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ATTENTION JOB SEEKERS AND MOLINA APPLICANTS: FRAUD ALERT

Be aware that third parties posing as Molina Healthcare may be soliciting money from job seekers and extending offers to candidates who have not interviewed. Molina does not engage in these type of practices. If you have received an offer and have not been engaging with Molina Healthcare in an interview process, reach out to erc@molinahealthcare.com to validate the legitimacy of your offer. Please note that Molina has reported this activity to the appropriate law enforcement agencies for further investigation. If you feel you’ve been victimized, please report it to local law enforcement.

Lead Analyst, Config Info Mgmt - Audit/Compliance - PST Hours - Remote

Molina Healthcare Arizona; Tucson, Arizona; Savannah, Georgia; Nampa, Idaho; Caldwell, Idaho; Lincoln, Nebraska; Grand Island, Nebraska; Santa Fe, New Mexico; Salt Lake City, Utah; Milwaukee, Wisconsin; St. Petersburg, Florida; Columbus, Georgia; Sioux City, Iowa; Iowa City, Iowa; Owensboro, Kentucky; Bellevue, Nebraska; Buffalo, New York; Akron, Ohio; Provo, Utah; Fort Worth, Texas; Tacoma, Washington; Vancouver, Washington; Madison, Wisconsin; Phoenix, Arizona; Des Moines, Iowa; Cedar Rapids, Iowa; New York, New York; Rochester, New York; Syracuse, New York; Houston, Texas; Cincinnati, Ohio; Dallas, Texas; Seattle, Washington; Racine, Wisconsin; Orlando, Florida; Augusta, Georgia; Sterling Heights, Michigan; Kearney, Nebraska; Roswell, New Mexico; Dayton, Ohio; Bellevue, Washington; Green Bay, Wisconsin; New Mexico; Utah; Kenosha, Wisconsin; Louisville, Kentucky; Ann Arbor, Michigan; Rio Rancho, New Mexico; Layton, Utah; Georgia; Iowa; Washington; Scottsdale, Arizona; Tampa, Florida; Idaho Falls, Idaho; Warren, Michigan; Albuquerque, New Mexico; Columbus, Ohio; Cleveland, Ohio; West Valley City, Utah; Orem, Utah; Idaho; Michigan; Jacksonville, Florida; Miami, Florida; Boise, Idaho; Meridian, Idaho; Davenport, Iowa; Omaha, Nebraska; Las Cruces, New Mexico; Yonkers, New York; Austin, Texas; Spokane, Washington; Kentucky; New York; Ohio; Wisconsin; Texas; Mesa, Arizona; Chandler, Arizona; Atlanta, Georgia; Macon, Georgia; Lexington-Fayette, Kentucky; Bowling Green, Kentucky; Covington, Kentucky; Detroit, Michigan; Grand Rapids, Michigan; San Antonio, Texas; Florida; Nebraska Job ID 2029496
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JOB 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

  • Trains staff on configuration functionality, enhancements, and updates.
  • Works with internal and external stakeholders to understand business objectives and processes associated with the enterprise.
  • Problem solves with Health Plans and Corporate to ensure all end-to-end business requirements have been documented.
  • Creates management reporting tools to enhance communication on configurations updates and initiatives.
  • Negotiates expected completion dates with Health Plans.

JOB QUALIFICATIONS

Required Education

Bachelor's Degree or equivalent combination of education and experience

Required Experience

7-9 years

Preferred Education

Graduate Degree or equivalent experience

Preferred Experience

10+ 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: $67,725 - $155,508 / 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: 01/22/2025

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