Lead Analyst, Configuration Information Management - Claims/Regulatory Requirements - Remote
Molina Healthcare Dayton, Ohio; Bowling Green, Kentucky; Dallas, Texas; Ohio; Cincinnati, Ohio; Fort Worth, Texas; Des Moines, Iowa; Columbus, Ohio; Columbus, Georgia; Roswell, New Mexico; Kearney, Nebraska; West Valley City, Utah; St. Petersburg, Florida; Syracuse, New York; Sterling Heights, Michigan; Meridian, Idaho; Chandler, Arizona; New Mexico; Iowa; Owensboro, Kentucky; Tacoma, Washington; Ann Arbor, Michigan; Florida; Phoenix, Arizona; Tampa, Florida; Nebraska; Augusta, Georgia; Rochester, New York; Idaho Falls, Idaho; Milwaukee, Wisconsin; Sioux City, Iowa; Covington, Kentucky; Omaha, Nebraska; Madison, Wisconsin; Texas; Rio Rancho, New Mexico; Bellevue, Nebraska; Orlando, Florida; Scottsdale, Arizona; Houston, Texas; Layton, Utah; San Antonio, Texas; Santa Fe, New Mexico; Grand Rapids, Michigan; Buffalo, New York; New York; Louisville, Kentucky; Spokane, Washington; Albany, New York; Tucson, Arizona; Boise, Idaho; Racine, Wisconsin; Jacksonville, Florida; Las Cruces, New Mexico; Wisconsin; Detroit, Michigan; Grand Island, Nebraska; Savannah, Georgia; Lincoln, Nebraska; Davenport, Iowa; Utah; Orem, Utah; Cleveland, Ohio; Albuquerque, New Mexico; Salt Lake City, Utah; Kenosha, Wisconsin; Georgia; Cedar Rapids, Iowa; Austin, Texas; Caldwell, Idaho; Atlanta, Georgia; Yonkers, New York; Iowa City, Iowa; Akron, Ohio; Idaho; Lexington-Fayette, Kentucky; Warren, Michigan; Mesa, Arizona; Washington; Kentucky; Michigan; Everett, Washington; Bellevue, Washington; Miami, Florida; Macon, Georgia; Provo, Utah; Vancouver, Washington; Nampa, Idaho; Green Bay, Wisconsin Job ID 2031745JOB 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: $77,969 - $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: Posting Date: 05/16/2025ABOUT OUR LOCATION
View Map- Field Case Manager, LTSS - Bachelor or Masters degree Ottumwa Iowa, Blakesburg Iowa, Floris Iowa, Batavia Iowa, Libertyville Iowa, Birmingham Iowa, Lockridge Iowa, Fairfield Iowa, Bloomfield Iowa, Iowa City Iowa 05/12/2025
- Analyst, Risk & Quality Reporting (Remote in CA) Los Angeles California, San Diego California, Riverside California, San Bernardino California, Sacramento California 04/17/2025
- Manager, Medical Economics (Marketplace) - REMOTE Albany New York, Everett Washington, Idaho, Iowa, Kentucky, Florida, Michigan, New York, Georgia, Texas, Wisconsin, Ohio, Washington, Nebraska, New Mexico, Utah, Spokane Washington, Tampa Florida, Racine Wisconsin, Milwaukee Wisconsin, Idaho Falls Idaho, Roswell New Mexico, Grand Rapids Michigan, Buffalo New York, Bellevue Nebraska, Grand Island Nebraska, Phoenix Arizona, Santa Fe New Mexico, Albuquerque New Mexico, Orem Utah, Warren Michigan, Orlando Florida, Louisville Kentucky, Cincinnati Ohio, Columbus Georgia, Atlanta Georgia, Madison Wisconsin, Austin Texas, Las Cruces New Mexico, West Valley City Utah, Layton Utah, Miami Florida, New York New York, Omaha Nebraska, Boise Idaho, Meridian Idaho, Mesa Arizona, Rio Rancho New Mexico, Ann Arbor Michigan, Yonkers New York, Owensboro Kentucky, Lexington-Fayette Kentucky, Kearney Nebraska, Davenport Iowa, Des Moines Iowa, Cleveland Ohio, Columbus Ohio, Savannah Georgia, Chandler Arizona, Scottsdale Arizona, San Antonio Texas, Dallas Texas, Fort Worth Texas, Salt Lake City Utah, Bellevue Washington, Seattle Washington, Vancouver Washington, Rochester New York, Covington Kentucky, Sioux City Iowa, Dayton Ohio, Kenosha Wisconsin, Nampa Idaho, Tacoma Washington, St. Petersburg Florida, Syracuse New York, Bowling Green Kentucky, Lincoln Nebraska, Cedar Rapids Iowa, Akron Ohio, Macon Georgia, Houston Texas, Detroit Michigan, Jacksonville Florida, Iowa City Iowa, Augusta Georgia, Green Bay Wisconsin, Caldwell Idaho, Tucson Arizona, Provo Utah, Sterling Heights Michigan, Long Beach California 04/14/2025
- Rep, Customer Experience (Part Time, Bilingual preferred) Doral Florida, Washington, Nebraska, New Mexico, Miami Florida, Kissimmee Florida, Jacksonville Florida, East Naples Florida, Florida, Idaho, Michigan, Kentucky, Wisconsin, Ohio, Iowa, Arizona, Utah, Georgia, New York, Texas 04/08/2025
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs