Claims Business Analyst - QNXT - CA Remote
Molina Healthcare Long Beach, California Job ID 2031276JOB DESCRIPTIONJob Summary
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production, and communicates results to a broad range of audiences. Effectively uses current and emerging technologies.
KNOWLEDGE/SKILLS/ABILITIES
- Extracts and compiles various sources of information and large data sets from various systems to identify and analyze outliers.
- Sets up process for monitoring, tracking, and trending department data.
- Prepares any state mandated reports and analysis.
- Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes.
- Implements and uses the analytics software and systems to support the departments goals.
- Must have member movement or PCP reassignment or Enrollment and Provider termination experience.
- Must have intermediate level MS Excel experience,
- Familiarity with Enrollment and Managed Healthcare experience is required.
- Must be able to research and analyze data using SQL is required.
- Experience with QNXT is preferred.
- Medicare/ medicaid membership exp required
Required soft skill include but are not limited to :
- Excellent communication
- Possess a team player attitude
- Ability to work in a diverse environment.
- Must be flexible and willing to learn new skills.
JOB QUALIFICATIONS
Required Education
Associate's Degree or equivalent combination of education and experience
Required Experience
1-3 years
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience3-5 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: $68,640 - $111,967 / 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: 05/05/2025ABOUT OUR LOCATION
View Map- Medicare Community Engagement Spc (Central Illinois- Peoria/Springfield) Springfield Illinois, Georgia, Utah, Iowa, Wisconsin, Nebraska, Washington, New Mexico, Michigan, Ohio, Arizona, Texas, New York, Idaho, Kentucky, Florida, Peoria Illinois 05/05/2025
- Claims Business Analyst - QNXT - CA Remote Long Beach California 05/05/2025
- Specialist, Pharmacy Ops Albany New York, Everett Washington, Utah, Florida, Idaho, Wisconsin, Texas, Georgia, Michigan, New Mexico, Kentucky, Iowa, Nebraska, New York, Washington, Ohio, New York New York, Orem Utah, Vancouver Washington, Spokane Washington, Cincinnati Ohio, Savannah Georgia, Madison Wisconsin, Phoenix Arizona, Chandler Arizona, Rio Rancho New Mexico, Covington Kentucky, Lincoln Nebraska, Grand Island Nebraska, Provo Utah, Nampa Idaho, Houston Texas, Des Moines Iowa, Akron Ohio, Bellevue Washington, Tacoma Washington, Seattle Washington, Syracuse New York, Buffalo New York, Augusta Georgia, Caldwell Idaho, Tucson Arizona, Fort Worth Texas, Dayton Ohio, Cleveland Ohio, West Valley City Utah, Grand Rapids Michigan, Sterling Heights Michigan, Rochester New York, Racine Wisconsin, Milwaukee Wisconsin, Boise Idaho, Meridian Idaho, Austin Texas, Owensboro Kentucky, Louisville Kentucky, Omaha Nebraska, Layton Utah, Jacksonville Florida, Orlando Florida, Columbus Ohio, Kenosha Wisconsin, Idaho Falls Idaho, Albuquerque New Mexico, Las Cruces New Mexico, Kearney Nebraska, Iowa City Iowa, Roswell New Mexico, Ann Arbor Michigan, Yonkers New York, Columbus Georgia, Mesa Arizona, Dallas Texas, Bowling Green Kentucky, Bellevue Nebraska, Sioux City Iowa, Davenport Iowa, Cedar Rapids Iowa, Salt Lake City Utah, Detroit Michigan, Tampa Florida, Miami Florida, Macon Georgia, Green Bay Wisconsin, Scottsdale Arizona, Warren Michigan, St. Petersburg Florida, Atlanta Georgia, San Antonio Texas, Santa Fe New Mexico, Lexington-Fayette Kentucky 04/11/2025
- Sr Engineer, Cyber Insider Threat - Network Activity Logs - Remote Albany New York, Everett Washington, Orlando Florida, Columbus Georgia, Davenport Iowa, Lexington-Fayette Kentucky, Louisville Kentucky, Lincoln Nebraska, Bellevue Nebraska, Las Cruces New Mexico, Santa Fe New Mexico, San Antonio Texas, Austin Texas, Salt Lake City Utah, Provo Utah, Kenosha Wisconsin, Chandler Arizona, Tampa Florida, Georgia, Macon Georgia, Iowa, Albuquerque New Mexico, Ohio, Cleveland Ohio, Utah, Madison Wisconsin, Jacksonville Florida, Idaho Falls Idaho, Boise Idaho, Warren Michigan, Yonkers New York, Akron Ohio, Columbus Ohio, Layton Utah, Vancouver Washington, Phoenix Arizona, St. Petersburg Florida, Florida, Meridian Idaho, Covington Kentucky, Kearney Nebraska, Omaha Nebraska, New York New York, Dayton Ohio, Houston Texas, Dallas Texas, Texas, Miami Florida, Augusta Georgia, Cedar Rapids Iowa, Idaho, Bowling Green Kentucky, Sterling Heights Michigan, Nebraska, Grand Island Nebraska, New Mexico, West Valley City Utah, Bellevue Washington, Spokane Washington, Washington, Milwaukee Wisconsin, Scottsdale Arizona, Savannah Georgia, Atlanta Georgia, Iowa City Iowa, Caldwell Idaho, Nampa Idaho, Michigan, New York, Rochester New York, Fort Worth Texas, Wisconsin, Green Bay Wisconsin, Mesa Arizona, Owensboro Kentucky, Kentucky, Grand Rapids Michigan, Detroit Michigan, Roswell New Mexico, Syracuse New York, Cincinnati Ohio, Tacoma Washington, Racine Wisconsin, Tucson Arizona, Des Moines Iowa, Sioux City Iowa, Ann Arbor Michigan, Rio Rancho New Mexico, Buffalo New York, Orem Utah, Seattle Washington 03/26/2025
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs