 weeks ago


Long Beach, California, United States Molina Healthcare Full time
Descripción del Trabajo

RESUMEN DEL PUESTO

Encargado de la implementación precisa y oportuna, así como del mantenimiento de información crítica en las bases de datos de reclamaciones. Administra información esencial en los sistemas de reclamaciones. Sincroniza datos entre sistemas operativos y de reclamaciones, aplicando las reglas de negocio pertinentes a cada base de datos. Valida la información que se almacenará en las bases de datos y asegura el cumplimiento de los requisitos empresariales y del sistema de los clientes en relación con la contratación, beneficios, autorizaciones previas, tarifas y otros requisitos comerciales.

CONOCIMIENTOS/HABILIDADES/ABILIDADES
  • Carga y mantenimiento de información de contratos, beneficios o tablas de referencia en el sistema de pago de reclamaciones y otros sistemas aplicables.
  • Participa en la resolución de defectos para el componente asignado.
  • Colabora en el desarrollo de estándares de configuración y mejores prácticas, sugiriendo procesos de mejora para garantizar que los sistemas funcionen de manera más eficiente y mejoren la calidad.
  • Asiste en la planificación y coordinación de actualizaciones y lanzamientos de aplicaciones, incluyendo el desarrollo y ejecución de algunos planes de prueba.
  • Participa en la implementación y conversión de planes de salud nuevos y existentes.
  • Se requiere experiencia en configuración en QNXT o NetworX Pricer o CTP (Claim Test Pro) o QCS (QNXT Configuration Solution).
  • Es necesario tener experiencia en el sector salud.
  • Se prefiere experiencia trabajando con SQL.
CALIFICACIONES DEL PUESTO

Educación Requerida

Título universitario o combinación equivalente de educación y experiencia

Experiencia Requerida

5-7 años

Educación Preferida

Título de posgrado o experiencia equivalente

Experiencia Preferida

7-9 años

Molina Healthcare ofrece un paquete competitivo de beneficios y compensación. Molina Healthcare es un Empleador de Igualdad de Oportunidades (EOE) M/F/D/V.

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