Sr Analyst, Config Info Mgmt - Claims/ Power BI
Molina Healthcare Arizona; Green Bay, Wisconsin; Kenosha, Wisconsin; Scottsdale, Arizona; Mesa, Arizona; Miami, Florida; Tampa, Florida; Idaho Falls, Idaho; Cedar Rapids, Iowa; Lexington-Fayette, Kentucky; Warren, Michigan; Sterling Heights, Michigan; Bellevue, Nebraska; Rochester, New York; Nebraska; Florida; Columbus, Ohio; Tacoma, Washington; Atlanta, Georgia; Savannah, Georgia; Grand Rapids, Michigan; Omaha, Nebraska; Santa Fe, New Mexico; Wisconsin; New Mexico; Cleveland, Ohio; Syracuse, New York; Seattle, Washington; Madison, Wisconsin; Tucson, Arizona; Sioux City, Iowa; Bowling Green, Kentucky; Washington; Georgia; Dayton, Ohio; Austin, Texas; Augusta, Georgia; Columbus, Georgia; Meridian, Idaho; Owensboro, Kentucky; Detroit, Michigan; Albuquerque, New Mexico; Rio Rancho, New Mexico; New York, New York; Texas; Michigan; Ohio; Idaho; Cincinnati, Ohio; Akron, Ohio; Salt Lake City, Utah; Provo, Utah; Spokane, Washington; Vancouver, Washington; Grand Island, Nebraska; Ann Arbor, Michigan; Kentucky; New York; Houston, Texas; West Valley City, Utah; Layton, Utah; Orem, Utah; Bellevue, Washington; Milwaukee, Wisconsin; Racine, Wisconsin; Chandler, Arizona; Jacksonville, Florida; Louisville, Kentucky; Lincoln, Nebraska; Roswell, New Mexico; Las Cruces, New Mexico; Dallas, Texas; Phoenix, Arizona; Orlando, Florida; Macon, Georgia; Nampa, Idaho; Caldwell, Idaho; Iowa City, Iowa; Davenport, Iowa; Buffalo, New York; Utah; Yonkers, New York; San Antonio, Texas; Fort Worth, Texas; St. Petersburg, Florida; Boise, Idaho; Des Moines, Iowa; Covington, Kentucky; Kearney, Nebraska; Iowa Job ID 2029122JOB 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.
- Must have experience in research, review and audits for adjudication rates of claims
- Must be able to work in cross functional teams
- Must have experience with Power BI - creating and maintaining dashboards.
- Must be able to use SQL for data extraction and manipulation/
- Advanced level of excel experience is required.Â
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.
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: 01/15/2025ABOUT OUR LOCATION
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