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Lead QNXT Analyst, Benefits Configuration
Molina Healthcare Detroit, Michigan; Albany, New York; Austin, Texas; Lincoln, Nebraska; Nampa, Idaho; Omaha, Nebraska; Davenport, Iowa; Racine, Wisconsin; Dallas, Texas; Meridian, Idaho; Kenosha, Wisconsin; Des Moines, Iowa; Columbus, Georgia; Idaho; Houston, Texas; Akron, Ohio; Bowling Green, Kentucky; Phoenix, Arizona; Albuquerque, New Mexico; Bellevue, Nebraska; West Valley City, Utah; Covington, Kentucky; Tampa, Florida; Columbus, Ohio; Grand Island, Nebraska; Texas; Milwaukee, Wisconsin; Vancouver, Washington; Washington; Kentucky; Cleveland, Ohio; San Antonio, Texas; Miami, Florida; Orlando, Florida; Yonkers, New York; Tacoma, Washington; Green Bay, Wisconsin; Ann Arbor, Michigan; Mesa, Arizona; Rio Rancho, New Mexico; New Mexico; Utah; Iowa; New York; Dayton, Ohio; Sterling Heights, Michigan; Everett, Washington; Macon, Georgia; Nebraska; Iowa City, Iowa; Madison, Wisconsin; Grand Rapids, Michigan; Ohio; Spokane, Washington; Layton, Utah; Salt Lake City, Utah; Lexington-Fayette, Kentucky; Atlanta, Georgia; Caldwell, Idaho; Savannah, Georgia; Owensboro, Kentucky; Kearney, Nebraska; Wisconsin; Florida; Bellevue, Washington; Sioux City, Iowa; Warren, Michigan; Roswell, New Mexico; Cedar Rapids, Iowa; Scottsdale, Arizona; Michigan; Georgia; Santa Fe, New Mexico; Las Cruces, New Mexico; Boise, Idaho; St. Petersburg, Florida; Chandler, Arizona; Cincinnati, Ohio; Louisville, Kentucky; Fort Worth, Texas; Tucson, Arizona; Augusta, Georgia; Rochester, New York; Idaho Falls, Idaho; Provo, Utah; Jacksonville, Florida; Orem, Utah; Syracuse, New York; Buffalo, New York Job ID 2034033JOB 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.
- Candidates must be able to work in a cross functional teams
- Must be able to implement new business.
- Must have experience in benefit configuration in QNXT and act as a QNXT SME.
- Networx / Pricer and claims experience is highly preferred.
- SQL is highly preferred.
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 Full Time Posting Date 10/02/2025Job Alerts
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