Mgr, QNXT Configuration
Molina Healthcare Arizona; St. Petersburg, Florida; Cedar Rapids, Iowa; Lexington-Fayette, Kentucky; Florida; Rio Rancho, New Mexico; Santa Fe, New Mexico; New York, New York; Yonkers, New York; Tampa, Florida; Augusta, Georgia; Sterling Heights, Michigan; Kentucky; New York; Ohio; Akron, Ohio; Austin, Texas; Racine, Wisconsin; Chandler, Arizona; Idaho Falls, Idaho; Iowa City, Iowa; Louisville, Kentucky; Bowling Green, Kentucky; Warren, Michigan; New Mexico; Texas; Buffalo, New York; Orem, Utah; Bellevue, Washington; Scottsdale, Arizona; Miami, Florida; Macon, Georgia; Davenport, Iowa; Covington, Kentucky; Grand Rapids, Michigan; Michigan; Kearney, Nebraska; Albuquerque, New Mexico; Bellevue, Nebraska; Utah; Wisconsin; Tacoma, Washington; Vancouver, Washington; Green Bay, Wisconsin; Caldwell, Idaho; Georgia; Columbus, Ohio; Cincinnati, Ohio; Dallas, Texas; Madison, Wisconsin; Kenosha, Wisconsin; Phoenix, Arizona; Savannah, Georgia; Nampa, Idaho; Detroit, Michigan; Omaha, Nebraska; Lincoln, Nebraska; Grand Island, Nebraska; Las Cruces, New Mexico; Rochester, New York; Syracuse, New York; Cleveland, Ohio; Houston, Texas; West Valley City, Utah; Seattle, Washington; Orlando, Florida; Atlanta, Georgia; Columbus, Georgia; Boise, Idaho; Des Moines, Iowa; Sioux City, Iowa; Owensboro, Kentucky; Idaho; Nebraska; San Antonio, Texas; Provo, Utah; Layton, Utah; Spokane, Washington; Tucson, Arizona; Mesa, Arizona; Jacksonville, Florida; Meridian, Idaho; Iowa; Ann Arbor, Michigan; Washington; Roswell, New Mexico; Dayton, Ohio; Fort Worth, Texas; Salt Lake City, Utah; Milwaukee, Wisconsin Job ID 2029674JOB 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
- Knowledge of configuration in QNXT strongly preferred
- 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
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: 01/09/2025ABOUT OUR LOCATION
View Map- Risk & Quality Performance Manager (Remote) Arizona, Tampa Florida, Davenport Iowa, Bellevue Nebraska, Rio Rancho New Mexico, Akron Ohio, Bellevue Washington, Tucson Arizona, Ann Arbor Michigan, Roswell New Mexico, Cincinnati Ohio, Nampa Idaho, Idaho Falls Idaho, Omaha Nebraska, Grand Island Nebraska, San Antonio Texas, Fort Worth Texas, Spokane Washington, Phoenix Arizona, St. Petersburg Florida, Atlanta Georgia, Columbus Georgia, Caldwell Idaho, Lexington-Fayette Kentucky, Albuquerque New Mexico, Las Cruces New Mexico, Austin Texas, Provo Utah, Racine Wisconsin, Macon Georgia, Cedar Rapids Iowa, Cleveland Ohio, Dayton Ohio, Orem Utah, Milwaukee Wisconsin, Chandler Arizona, Orlando Florida, Augusta Georgia, Covington Kentucky, Detroit Michigan, Santa Fe New Mexico, Buffalo New York, Salt Lake City Utah, West Valley City Utah, Layton Utah, Seattle Washington, Vancouver Washington, Green Bay Wisconsin, Kenosha Wisconsin, Miami Florida, Savannah Georgia, Meridian Idaho, Des Moines Iowa, Iowa City Iowa, Bowling Green Kentucky, Grand Rapids Michigan, Warren Michigan, Sterling Heights Michigan, Kearney Nebraska, Columbus Ohio, Houston Texas, Dallas Texas, Tacoma Washington, Madison Wisconsin, Georgia, Mesa Arizona, Scottsdale Arizona, Jacksonville Florida, Boise Idaho, Sioux City Iowa, Louisville Kentucky, Owensboro Kentucky, Lincoln Nebraska, New York New York, Rochester New York, Yonkers New York, Syracuse New York, Florida, Idaho, Iowa, Kentucky, Michigan, Nebraska, New Mexico, Ohio, Texas, Utah, Wisconsin, Washington, New York 01/05/2025
- Sr Risk & Quality Performance Manager (Remote) Arizona, Iowa, Boise Idaho, Kenosha Wisconsin, St. Petersburg Florida, Mesa Arizona, Tampa Florida, Warren Michigan, Detroit Michigan, Roswell New Mexico, Savannah Georgia, Louisville Kentucky, Owensboro Kentucky, Nampa Idaho, Tucson Arizona, Caldwell Idaho, Omaha Nebraska, Florida, Houston Texas, Ann Arbor Michigan, Grand Island Nebraska, Orlando Florida, Augusta Georgia, Santa Fe New Mexico, Dayton Ohio, Iowa City Iowa, Wisconsin, Idaho, Layton Utah, Columbus Georgia, San Antonio Texas, Nebraska, Green Bay Wisconsin, Jacksonville Florida, Georgia, West Valley City Utah, Buffalo New York, Austin Texas, Salt Lake City Utah, Tacoma Washington, Madison Wisconsin, Racine Wisconsin, Orem Utah, Utah, Milwaukee Wisconsin, Covington Kentucky, Bellevue Nebraska, Des Moines Iowa, Las Cruces New Mexico, Akron Ohio, Lincoln Nebraska, Texas, Davenport Iowa, Cedar Rapids Iowa, Grand Rapids Michigan, Kearney Nebraska, Fort Worth Texas, Vancouver Washington, New York New York, New Mexico, Provo Utah, Washington, Michigan, Syracuse New York, Seattle Washington, Rio Rancho New Mexico, Dallas Texas, Bellevue Washington, Miami Florida, Rochester New York, Sioux City Iowa, Idaho Falls Idaho, Phoenix Arizona, Atlanta Georgia, Columbus Ohio, Ohio, Yonkers New York, Bowling Green Kentucky, Scottsdale Arizona, Albuquerque New Mexico, Chandler Arizona, Spokane Washington, Cleveland Ohio, Cincinnati Ohio, New York, Macon Georgia, Sterling Heights Michigan, Meridian Idaho, Lexington-Fayette Kentucky, Kentucky 01/05/2025
- Mgr, Business Architecture (PMO) - Medicare Product Line Support - Remote Arizona, San Antonio Texas, Akron Ohio, Albuquerque New Mexico, Green Bay Wisconsin, Fort Worth Texas, Mesa Arizona, Caldwell Idaho, Macon Georgia, Las Cruces New Mexico, New York New York, Salt Lake City Utah, Lexington-Fayette Kentucky, Detroit Michigan, Austin Texas, Sioux City Iowa, Sterling Heights Michigan, Santa Fe New Mexico, Cedar Rapids Iowa, Scottsdale Arizona, Madison Wisconsin, Phoenix Arizona, Atlanta Georgia, Nampa Idaho, Lincoln Nebraska, Dallas Texas, Omaha Nebraska, Cleveland Ohio, Orlando Florida, Provo Utah, Spokane Washington, Grand Island Nebraska, Chandler Arizona, Iowa City Iowa, West Valley City Utah, Tacoma Washington, Louisville Kentucky, Davenport Iowa, Jacksonville Florida, Owensboro Kentucky, Tampa Florida, Orem Utah, Florida, Idaho, Iowa, Georgia, Kentucky, Michigan, Nebraska, New Mexico, Ohio, Texas, Utah, Wisconsin, Washington, New York, Seattle Washington, Yonkers New York, Syracuse New York, Des Moines Iowa, Kearney Nebraska, Miami Florida, Grand Rapids Michigan, Meridian Idaho, Bowling Green Kentucky, Rochester New York, Racine Wisconsin, Vancouver Washington, Rio Rancho New Mexico, Kenosha Wisconsin, Savannah Georgia, Boise Idaho, Roswell New Mexico, Augusta Georgia, Dayton Ohio, Layton Utah, Tucson Arizona, Bellevue Nebraska, Columbus Georgia, St. Petersburg Florida, Warren Michigan, Buffalo New York, Cincinnati Ohio, Bellevue Washington, Milwaukee Wisconsin, Covington Kentucky, Houston Texas, Columbus Ohio, Ann Arbor Michigan, Idaho Falls Idaho 12/31/2024
- Manager, Configuration - REMOTE Arizona, Idaho, Kentucky, New Mexico, Ohio, Caldwell Idaho, Sioux City Iowa, Louisville Kentucky, Omaha Nebraska, Lincoln Nebraska, Albuquerque New Mexico, Miami Florida, Yonkers New York, Fort Worth Texas, Madison Wisconsin, Texas, Washington, Savannah Georgia, Ann Arbor Michigan, Las Cruces New Mexico, Buffalo New York, Cincinnati Ohio, Salt Lake City Utah, Seattle Washington, Kenosha Wisconsin, Iowa, Michigan, Nebraska, Macon Georgia, Nampa Idaho, Bowling Green Kentucky, Lexington-Fayette Kentucky, Sterling Heights Michigan, Kearney Nebraska, Phoenix Arizona, Orlando Florida, Augusta Georgia, Syracuse New York, Cleveland Ohio, Austin Texas, Bellevue Washington, Green Bay Wisconsin, Florida, Utah, Wisconsin, Grand Island Nebraska, Jacksonville Florida, Rio Rancho New Mexico, Columbus Ohio, Akron Ohio, West Valley City Utah, Provo Utah, Layton Utah, Tacoma Washington, New York, Des Moines Iowa, Detroit Michigan, Grand Rapids Michigan, Bellevue Nebraska, Mesa Arizona, St. Petersburg Florida, Columbus Georgia, Milwaukee Wisconsin, Davenport Iowa, Owensboro Kentucky, Warren Michigan, Chandler Arizona, Dallas Texas, Racine Wisconsin, Boise Idaho, Covington Kentucky, Scottsdale Arizona, Santa Fe New Mexico, Tampa Florida, Rochester New York, Dayton Ohio, Houston Texas, San Antonio Texas, Vancouver Washington, Spokane Washington, Georgia, Meridian Idaho, Idaho Falls Idaho, Cedar Rapids Iowa, Iowa City Iowa, Tucson Arizona, Roswell New Mexico, New York New York, Atlanta Georgia, Orem Utah 01/10/2025
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs