Manager, Configuration - Benefits/Regulatory Requirements - Remote
Molina Healthcare Covington, Kentucky; St. Petersburg, Florida; Iowa City, Iowa; Dallas, Texas; Columbus, Ohio; Kearney, Nebraska; Cedar Rapids, Iowa; New York; Orlando, Florida; Bellevue, Washington; Vancouver, Washington; Nampa, Idaho; Omaha, Nebraska; Dayton, Ohio; Orem, Utah; Buffalo, New York; Meridian, Idaho; Tampa, Florida; Rochester, New York; Idaho; Idaho Falls, Idaho; Davenport, Iowa; Cleveland, Ohio; Albuquerque, New Mexico; Salt Lake City, Utah; Sterling Heights, Michigan; Lexington-Fayette, Kentucky; Warren, Michigan; Racine, Wisconsin; San Antonio, Texas; Las Cruces, New Mexico; Mesa, Arizona; Tucson, Arizona; Roswell, New Mexico; Iowa; Utah; Yonkers, New York; Macon, Georgia; Caldwell, Idaho; Boise, Idaho; Sioux City, Iowa; Jacksonville, Florida; Syracuse, New York; Madison, Wisconsin; Wisconsin; Grand Island, Nebraska; Austin, Texas; Bellevue, Nebraska; Chandler, Arizona; Kenosha, Wisconsin; Rio Rancho, New Mexico; Columbus, Georgia; Augusta, Georgia; Everett, Washington; Spokane, Washington; Florida; Miami, Florida; Provo, Utah; Milwaukee, Wisconsin; Houston, Texas; Bowling Green, Kentucky; Fort Worth, Texas; Des Moines, Iowa; New Mexico; Georgia; Atlanta, Georgia; Detroit, Michigan; Owensboro, Kentucky; Lincoln, Nebraska; Savannah, Georgia; Tacoma, Washington; Akron, Ohio; Layton, Utah; Phoenix, Arizona; Cincinnati, Ohio; Louisville, Kentucky; Texas; Michigan; Nebraska; Washington; West Valley City, Utah; Santa Fe, New Mexico; Grand Rapids, Michigan; Kentucky; Ohio; Albany, New York; Scottsdale, Arizona; Green Bay, Wisconsin; Ann Arbor, Michigan Job ID 2032153JOB 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: 06/16/2025ABOUT OUR LOCATION
View Map- Lead Analyst - Technical PM Identity and Access Management Savannah Georgia, Lincoln Nebraska, Covington Kentucky, St. Petersburg Florida, Kearney Nebraska, Rochester New York, Scottsdale Arizona, Houston Texas, Spokane Washington, Wisconsin, Washington, Bowling Green Kentucky, San Antonio Texas, Orem Utah, Dallas Texas, Meridian Idaho, Caldwell Idaho, Green Bay Wisconsin, Davenport Iowa, Vancouver Washington, Atlanta Georgia, Ohio, Nebraska, Akron Ohio, Boise Idaho, Tacoma Washington, Des Moines Iowa, Columbus Ohio, Macon Georgia, Augusta Georgia, Detroit Michigan, Florida, Jacksonville Florida, Lexington-Fayette Kentucky, Owensboro Kentucky, West Valley City Utah, Omaha Nebraska, Grand Island Nebraska, Roswell New Mexico, Austin Texas, Idaho, Albuquerque New Mexico, Las Cruces New Mexico, Cincinnati Ohio, Warren Michigan, Iowa, Nampa Idaho, Cedar Rapids Iowa, Idaho Falls Idaho, Provo Utah, Orlando Florida, Bellevue Washington, New York, Iowa City Iowa, Dayton Ohio, Cleveland Ohio, Grand Rapids Michigan, Buffalo New York, Louisville Kentucky, Ann Arbor Michigan, Columbus Georgia, Tucson Arizona, Albany New York, New Mexico, Kentucky, Santa Fe New Mexico, Syracuse New York, Tampa Florida, Salt Lake City Utah, Bellevue Nebraska, Sioux City Iowa, Rio Rancho New Mexico, Milwaukee Wisconsin, Miami Florida, Yonkers New York, Everett Washington, Michigan, Layton Utah, Phoenix Arizona, Kenosha Wisconsin, Sterling Heights Michigan, Chandler Arizona, Fort Worth Texas, Georgia, Texas, Utah, Racine Wisconsin, Madison Wisconsin, Mesa Arizona 06/23/2025
- Associate Actuarial Analyst - REMOTE Grand Island Nebraska, Phoenix Arizona, Orem Utah, Provo Utah, Salt Lake City Utah, Bellevue Washington, Sterling Heights Michigan, Mesa Arizona, Savannah Georgia, Michigan, Akron Ohio, Layton Utah, Rio Rancho New Mexico, Kearney Nebraska, Grand Rapids Michigan, Spokane Washington, Albany New York, Green Bay Wisconsin, Santa Fe New Mexico, Dayton Ohio, Ohio, Orlando Florida, Louisville Kentucky, Des Moines Iowa, Racine Wisconsin, Vancouver Washington, Sioux City Iowa, Covington Kentucky, Bellevue Nebraska, Meridian Idaho, Albuquerque New Mexico, Syracuse New York, Georgia, Yonkers New York, Fort Worth Texas, Columbus Georgia, Houston Texas, Dallas Texas, Warren Michigan, Chandler Arizona, Tampa Florida, Tacoma Washington, Kentucky, New York, Iowa, Cedar Rapids Iowa, Owensboro Kentucky, West Valley City Utah, Kenosha Wisconsin, Wisconsin, Jacksonville Florida, San Antonio Texas, Texas, Columbus Ohio, Las Cruces New Mexico, Buffalo New York, Everett Washington, Lincoln Nebraska, Austin Texas, Augusta Georgia, St. Petersburg Florida, New Mexico, Nebraska, Iowa City Iowa, Rochester New York, Cincinnati Ohio, Madison Wisconsin, Davenport Iowa, Scottsdale Arizona, Nampa Idaho, Lexington-Fayette Kentucky, Caldwell Idaho, Cleveland Ohio, Washington, Utah, Idaho, Miami Florida, Macon Georgia, Tucson Arizona, Idaho Falls Idaho, Roswell New Mexico, Boise Idaho, Omaha Nebraska, Bowling Green Kentucky, Atlanta Georgia, Detroit Michigan, Florida, Ann Arbor Michigan, Milwaukee Wisconsin 06/13/2025
- Care Manager: New Mexico Deming New Mexico, Las Cruces New Mexico, Roswell New Mexico, Santa Fe New Mexico, Rio Rancho New Mexico, Albuquerque New Mexico 05/28/2025
- Manager, Medical Economics (Pop Health/Clinical Analytics) - REMOTE Albany New York, Everett Washington, Florida, Kentucky, Nebraska, Iowa, Georgia, Michigan, Texas, Utah, Idaho, New York, Ohio, Washington, New Mexico, Wisconsin, Rio Rancho New Mexico, Salt Lake City Utah, Ann Arbor Michigan, Grand Rapids Michigan, Miami Florida, Syracuse New York, Yonkers New York, Covington Kentucky, Des Moines Iowa, Columbus Ohio, Layton Utah, Warren Michigan, Spokane Washington, Buffalo New York, Rochester New York, Iowa City Iowa, Akron Ohio, Columbus Georgia, Green Bay Wisconsin, Jacksonville Florida, New York New York, Bowling Green Kentucky, Cleveland Ohio, Caldwell Idaho, Mesa Arizona, Austin Texas, Dallas Texas, Fort Worth Texas, Houston Texas, Sterling Heights Michigan, Detroit Michigan, Seattle Washington, Kearney Nebraska, Davenport Iowa, Cincinnati Ohio, Atlanta Georgia, Kenosha Wisconsin, Scottsdale Arizona, Albuquerque New Mexico, Tacoma Washington, Omaha Nebraska, Cedar Rapids Iowa, Macon Georgia, Madison Wisconsin, Meridian Idaho, Phoenix Arizona, Chandler Arizona, Tucson Arizona, San Antonio Texas, Las Cruces New Mexico, Orem Utah, Tampa Florida, Owensboro Kentucky, Lexington-Fayette Kentucky, Louisville Kentucky, Sioux City Iowa, Racine Wisconsin, Nampa Idaho, Idaho Falls Idaho, Santa Fe New Mexico, West Valley City Utah, Provo Utah, Orlando Florida, Dayton Ohio, Augusta Georgia, Milwaukee Wisconsin, Boise Idaho, Roswell New Mexico, Bellevue Washington, Vancouver Washington, St. Petersburg Florida, Bellevue Nebraska, Lincoln Nebraska, Grand Island Nebraska, Savannah Georgia 04/15/2025
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs