Skip to main content
Search Jobs
Search

Let us search jobs for you based on the skills and experience listed in your LinkedIn profile.

Start Matching Jobs

Sr Analyst, Config Info Mgmt

Long Beach, California Job ID 2001044
Apply Now

Job Description

Responsible for completing claims and QNXT system configuration analysis to identify trends and opportunities for automation.  Creates analysis documents to report findings, coordinates discussions with internal CIM staff and health plan partners and finalizes action items.  Participates in automation related projects, submits work requests when needed, works with TCIM and IT to define business requirements, ensures CIM related activities are completed accurately and in a timely manner and validates results.  Monitors mass adjudication rates across the organization to identify trends and proactively determine causes of significant spikes or drops in rates. 

Knowledge/Skills/Abilities

·2-3 years experience with QNXT configuration in contracts, benefits, MRDTs, etc.

·Strong understanding of claims processes, provider set-up, prior authorization requirements and their relationships within QNXT

·Demonstrated analytical and problem-solving skills

·Excellent verbal and written communication skills

·Ability to define business requirements and/or complex issues in a clear, concise manner.

·Knowledge of AutoQ or MCG processes a plus



Qualifications

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.

ABOUT OUR LOCATION

View Map

Job Alerts

Sign up to receive automatic notices when jobs that match your interests are posted.

By uploading your resume you are not submitting an application for employment

Interested InSelect a job category from the list of options. Search for a location and select one from the list of suggestions. Finally, click “Add” to create your job alert.

  • Core Operations, Long Beach, California, United StatesRemove