Sr Analyst, Config Info MgmtLong Beach, California Job ID 2001044
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.
·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
Bachelor's Degree or equivalent combination of education and experience
Graduate Degree or equivalent experience
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.