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Analyst, Configuration Information Management- Healthplan Ops (Remote in GA)
Molina Healthcare New Mexico; Kearney, Nebraska; Tacoma, Washington; Buffalo, New York; Cedar Rapids, Iowa; Tucson, Arizona; Augusta, Georgia; Savannah, Georgia; Nampa, Idaho; Michigan; Dallas, Texas; Kenosha, Wisconsin; Caldwell, Idaho; Syracuse, New York; Atlanta, Georgia; Bellevue, Nebraska; San Antonio, Texas; Ann Arbor, Michigan; Iowa City, Iowa; Wisconsin; Sterling Heights, Michigan; Yonkers, New York; Orem, Utah; Akron, Ohio; Houston, Texas; Racine, Wisconsin; Macon, Georgia; Covington, Kentucky; St. Petersburg, Florida; Milwaukee, Wisconsin; Vancouver, Washington; Meridian, Idaho; Austin, Texas; Arizona; Cincinnati, Ohio; Louisville, Kentucky; Mesa, Arizona; Chandler, Arizona; Columbus, Ohio; Idaho; Kentucky; Texas; Everett, Washington; Utah; Bellevue, Washington; Orlando, Florida; Miami, Florida; West Valley City, Utah; Green Bay, Wisconsin; Dayton, Ohio; Fort Worth, Texas; Idaho Falls, Idaho; Albany, New York; Madison, Wisconsin; Grand Rapids, Michigan; Provo, Utah; Las Cruces, New Mexico; Santa Fe, New Mexico; Grand Island, Nebraska; Warren, Michigan; Boise, Idaho; Detroit, Michigan; Roswell, New Mexico; Owensboro, Kentucky; Phoenix, Arizona; Salt Lake City, Utah; Omaha, Nebraska; Layton, Utah; Ohio; Davenport, Iowa; Lexington-Fayette, Kentucky; Rochester, New York; Bowling Green, Kentucky; New York; Scottsdale, Arizona; Jacksonville, Florida; Spokane, Washington; Washington; Cleveland, Ohio; Florida; Columbus, Georgia; Rio Rancho, New Mexico; Des Moines, Iowa; Iowa; Nebraska; Lincoln, Nebraska; Tampa, Florida; Albuquerque, New Mexico; Sioux City, Iowa Job ID 2033830JOB DESCRIPTION
****Candidates must reside in Georgia *****
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
- Analyze and interpret data to determine appropriate configuration changes.
- Accurately interprets specific state and/or federal benefits, contracts as well as additional business requirements and converting these terms to configuration parameters.
- Handles coding, updating and maintaining benefit plans, provider contracts, fee schedules and various system tables through the user interface.
- Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary.
- Works with fluctuating volumes of work and is able to prioritize work to meet deadlines and needs of user community.
JOB QUALIFICATIONS
Required Education
Associate degree or equivalent combination of education and experience
Required Experience
2-5 years
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
5-7 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 - $128,519 / 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 09/19/2025Job Alerts
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