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Be aware that third parties posing as Molina Healthcare may be soliciting money from job seekers and extending offers to candidates who have not interviewed. Molina does not engage in these type of practices. If you have received an offer and have not been engaging with Molina Healthcare in an interview process, reach out to erc@molinahealthcare.com to validate the legitimacy of your offer. Please note that Molina has reported this activity to the appropriate law enforcement agencies for further investigation. If you feel you’ve been victimized, please report it to local law enforcement.
Sr QNXT Analyst - Contracts
Molina Healthcare Everett, Washington; Albany, New York; Kearney, Nebraska; Roswell, New Mexico; Chandler, Arizona; Tucson, Arizona; Akron, Ohio; Columbus, Ohio; Savannah, Georgia; Nebraska; Kentucky; Nampa, Idaho; Yonkers, New York; St. Petersburg, Florida; Louisville, Kentucky; Cincinnati, Ohio; Grand Rapids, Michigan; New York; Utah; Phoenix, Arizona; Austin, Texas; Dallas, Texas; Green Bay, Wisconsin; Racine, Wisconsin; Fort Worth, Texas; Iowa City, Iowa; Davenport, Iowa; Tampa, Florida; Bowling Green, Kentucky; Scottsdale, Arizona; Provo, Utah; Augusta, Georgia; Ann Arbor, Michigan; Sterling Heights, Michigan; Albuquerque, New Mexico; Layton, Utah; Orem, Utah; Boise, Idaho; Madison, Wisconsin; Kenosha, Wisconsin; New York, New York; Covington, Kentucky; Grand Island, Nebraska; Cedar Rapids, Iowa; Lincoln, Nebraska; Florida; Columbus, Georgia; Wisconsin; Seattle, Washington; Santa Fe, New Mexico; Meridian, Idaho; Mesa, Arizona; Omaha, Nebraska; Warren, Michigan; Bellevue, Washington; Tacoma, Washington; Salt Lake City, Utah; Texas; San Antonio, Texas; Atlanta, Georgia; Syracuse, New York; Buffalo, New York; Rochester, New York; Owensboro, Kentucky; Spokane, Washington; Miami, Florida; Orlando, Florida; Sioux City, Iowa; Des Moines, Iowa; Jacksonville, Florida; Washington; Ohio; Iowa; Caldwell, Idaho; Houston, Texas; Detroit, Michigan; Idaho; Cleveland, Ohio; New Mexico; Michigan; Georgia; Las Cruces, New Mexico; West Valley City, Utah; Macon, Georgia; Milwaukee, Wisconsin; Rio Rancho, New Mexico; Idaho Falls, Idaho; Dayton, Ohio; Lexington-Fayette, Kentucky; Bellevue, Nebraska; Vancouver, Washington Job ID 2031394JOB 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.
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 06/19/2025Job Alerts
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