Sr QNXT Analyst
Molina Healthcare Albany, New York; Everett, Washington; Macon, Georgia; Meridian, Idaho; Caldwell, Idaho; Nampa, Idaho; Kentucky; Vancouver, Washington; Boise, Idaho; Michigan; Detroit, Michigan; Lincoln, Nebraska; Omaha, Nebraska; New Mexico; Rio Rancho, New Mexico; Cleveland, Ohio; Columbus, Ohio; Austin, Texas; Orem, Utah; Seattle, Washington; Davenport, Iowa; Bowling Green, Kentucky; Las Cruces, New Mexico; Buffalo, New York; Racine, Wisconsin; Georgia; Iowa; Louisville, Kentucky; Owensboro, Kentucky; Nebraska; Akron, Ohio; San Antonio, Texas; Fort Worth, Texas; Dallas, Texas; Houston, Texas; Provo, Utah; Utah; Bellevue, Washington; Tampa, Florida; Idaho Falls, Idaho; Grand Rapids, Michigan; Sterling Heights, Michigan; Rochester, New York; New York; Mesa, Arizona; Chandler, Arizona; Augusta, Georgia; Savannah, Georgia; Iowa City, Iowa; Des Moines, Iowa; Idaho; Lexington-Fayette, Kentucky; Covington, Kentucky; Warren, Michigan; Kearney, Nebraska; Albuquerque, New Mexico; Santa Fe, New Mexico; Roswell, New Mexico; Ohio; Layton, Utah; Green Bay, Wisconsin; Wisconsin; Phoenix, Arizona; Columbus, Georgia; Sioux City, Iowa; Cedar Rapids, Iowa; Ann Arbor, Michigan; Syracuse, New York; Yonkers, New York; Cincinnati, Ohio; Texas; West Valley City, Utah; Washington; Madison, Wisconsin; Florida; Atlanta, Georgia; Grand Island, Nebraska; Bellevue, Nebraska; New York, New York; Dayton, Ohio; Salt Lake City, Utah; Tacoma, Washington; Spokane, Washington; Milwaukee, Wisconsin; Kenosha, Wisconsin; Tucson, Arizona; Scottsdale, Arizona; Miami, Florida; St. Petersburg, Florida; Orlando, Florida; Jacksonville, Florida Job ID 2030667JOB DESCRIPTION
Job Summary
Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.
KNOWLEDGE/SKILLS/ABILITIES
- Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable systems.
- Participates in defect resolution for assigned component
- Assists with development of configuration standards and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality.
- Assists in planning and coordination of application upgrades and releases, including development and execution of some test plans.
- Participates in the implementation and conversion of new and existing health plans.
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 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.
#PJCore2
Pay Range: $77,969 - $141,371 / 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: 06/20/2025ABOUT OUR LOCATION
View Map- Supervisor, Care Review (RN) Iowa, Austin Texas, Atlanta Georgia, Provo Utah, Everett Washington, Chandler Arizona, Layton Utah, Phoenix Arizona, Tucson Arizona, Sterling Heights Michigan, Wisconsin, Boise Idaho, Lincoln Nebraska, Green Bay Wisconsin, Iowa City Iowa, Orlando Florida, Detroit Michigan, Kearney Nebraska, New Mexico, Ohio, Texas, Utah, West Valley City Utah, Rochester New York, Grand Island Nebraska, Meridian Idaho, Kenosha Wisconsin, San Antonio Texas, Syracuse New York, Grand Rapids Michigan, Georgia, Dallas Texas, Michigan, Covington Kentucky, Ann Arbor Michigan, Macon Georgia, Idaho Falls Idaho, Cedar Rapids Iowa, Augusta Georgia, Tampa Florida, Jacksonville Florida, Cleveland Ohio, Salt Lake City Utah, Kentucky, Nampa Idaho, Cincinnati Ohio, Columbus Ohio, Columbus Georgia, Bowling Green Kentucky, Orem Utah, Albuquerque New Mexico, Madison Wisconsin, Bellevue Nebraska, Caldwell Idaho, Sioux City Iowa, St. Petersburg Florida, Omaha Nebraska, Yonkers New York, Houston Texas, Spokane Washington, Albany New York, Warren Michigan, Mesa Arizona, Fort Worth Texas, Santa Fe New Mexico, Las Cruces New Mexico, New York, Bellevue Washington, Davenport Iowa, Vancouver Washington, Rio Rancho New Mexico, Des Moines Iowa, Dayton Ohio, Buffalo New York, Nebraska, Florida, Idaho, Owensboro Kentucky, Savannah Georgia, Tacoma Washington, Racine Wisconsin, Miami Florida, Milwaukee Wisconsin, Scottsdale Arizona, Louisville Kentucky, Akron Ohio, Roswell New Mexico, Lexington-Fayette Kentucky, Washington 07/25/2025
- Care Review Clinician, ABA (Licensed Behavior Analyst) Utah, Idaho Falls Idaho, Augusta Georgia, Milwaukee Wisconsin, Arizona, Racine Wisconsin, Wisconsin, San Antonio Texas, Atlanta Georgia, Des Moines Iowa, Phoenix Arizona, Layton Utah, Rochester New York, Detroit Michigan, Columbus Ohio, Warren Michigan, Las Cruces New Mexico, Orlando Florida, Syracuse New York, Provo Utah, Fort Worth Texas, Bellevue Nebraska, Mesa Arizona, Meridian Idaho, Salt Lake City Utah, Cincinnati Ohio, New Mexico, Dallas Texas, Kearney Nebraska, Cedar Rapids Iowa, Dayton Ohio, Santa Fe New Mexico, New York, West Valley City Utah, Green Bay Wisconsin, Washington, Miami Florida, Bellevue Washington, Austin Texas, Cleveland Ohio, Orem Utah, Nebraska, Michigan, Akron Ohio, Covington Kentucky, Savannah Georgia, Vancouver Washington, Ann Arbor Michigan, Nampa Idaho, Grand Rapids Michigan, Texas, Lincoln Nebraska, Tacoma Washington, Davenport Iowa, Yonkers New York, Macon Georgia, Lexington-Fayette Kentucky, Roswell New Mexico, Kenosha Wisconsin, Iowa City Iowa, Albany New York, Jacksonville Florida, Sioux City Iowa, Albuquerque New Mexico, Everett Washington, Idaho, Buffalo New York, Madison Wisconsin, Spokane Washington, Iowa, Houston Texas, Boise Idaho, Owensboro Kentucky, Grand Island Nebraska, Columbus Georgia, Bowling Green Kentucky, Tucson Arizona, Florida, Caldwell Idaho, Georgia, Sterling Heights Michigan, Omaha Nebraska, Ohio, St. Petersburg Florida, Louisville Kentucky, Scottsdale Arizona, Chandler Arizona, Rio Rancho New Mexico, Tampa Florida 07/22/2025
- Senior Analyst, Configuration Information Management - QNXT SME Chandler Arizona, Davenport Iowa, Santa Fe New Mexico, Grand Island Nebraska, Milwaukee Wisconsin, Utah, Cincinnati Ohio, Fort Worth Texas, Columbus Georgia, Sioux City Iowa, Omaha Nebraska, Ann Arbor Michigan, Jacksonville Florida, Austin Texas, Phoenix Arizona, Grand Rapids Michigan, Scottsdale Arizona, New York, Cedar Rapids Iowa, Dallas Texas, Owensboro Kentucky, Bowling Green Kentucky, Akron Ohio, Albany New York, Salt Lake City Utah, Orlando Florida, Yonkers New York, Houston Texas, Rochester New York, Atlanta Georgia, Nebraska, Idaho, Florida, Michigan, Columbus Ohio, Sterling Heights Michigan, Meridian Idaho, Warren Michigan, Mesa Arizona, Boise Idaho, Savannah Georgia, Covington Kentucky, St. Petersburg Florida, Bellevue Nebraska, Miami Florida, Ohio, Wisconsin, Louisville Kentucky, Roswell New Mexico, Nampa Idaho, Tacoma Washington, Orem Utah, Syracuse New York, Las Cruces New Mexico, Provo Utah, Georgia, New Mexico, Rio Rancho New Mexico, Des Moines Iowa, Kenosha Wisconsin, Lincoln Nebraska, Racine Wisconsin, Everett Washington, Bellevue Washington, Caldwell Idaho, Cleveland Ohio, Madison Wisconsin, Buffalo New York, Kentucky, Green Bay Wisconsin, Layton Utah, Spokane Washington, San Antonio Texas, Lexington-Fayette Kentucky, Idaho Falls Idaho, Vancouver Washington 07/22/2025
- Care Review Clinician, PA (RN) Syracuse New York, Madison Wisconsin, Salt Lake City Utah, Nebraska, Miami Florida, Georgia, Grand Island Nebraska, Tacoma Washington, Omaha Nebraska, Santa Fe New Mexico, Chandler Arizona, Tampa Florida, Roswell New Mexico, West Valley City Utah, Michigan, Milwaukee Wisconsin, Dayton Ohio, Akron Ohio, San Antonio Texas, Phoenix Arizona, Cleveland Ohio, Kenosha Wisconsin, Cincinnati Ohio, Tucson Arizona, Augusta Georgia, Austin Texas, Bellevue Nebraska, Detroit Michigan, Covington Kentucky, Macon Georgia, Provo Utah, Kentucky, Racine Wisconsin, Albuquerque New Mexico, Lexington-Fayette Kentucky, Iowa, Ohio, Utah, Washington, Iowa City Iowa, Orem Utah, Kearney Nebraska, Atlanta Georgia, Spokane Washington, Everett Washington, Owensboro Kentucky, Idaho Falls Idaho, Vancouver Washington, Davenport Iowa, Meridian Idaho, Rio Rancho New Mexico, Columbus Georgia, Cedar Rapids Iowa, Caldwell Idaho, Texas, Wisconsin, Lincoln Nebraska, New Mexico, Idaho, Florida, Green Bay Wisconsin, Ann Arbor Michigan, Las Cruces New Mexico, Sterling Heights Michigan, Dallas Texas, Fort Worth Texas, Des Moines Iowa, Columbus Ohio, Rochester New York, Bellevue Washington, Sioux City Iowa, Nampa Idaho, Yonkers New York, Orlando Florida, Scottsdale Arizona, Houston Texas, St. Petersburg Florida, Jacksonville Florida, Layton Utah, Grand Rapids Michigan, Buffalo New York, Warren Michigan, Mesa Arizona, Louisville Kentucky, Albany New York, Boise Idaho, Savannah Georgia, New York, Bowling Green Kentucky 07/15/2025