Mgr, Configuration - Medicare
Molina Healthcare Albany, New York; Everett, Washington; Seattle, Washington; New York, New York; Atlanta, Georgia; Sioux City, Iowa; Caldwell, Idaho; Boise, Idaho; Lexington-Fayette, Kentucky; Las Cruces, New Mexico; Texas; Salt Lake City, Utah; Iowa City, Iowa; Iowa; Idaho Falls, Idaho; Nebraska; Roswell, New Mexico; Albuquerque, New Mexico; San Antonio, Texas; Fort Worth, Texas; Vancouver, Washington; Bellevue, Washington; Madison, Wisconsin; Detroit, Michigan; Rochester, New York; Akron, Ohio; Provo, Utah; Layton, Utah; Phoenix, Arizona; Jacksonville, Florida; Cedar Rapids, Iowa; Sterling Heights, Michigan; Bellevue, Nebraska; Grand Island, Nebraska; Yonkers, New York; Syracuse, New York; Austin, Texas; Orem, Utah; Washington; Racine, Wisconsin; Milwaukee, Wisconsin; Wisconsin; Chandler, Arizona; Columbus, Georgia; Buffalo, New York; Tucson, Arizona; Scottsdale, Arizona; Florida; Macon, Georgia; Idaho; Louisville, Kentucky; Bowling Green, Kentucky; Owensboro, Kentucky; Kentucky; Lincoln, Nebraska; New Mexico; Rio Rancho, New Mexico; Dayton, Ohio; Columbus, Ohio; Houston, Texas; West Valley City, Utah; Tacoma, Washington; Mesa, Arizona; Tampa, Florida; Savannah, Georgia; Des Moines, Iowa; Nampa, Idaho; Meridian, Idaho; Ann Arbor, Michigan; Michigan; New York; Ohio; Cleveland, Ohio; Utah; Spokane, Washington; Green Bay, Wisconsin; Miami, Florida; Georgia; Santa Fe, New Mexico; Cincinnati, Ohio; Dallas, Texas; Kenosha, Wisconsin; Orlando, Florida; Augusta, Georgia; Davenport, Iowa; Covington, Kentucky; Grand Rapids, Michigan; St. Petersburg, Florida; Warren, Michigan; Kearney, Nebraska; Omaha, Nebraska Job ID 2030670JOB DESCRIPTION
Job Summary
Manages a team of professional Configuration Analysts. Responsible for operational activities for the assigned team, including accurate and timely implementation and maintenance of critical information on claims databases. Validate data to be housed on databases and ensure adherence to business and system requirements of Health Plans as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.Â
KNOWLEDGE/SKILLS/ABILITIES
- Meet and exceed all performance metrics and department goals. Â
- Understand conflicts with teams and provide solutions.Â
- Ensure all team members comply with company and legal requirements.Â
- Ensure tasks are completed with accuracy and efficiency. Sets the right priorities and systematically identifies the root cause of challenges.Â
- Works with the business and project development teams to assess and recommend the appropriate configuration design, solutions, and methodology for new and existing business.
- Develops standard operating procedures and guidelines for the Configuration team.
- Provides status reports and project updates to management and stakeholders.
- Ensure staff have all the resources they need to perform at a high level.Â
- Conduct performance reviews, training, and corrective action as appropriate.Â
- Understanding of complex payment methodologiesÂ
- Understanding of complex configuration solutionsÂ
- Advanced knowledge of health care benefits.Â
- Advanced knowledge of healthcare claims and claim processing from receipt through encounter submission.
- Ability to adopt and utilize work tracking softwareÂ
- Strong business writing skills; proficient user of Microsoft Products including Word, Excel, Outlooks, Teams, SharePoint, PowerPoint, and Visio
- Advanced knowledge of Excel preferred
- SQL knowledge preferredÂ
- Coding certification preferredÂ
- Knowledge of configuration in QNXT strongly preferred
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 combination of education and 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: $80,412 - $188,164 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 03/17/2025ABOUT OUR LOCATION
View Map- Dir, Reporting & Analytics - Databricks/SQL/Power BI - Remote Everett Washington, Albany New York, Sterling Heights Michigan, Nebraska, Ann Arbor Michigan, Omaha Nebraska, Ohio, Orem Utah, Tacoma Washington, Green Bay Wisconsin, Racine Wisconsin, Kentucky, Grand Island Nebraska, Kearney Nebraska, New York New York, Buffalo New York, West Valley City Utah, Bowling Green Kentucky, Kenosha Wisconsin, Atlanta Georgia, Sioux City Iowa, Lexington-Fayette Kentucky, Michigan, Grand Rapids Michigan, Albuquerque New Mexico, Rio Rancho New Mexico, Santa Fe New Mexico, Columbus Ohio, Layton Utah, Seattle Washington, Vancouver Washington, Mesa Arizona, St. Petersburg Florida, Des Moines Iowa, Iowa, Owensboro Kentucky, Louisville Kentucky, Las Cruces New Mexico, Syracuse New York, Akron Ohio, Houston Texas, Austin Texas, San Antonio Texas, Provo Utah, Spokane Washington, Caldwell Idaho, Warren Michigan, Roswell New Mexico, Cleveland Ohio, Dayton Ohio, Fort Worth Texas, Utah, Tucson Arizona, Florida, Georgia, Iowa City Iowa, Idaho, Detroit Michigan, Bellevue Nebraska, New York, Texas, Milwaukee Wisconsin, Chandler Arizona, Miami Florida, Tampa Florida, Columbus Georgia, Cedar Rapids Iowa, Idaho Falls Idaho, Boise Idaho, Meridian Idaho, Covington Kentucky, Rochester New York, Dallas Texas, Salt Lake City Utah, Wisconsin, Scottsdale Arizona, Macon Georgia, Augusta Georgia, Davenport Iowa, Lincoln Nebraska, New Mexico, Yonkers New York, Cincinnati Ohio, Bellevue Washington, Washington, Madison Wisconsin, Phoenix Arizona, Orlando Florida, Jacksonville Florida, Savannah Georgia, Nampa Idaho 03/28/2025
- Sr Engineer, Cyber Insider Threat - Network Activity Logs - Remote Albany New York, Everett Washington, Orlando Florida, Columbus Georgia, Davenport Iowa, Lexington-Fayette Kentucky, Louisville Kentucky, Lincoln Nebraska, Bellevue Nebraska, Las Cruces New Mexico, Santa Fe New Mexico, San Antonio Texas, Austin Texas, Salt Lake City Utah, Provo Utah, Kenosha Wisconsin, Chandler Arizona, Tampa Florida, Georgia, Macon Georgia, Iowa, Albuquerque New Mexico, Ohio, Cleveland Ohio, Utah, Madison Wisconsin, Jacksonville Florida, Idaho Falls Idaho, Boise Idaho, Warren Michigan, Yonkers New York, Akron Ohio, Columbus Ohio, Layton Utah, Vancouver Washington, Phoenix Arizona, St. Petersburg Florida, Florida, Meridian Idaho, Covington Kentucky, Kearney Nebraska, Omaha Nebraska, New York New York, Dayton Ohio, Houston Texas, Dallas Texas, Texas, Miami Florida, Augusta Georgia, Cedar Rapids Iowa, Idaho, Bowling Green Kentucky, Sterling Heights Michigan, Nebraska, Grand Island Nebraska, New Mexico, West Valley City Utah, Bellevue Washington, Spokane Washington, Washington, Milwaukee Wisconsin, Scottsdale Arizona, Savannah Georgia, Atlanta Georgia, Iowa City Iowa, Caldwell Idaho, Nampa Idaho, Michigan, New York, Rochester New York, Fort Worth Texas, Wisconsin, Green Bay Wisconsin, Mesa Arizona, Owensboro Kentucky, Kentucky, Grand Rapids Michigan, Detroit Michigan, Roswell New Mexico, Syracuse New York, Cincinnati Ohio, Tacoma Washington, Racine Wisconsin, Tucson Arizona, Des Moines Iowa, Sioux City Iowa, Ann Arbor Michigan, Rio Rancho New Mexico, Buffalo New York, Orem Utah, Seattle Washington 03/26/2025
- Rep, MTM Pharmacy Services I Everett Washington, Albany New York, Boise Idaho, Kentucky, Owensboro Kentucky, Covington Kentucky, Michigan, Warren Michigan, Omaha Nebraska, Dallas Texas, Augusta Georgia, Iowa City Iowa, Cedar Rapids Iowa, Meridian Idaho, Lexington-Fayette Kentucky, Nebraska, Rio Rancho New Mexico, Rochester New York, Dayton Ohio, Chandler Arizona, Tampa Florida, Georgia, New York New York, Ohio, Columbus Ohio, Texas, Salt Lake City Utah, Spokane Washington, Wisconsin, Racine Wisconsin, Caldwell Idaho, Louisville Kentucky, Grand Island Nebraska, Las Cruces New Mexico, New Mexico, Akron Ohio, San Antonio Texas, Washington, Madison Wisconsin, Green Bay Wisconsin, Idaho, Bellevue Nebraska, Roswell New Mexico, Cleveland Ohio, Austin Texas, Provo Utah, Utah, Layton Utah, Orem Utah, Vancouver Washington, Tacoma Washington, Kenosha Wisconsin, Tucson Arizona, Florida, Macon Georgia, Idaho Falls Idaho, Ann Arbor Michigan, Santa Fe New Mexico, Cincinnati Ohio, Fort Worth Texas, Houston Texas, West Valley City Utah, Bellevue Washington, Milwaukee Wisconsin, St. Petersburg Florida, Savannah Georgia, Columbus Georgia, Des Moines Iowa, Iowa, Davenport Iowa, Bowling Green Kentucky, Detroit Michigan, Sterling Heights Michigan, Grand Rapids Michigan, Kearney Nebraska, Albuquerque New Mexico, Scottsdale Arizona, Mesa Arizona, Jacksonville Florida, Miami Florida, Nampa Idaho, Lincoln Nebraska, New York, Syracuse New York, Yonkers New York, Buffalo New York, Seattle Washington, Phoenix Arizona, Orlando Florida, Atlanta Georgia, Sioux City Iowa 03/20/2025
- Pharmacy Technician, Clinical/MTM (Bilingual in Mandarin /Catonese Preferred) Remote PST Albany New York, Everett Washington, Georgia, Cedar Rapids Iowa, Iowa, Idaho, Tucson Arizona, Chandler Arizona, Florida, St. Petersburg Florida, Racine Wisconsin, Kentucky, Covington Kentucky, Grand Island Nebraska, Rio Rancho New Mexico, Syracuse New York, Akron Ohio, Fort Worth Texas, Savannah Georgia, Texas, San Antonio Texas, Houston Texas, Washington, Vancouver Washington, Madison Wisconsin, Bowling Green Kentucky, Nebraska, Las Cruces New Mexico, Columbus Ohio, Phoenix Arizona, Mesa Arizona, Miami Florida, Seattle Washington, Bellevue Washington, Wisconsin, Kenosha Wisconsin, Meridian Idaho, Warren Michigan, Omaha Nebraska, Bellevue Nebraska, New Mexico, Iowa City Iowa, Jacksonville Florida, Dallas Texas, Layton Utah, Green Bay Wisconsin, Louisville Kentucky, Grand Rapids Michigan, Roswell New Mexico, Dayton Ohio, Augusta Georgia, Davenport Iowa, Idaho Falls Idaho, Tampa Florida, Macon Georgia, Utah, West Valley City Utah, Tacoma Washington, Nampa Idaho, Owensboro Kentucky, Caldwell Idaho, Kearney Nebraska, Santa Fe New Mexico, Ohio, Cleveland Ohio, Atlanta Georgia, Sioux City Iowa, Orlando Florida, Sterling Heights Michigan, Albuquerque New Mexico, New York New York, New York, Boise Idaho, Columbus Georgia, Spokane Washington, Milwaukee Wisconsin, Detroit Michigan, Lincoln Nebraska, Buffalo New York, Rochester New York, Des Moines Iowa, Scottsdale Arizona, Austin Texas, Provo Utah, Orem Utah, Salt Lake City Utah, Lexington-Fayette Kentucky, Michigan, Ann Arbor Michigan, Yonkers New York, Cincinnati Ohio 04/15/2025
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs