Senior Configuration Analyst
2 weeks ago
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.
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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