Mgr, Configuration - Medicare
Molina Healthcare Albany, New York; Everett, Washington; St. Petersburg, Florida; Miami, Florida; Atlanta, Georgia; Boise, Idaho; Idaho; Ann Arbor, Michigan; Houston, Texas; West Valley City, Utah; Nebraska; Grand Island, Nebraska; Albuquerque, New Mexico; Yonkers, New York; Bellevue, Washington; Sioux City, Iowa; Warren, Michigan; Cleveland, Ohio; Akron, Ohio; Fort Worth, Texas; Tacoma, Washington; Santa Fe, New Mexico; Rio Rancho, New Mexico; Seattle, Washington; Green Bay, Wisconsin; Orlando, Florida; Meridian, Idaho; Bowling Green, Kentucky; Sterling Heights, Michigan; New York; Provo, Utah; Layton, Utah; Roswell, New Mexico; Washington; Madison, Wisconsin; Phoenix, Arizona; Savannah, Georgia; Augusta, Georgia; Davenport, Iowa; Caldwell, Idaho; Lexington-Fayette, Kentucky; Texas; Salt Lake City, Utah; Las Cruces, New Mexico; Syracuse, New York; Buffalo, New York; Vancouver, Washington; Racine, Wisconsin; Mesa, Arizona; Florida; Nampa, Idaho; Michigan; Ohio; Cincinnati, Ohio; Dallas, Texas; Orem, Utah; Utah; New Mexico; Tampa, Florida; Columbus, Georgia; Des Moines, Iowa; Iowa City, Iowa; Grand Rapids, Michigan; Lincoln, Nebraska; Bellevue, Nebraska; Spokane, Washington; Kenosha, Wisconsin; Wisconsin; Georgia; Macon, Georgia; Cedar Rapids, Iowa; Idaho Falls, Idaho; Owensboro, Kentucky; Louisville, Kentucky; Kentucky; Detroit, Michigan; Kearney, Nebraska; Omaha, Nebraska; Dayton, Ohio; Austin, Texas; Chandler, Arizona; Scottsdale, Arizona; Tucson, Arizona; Iowa; Covington, Kentucky; Rochester, New York; New York, New York; Columbus, Ohio; San Antonio, Texas; Milwaukee, Wisconsin; Jacksonville, Florida Job ID 2030666JOB 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: 04/23/2025ABOUT OUR LOCATION
View Map- Rep, Customer Experience Boise Idaho, Florida, New Mexico, Wisconsin, Ohio, Michigan, Georgia, Washington, Texas, Arizona, Utah, New York, Iowa City Iowa, Bowling Green Kentucky, Sioux City Iowa, Idaho Falls Idaho, Grand Island Nebraska, Meridian Idaho, Caldwell Idaho, Nebraska, Kentucky, Nampa Idaho, Covington Kentucky, Lexington-Fayette Kentucky, Lincoln Nebraska, Cedar Rapids Iowa, Kearney Nebraska, Davenport Iowa, Louisville Kentucky, Owensboro Kentucky, Iowa, Des Moines Iowa, Idaho, Omaha Nebraska 05/14/2025
- Rep, Customer Experience Bellevue Nebraska, Owensboro Kentucky, Albany New York, Meridian Idaho, Vancouver Washington, Covington Kentucky, Louisville Kentucky, Everett Washington, Kentucky, Caldwell Idaho, Bowling Green Kentucky, Nampa Idaho, Idaho, Lexington-Fayette Kentucky, Omaha Nebraska, Washington, Des Moines Iowa, Spokane Washington, New York, Buffalo New York, Yonkers New York, Grand Island Nebraska, Iowa, Davenport Iowa, Cedar Rapids Iowa, Syracuse New York, Kearney Nebraska, Sioux City Iowa, Nebraska, Tacoma Washington, Bellevue Washington, Idaho Falls Idaho, Lincoln Nebraska, Iowa City Iowa, Boise Idaho, Racine Wisconsin, Akron Ohio, Layton Utah, Kenosha Wisconsin, Utah, Wisconsin, Florida, Houston Texas, Austin Texas, Green Bay Wisconsin, New Mexico, Atlanta Georgia, West Valley City Utah, Phoenix Arizona, Orem Utah, Las Cruces New Mexico, Tampa Florida, Roswell New Mexico, Detroit Michigan, Savannah Georgia, Cleveland Ohio, Tucson Arizona, Georgia, Miami Florida, Provo Utah, San Antonio Texas, Santa Fe New Mexico, Salt Lake City Utah, Chandler Arizona, Fort Worth Texas, Columbus Ohio, Michigan, Scottsdale Arizona, St. Petersburg Florida, Dayton Ohio, Jacksonville Florida, Rio Rancho New Mexico, Ohio, Columbus Georgia, Dallas Texas, Augusta Georgia, Warren Michigan, Mesa Arizona, Ann Arbor Michigan, Albuquerque New Mexico, Grand Rapids Michigan, Sterling Heights Michigan, Cincinnati Ohio, Texas, Macon Georgia, Orlando Florida, Rochester New York, Madison Wisconsin, Milwaukee Wisconsin 05/14/2025
- Senior Configuration Analyst - QNXT Nampa Idaho, Iowa City Iowa, Dayton Ohio, Miami Florida, Layton Utah, Phoenix Arizona, Ohio, Albany New York, Des Moines Iowa, Columbus Georgia, Kearney Nebraska, Atlanta Georgia, Macon Georgia, Syracuse New York, Michigan, Washington, Mesa Arizona, Louisville Kentucky, Salt Lake City Utah, Bellevue Washington, Savannah Georgia, Lincoln Nebraska, Green Bay Wisconsin, Roswell New Mexico, Orlando Florida, Detroit Michigan, Yonkers New York, Vancouver Washington, Orem Utah, Albuquerque New Mexico, Idaho, Iowa, Bellevue Nebraska, Owensboro Kentucky, West Valley City Utah, Omaha Nebraska, Augusta Georgia, Akron Ohio, Jacksonville Florida, Provo Utah, Milwaukee Wisconsin, Las Cruces New Mexico, Grand Rapids Michigan, Rio Rancho New Mexico, Columbus Ohio, Buffalo New York, Warren Michigan, Covington Kentucky, Davenport Iowa, Ann Arbor Michigan, Rochester New York, Bowling Green Kentucky, San Antonio Texas, Utah, Texas, New Mexico, Kentucky, Madison Wisconsin, Kenosha Wisconsin, Dallas Texas, Meridian Idaho, St. Petersburg Florida, Tucson Arizona, Florida, Fort Worth Texas, Caldwell Idaho, Tacoma Washington, Racine Wisconsin, Cedar Rapids Iowa, Georgia, Nebraska, Grand Island Nebraska, Idaho Falls Idaho, Cleveland Ohio, Everett Washington, Tampa Florida, Cincinnati Ohio, Lexington-Fayette Kentucky, Boise Idaho, Sioux City Iowa, Santa Fe New Mexico, Houston Texas, Scottsdale Arizona, New York, Wisconsin, Spokane Washington, Chandler Arizona, Sterling Heights Michigan, Austin Texas 05/16/2025
- Sr Business Analyst, Provider Claims (Remote) Savannah Georgia, Washington, Rochester New York, Orlando Florida, Milwaukee Wisconsin, Akron Ohio, Layton Utah, Bowling Green Kentucky, Phoenix Arizona, Santa Fe New Mexico, Syracuse New York, Sterling Heights Michigan, Cincinnati Ohio, Davenport Iowa, Columbus Ohio, Scottsdale Arizona, Orem Utah, Las Cruces New Mexico, Buffalo New York, Tampa Florida, Spokane Washington, Boise Idaho, Nampa Idaho, Tacoma Washington, St. Petersburg Florida, New Mexico, Rio Rancho New Mexico, Louisville Kentucky, Yonkers New York, Provo Utah, Vancouver Washington, Ann Arbor Michigan, Iowa City Iowa, Everett Washington, Bellevue Washington, West Valley City Utah, Covington Kentucky, Omaha Nebraska, Georgia, Iowa, Kearney Nebraska, Atlanta Georgia, Miami Florida, Mesa Arizona, Austin Texas, Bellevue Nebraska, Caldwell Idaho, Owensboro Kentucky, Florida, Wisconsin, Columbus Georgia, Tucson Arizona, Augusta Georgia, Macon Georgia, San Antonio Texas, Cleveland Ohio, Albuquerque New Mexico, Madison Wisconsin, Lincoln Nebraska, Green Bay Wisconsin, Idaho, Michigan, New York, Utah, Kentucky, Des Moines Iowa, Racine Wisconsin, Jacksonville Florida, Dallas Texas, Warren Michigan, Sioux City Iowa, Nebraska, Fort Worth Texas, Cedar Rapids Iowa, Grand Island Nebraska, Houston Texas, Dayton Ohio, Salt Lake City Utah, Chandler Arizona, Kenosha Wisconsin, Ohio, Texas, Roswell New Mexico, Detroit Michigan, Idaho Falls Idaho, Grand Rapids Michigan, Lexington-Fayette Kentucky, Meridian Idaho, Albany New York 05/16/2025
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