Senior Configuration Analyst

2 weeks ago


Long Beach, California, United States Molina Healthcare Full time
Job Overview

Position Summary

The Senior Configuration Analyst is accountable for the precise and prompt execution and upkeep of essential data within claims databases. This role is pivotal in maintaining vital information across operational and claims systems, ensuring the application of business rules relevant to each database. The analyst will validate the data stored in databases and guarantee compliance with business and system requirements related to contracting, benefits, prior authorizations, fee schedules, and other operational necessities.

Key Responsibilities
  • Facilitates training sessions for staff on configuration features, enhancements, and updates.
  • Collaborates with both internal and external stakeholders to grasp business goals and processes associated with the organization.
  • Engages in problem-solving with Health Plans and Corporate to document all end-to-end business requirements.
  • Develops management reporting tools to improve communication regarding configuration updates and initiatives.
  • Negotiates anticipated completion timelines with Health Plans.
  • Experience with QNXT/Medicare/NetworX is essential.
  • Proficiency in SQL is required.
  • Experience with Medicare claims is highly advantageous.
  • Knowledge of Medicare Fee Schedules is preferred.
  • Ability to thrive in a fast-paced environment while meeting service level agreements and managing high-volume workloads.
Qualifications

Education Requirements

A Bachelor's Degree or an equivalent combination of education and experience is required.

Experience Requirements

A minimum of 7-9 years of relevant experience is necessary.

Preferred Education

A Graduate Degree or equivalent experience is preferred.

Preferred Experience

10+ years of relevant experience is desirable.

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

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