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Sr Analyst, Config Info Mgmt

Long Beach, California Job ID 2001044
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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. 


·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


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.


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  • Core Operations, Long Beach, California, United StatesRemove